Hamilton, NJ 08690 · CMS Certification Number 310110. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,092 | $75,296 | 5.0× | $13,648 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 248 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Robert Wood Johnson University Hospital Hamilton an average of $15,092 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $13,648 per outpatient case (APC 5115, 113 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,296, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. New Jersey Surgery Center, LLC, an orthopedic surgery center 2.2 mi away, is paid about $9,144 by Medicare for a knee replacement (CPT 27447), $5,948 less than an inpatient stay at Robert Wood Johnson University Hospital Hamilton. Not every patient is a surgery-center candidate.
Medicare paid Robert Wood Johnson University Hospital Hamilton less than 92% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.