What Medicare pays New Jersey hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
New Jersey has a certificate-of-need program that does not cover surgery centers.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Cape Regional Medical Center, Inc | Cape May Court House | $14,815 | $81,476 | $13,453 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton | $15,092 | $75,296 | $13,648 |
| Shore Medical Center | Somers Point | $15,139 | $84,037 | $13,631 |
| West Jersey Hospital | Voorhees | $15,171 | $172,513 | $13,611 |
| Riverview Medical Center | Red Bank | $15,188 | $64,042 | $13,878 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $15,618 | $82,858 | $13,250 |
| Hunterdon Medical Center | Flemington | $15,945 | $54,973 | $12,494 |
| Penn Medicine Princeton Medical Center | Plainsboro | $15,970 | $76,984 | $13,909 |
| Valley Hospital | Paramus | $16,135 | $80,515 | $14,848 |
| Hackensack Meridian Health Pascack Valley Medical | Westwood | $16,528 | $80,884 | $14,825 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| St Joseph's University Medical Center Inc | Paterson | $23,227 | $154,788 | $14,568 |
| Hackensack University Medical Center | Hackensack | $22,809 | $81,125 | $14,810 |
| Monmouth Medical Center | Long Branch | $20,447 | $67,374 | $13,479 |
| Cooper University Hospital | Camden | $19,498 | $96,163 | $12,856 |
| Cooperman Barnabas Medical Center | Livingston | $19,275 | $67,058 | $13,642 |
| Englewood Hospital | Englewood | $19,239 | $240,863 | $14,833 |
| Morristown Medical Center | Morristown | $18,378 | $88,007 | $14,577 |
| Overlook Medical Center | Summit | $18,222 | $90,220 | $14,716 |
| Hackensack Meridian Mountainside Medical | Montclair | $18,197 | $67,569 | $13,153 |
| Jefferson Stratford Hospital | Stratford | $17,822 | $92,685 | $13,617 |
In 2024 Medicare paid New Jersey hospitals a median $17,025 per inpatient hip or knee replacement stay (MS-DRG 470, 26 hospitals) and a median $13,754 per outpatient case. An orthopedic surgery center is paid about $9,631 for a knee.
Cape Regional Medical Center, Inc ($14,815), Robert Wood Johnson University Hospital Hamilton ($15,092), Shore Medical Center ($15,139).
The median list (chargemaster) price is $82,167, about 4.8× what Medicare pays.
New Jersey has a certificate-of-need program that does not cover surgery centers. CON still covers hospitals, long-term care, and some specialty services, but ambulatory care facilities including ASCs have been exempt since the 1998 reform.