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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,528 | $80,884 | 4.9× | $14,825 |
| Shoulder replacement | — | — | — | $21,153 |
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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In 2024 Medicare paid Hackensack Meridian Health Pascack Valley Medical an average of $16,528 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $14,825 per outpatient case (APC 5115, 103 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,884, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Hackensack Meridian Health Pascack Valley Medical less than 62% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.