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New Jersey: one knee, three prices

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.

Surgery center
$9,631
Median Medicare knee rate, 111 orthopedic surgery centers
Hospital, same day
$13,754
Median Medicare allowed amount
Hospital, overnight
$17,025
Median avg total payment (incl. patient share), 26 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Cape Regional Medical Center, IncCape May Court House$14,815$81,476$13,453
Robert Wood Johnson University Hospital HamiltonHamilton$15,092$75,296$13,648
Shore Medical CenterSomers Point$15,139$84,037$13,631
West Jersey HospitalVoorhees$15,171$172,513$13,611
Riverview Medical CenterRed Bank$15,188$64,042$13,878
Robert Wood Johnson University Hospital SomersetSomerville$15,618$82,858$13,250
Hunterdon Medical CenterFlemington$15,945$54,973$12,494
Penn Medicine Princeton Medical CenterPlainsboro$15,970$76,984$13,909
Valley HospitalParamus$16,135$80,515$14,848
Hackensack Meridian Health Pascack Valley MedicalWestwood$16,528$80,884$14,825

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
St Joseph's University Medical Center IncPaterson$23,227$154,788$14,568
Hackensack University Medical CenterHackensack$22,809$81,125$14,810
Monmouth Medical CenterLong Branch$20,447$67,374$13,479
Cooper University HospitalCamden$19,498$96,163$12,856
Cooperman Barnabas Medical CenterLivingston$19,275$67,058$13,642
Englewood HospitalEnglewood$19,239$240,863$14,833
Morristown Medical CenterMorristown$18,378$88,007$14,577
Overlook Medical CenterSummit$18,222$90,220$14,716
Hackensack Meridian Mountainside MedicalMontclair$18,197$67,569$13,153
Jefferson Stratford HospitalStratford$17,822$92,685$13,617

Every New Jersey hospital (43)

Orthopedic surgery centers (111)

Questions

How much does Medicare pay for a knee replacement in New Jersey?

In 2024 the median average total payment to New Jersey hospitals was $17,025 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 26 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $13,754 per outpatient case. An orthopedic surgery center is paid about $9,631 for a knee.

Which New Jersey hospitals have the lowest Medicare payment for a joint replacement?

Cape Regional Medical Center, Inc ($14,815), Robert Wood Johnson University Hospital Hamilton ($15,092), Shore Medical Center ($15,139) (average total payment per inpatient stay, patient share included).

What do New Jersey hospitals list for a joint replacement?

The median list (chargemaster) price is $82,167, about 4.8× the median average total payment for a Medicare stay.

Does New Jersey have a certificate-of-need law?

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.