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Hip replacement in New Jersey: what insurers pay

Posted commercial rates at 23 New Jersey hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Inspira Medical Center Vineland Vineland$13,3850.9×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$13,3850.9×12026-03-24
Shore Medical Center Somers Point$14,4441.0×32026-08-30
Overlook Medical Center Summit$14,9301.0×132026-04-01
Jefferson Stratford Hospital Stratford$15,0001.0×52026-09-15
Palisades Medical Center North Bergen$15,1531.0×12025-12-31
Chilton Medical Center Pompton Plains$15,5871.1×142026-04-01
Newton Medical Center Newton$15,5871.1×142026-04-01
Morristown Medical Center Morristown$15,6381.1×42026-04-01
Hackettstown Medical Center Hackettstown$16,2441.1×132026-04-01
Centrastate Medical Center Freehold$16,3151.1×232026-01-01
Valley Hospital Paramus$19,4211.3×32026-05-06
Englewood Hospital Englewood$20,4921.3×42026-02-02
St Joseph'S University Medical Center Inc Paterson$20,6421.4×42026-04-24
St Mary'S General Hospital Passaic$22,3041.5×72026-09-01
St Luke'S Warren Hospital Phillipsburg$31,3982.2×32026-02-27

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Shore Medical Center Somers Point$18,2121.2×42026-08-30
Valley Hospital Paramus$20,0871.2×22026-05-06
St Luke'S Warren Hospital Phillipsburg$30,6232.0×52026-02-27
Jefferson Stratford Hospital Stratford$30,7062.0×82026-09-15
St Mary'S General Hospital Passaic$30,9301.9×62026-09-01
Englewood Hospital Englewood$31,7641.9×102026-02-02
Capital Health Medical Center - Hopewell Pennington$32,2522.1×12026-06-24
Capital Health Regional Medical Center Trenton$32,2522.1×12026-06-24
Deborah Heart And Lung Center Browns Mills$32,9692.1×32026-02-26
Virtua Willingboro Hospital Willingboro$33,8952.2×92026-04-01
University Hospital Newark$34,2902.2×42026-08-13
Virtua Our Lady Of Lourdes Hospital Camden$37,1152.4×92026-04-01
Newton Medical Center Newton$37,9712.4×232026-04-01
Chilton Medical Center Pompton Plains$38,5702.5×222026-04-01
Hackettstown Medical Center Hackettstown$38,8482.5×222026-04-01
Virtua Mount Holly Hospital Mount Holly$40,1842.6×92026-04-01
Overlook Medical Center Summit$41,8882.7×222026-04-01
Centrastate Medical Center Freehold$43,9652.8×152026-01-01
Palisades Medical Center North Bergen$45,0302.7×82025-12-31
Morristown Medical Center Morristown$47,1703.0×52026-04-01
St Joseph'S University Medical Center Inc Paterson$47,3802.9×52026-04-24
Inspira Medical Center Vineland Vineland$56,1503.6×62026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$56,1503.6×62026-03-24

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Valley Hospital Paramus$28,2581.1×22026-05-06
Shore Medical Center Somers Point$28,5421.2×42026-08-30
St Luke'S Warren Hospital Phillipsburg$47,2721.9×52026-02-27
Jefferson Stratford Hospital Stratford$47,3181.9×82026-09-15
St Mary'S General Hospital Passaic$48,0581.9×62026-09-01
Englewood Hospital Englewood$51,0062.0×102026-02-02
Capital Health Medical Center - Hopewell Pennington$52,3742.1×12026-06-24
Capital Health Regional Medical Center Trenton$52,3742.1×12026-06-24
Virtua Willingboro Hospital Willingboro$52,8022.1×92026-04-01
University Hospital Newark$53,9212.2×42026-08-13
Deborah Heart And Lung Center Browns Mills$56,2122.3×32026-02-26
Virtua Our Lady Of Lourdes Hospital Camden$57,9112.4×92026-04-01
Virtua Mount Holly Hospital Mount Holly$63,1902.6×92026-04-01
Chilton Medical Center Pompton Plains$68,8642.8×212026-04-01
Newton Medical Center Newton$69,1362.8×222026-04-01
Overlook Medical Center Summit$69,1362.8×212026-04-01
Centrastate Medical Center Freehold$69,1362.8×142026-01-01
Hackettstown Medical Center Hackettstown$69,1362.8×222026-04-01
St Joseph'S University Medical Center Inc Paterson$72,3182.8×52026-04-24
Palisades Medical Center North Bergen$78,0643.0×82025-12-31
Morristown Medical Center Morristown$79,7253.3×52026-04-01
Inspira Medical Center Vineland Vineland$90,4563.7×62026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$90,4563.7×62026-03-24

Questions

How much do insurers pay for hip replacement in New Jersey?

23 New Jersey hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 16 hospitals is $15,613, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.