Major hip and knee joint replacement or reattachment of lower extremity with major complications or tota in New Jersey
What 3 hospitals in New Jersey charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity with major complications or tota (DRG 469), from 2024 Medicare claims.
Average charge
$145,859
Hospital list price billed
Average payment
$29,614
Medicare + patient + other payers
Medicare paid
$24,682
Average per stay
State rank
#3 of 10
1 = lowest average payment
Hospitals in New Jersey billed an average of $145,859 for major hip and knee joint replacement or reattachment of lower extremity with major complications or tota, about 4.9 times the average total payment of $29,614. That payment is 10% below the U.S. average of $32,812.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $29,614Billed $145,859
About 20¢ was paid for every $1 hospitals in New Jersey billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New Jersey:
New Jersey hospitals: major hip and knee joint replacement or reattachment of lower extremity with major complications or tota
Every New Jersey hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| University Medical Center at PrincetonPrinceton | 12 | $159,337 | $24,647 | $22,835 |
| Morristown Memorial HospitalMorristown | 11 | $154,270 | $36,639 | $25,014 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 11 | $122,744 | $28,007 | $26,363 |
Lowest and highest payments in New Jersey
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| University Medical Center at PrincetonPrinceton, NJ | $24,647 |
|---|---|
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $28,007 |
| Morristown Memorial HospitalMorristown, NJ | $36,639 |
Highest
| Morristown Memorial HospitalMorristown, NJ | $36,639 |
|---|---|
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $28,007 |
| University Medical Center at PrincetonPrinceton, NJ | $24,647 |
Major hip and knee joint replacement or reattachment of lower extremity with major complications or tota in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity with major complications or tota cost in New Jersey?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity with major complications or tota (DRG 469) at 3 hospitals in New Jersey was billed at $145,859 on average, while the average total payment was $29,614, of which Medicare paid $24,682. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New Jersey, average charges were 4.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.