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Hackensack Meridian Health Pascack Valley Medical: what a joint replacement costs

Westwood, NJ 07675 · CMS Certification Number 310130. 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.

Surgery center nearby
$10,735
Global Surgery Center, LLC, 3.6 mi
Outpatient here
$14,825
Medicare allowed amount, 103 cases, APC 5115
Inpatient here
$16,528
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Hackensack Meridian Health Pascack Valley Medical

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,528$80,8844.9×$14,825
Shoulder replacement———$21,153

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 5 of 5 stars. For-profit · Acute · 128 beds

New Jersey has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Hackensack Meridian Health Pascack Valley Medical for a knee or hip replacement?

In 2024 the average total payment to Hackensack Meridian Health Pascack Valley Medical for an inpatient hip or knee replacement stay was $16,528 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,825 per outpatient case (APC 5115, 103 cases).

What is Hackensack Meridian Health Pascack Valley Medical's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,884, 4.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Hackensack Meridian Health Pascack Valley Medical?

Yes for Medicare facility payments. Global Surgery Center, LLC, an orthopedic surgery center 3.6 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $5,793 less than an inpatient stay at Hackensack Meridian Health Pascack Valley Medical. Not every patient is a surgery-center candidate.

How does Hackensack Meridian Health Pascack Valley Medical compare with other New Jersey hospitals?

Hackensack Meridian Health Pascack Valley Medical's average total payment per Medicare stay is lower than 62% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.