Freehold, NJ 07728 · CMS Certification Number 310111. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $13,754 |
| Shoulder replacement | — | — | — | $19,707 |
| Hip replacement after a fracture (DRG 522) | $17,310 | $66,746 | 3.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $43,965 | — | $12,000–$50,837 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $50,837 | — | 1 |
| Elevance/Anthem/Empire | $50,837 | — | 1 |
| Horizon BCBS NJ | $50,837 | — | 1 |
| UnitedHealthcare | $50,001 | — | 1 |
| Centivo | $45,680 | — | 1 |
| Cigna | $44,988 | — | 1 |
| EmblemHealth | $43,965 | — | 1 |
| Humana | $43,965 | — | 1 |
| Ila Local 1478-2 Welfare Fund | $43,965 | — | 1 |
| Oscar | $43,965 | — | 1 |
| Qualcare | $43,965 | — | 1 |
| Bundled Cases/Episodic Payment | $37,971 | — | 1 |
| 1199SEIU | $34,460 | — | 1 |
| Aetna | $34,460 | — | 1 |
| Kessler Foundation | $12,000 | — | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 273 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $13,754 per outpatient hip or knee replacement case (APC 5115, 142 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Surgicare of Freehold Limited Liability Company, an orthopedic surgery center same ZIP away, is paid about $9,582 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $43,965 across 15 insurers, ranging from $12,000 to $50,837.