facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in New Jersey: 26 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in New Jersey

What 26 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 without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $91,075 Hospital list price billed
Average payment $17,455 Medicare + patient + other payers
Medicare paid $15,111 Average per stay
State rank #36 of 48 1 = lowest average payment

Hospitals in New Jersey billed an average of $91,075 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.2 times the average total payment of $17,455. That payment is about the same as the U.S. average of $17,318.

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 $17,455Billed $91,075

About 19¢ 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 without major complications

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
Morristown Memorial HospitalMorristown 188 $88,007 $18,378 $16,249
Hunterdon Medical CenterFlemington 121 $54,973 $15,945 $14,219
Atlanticare Regional Medical Center - City DivAtlantic City 96 $83,297 $16,931 $14,781
Community Medical CenterToms River 69 $56,891 $17,119 $13,367
Jersey Shore University Medical CenterNeptune City 67 $73,354 $16,775 $15,058
Overlook HospitalSummit 66 $90,220 $18,222 $16,463
Monmouth Medical CenterLong Branch 60 $67,374 $20,447 $17,310
Riverview Medical CenterRed Bank 51 $64,042 $15,188 $12,886
University Medical Center at PrincetonPrinceton 49 $76,984 $15,970 $13,918
Virtua West Jersey HospitalVoorhees 39 $172,513 $15,171 $12,388
Saint Clare's HospitalDenville 39 $155,729 $17,719 $15,450
Hudson Regional HospitalSecaucus 38 $116,174 $16,578 $14,854
Robert Wood Johnson University Hospital HamiltonHamilton 32 $75,296 $15,092 $12,569
Englewood Hospital and Medical CenterEnglewood 31 $240,863 $19,239 $17,278
Mountainside HospitalGlen Ridge 31 $67,569 $18,197 $16,137
Jefferson Stratford HospitalCherry Hill 26 $92,685 $17,822 $14,493
Somerset Medical CenterSomerville 25 $82,858 $15,618 $13,903
St Joseph's Regional Medical CenterPaterson 24 $154,788 $23,227 $19,179
Hackensack University Medical CenterHackensack 23 $81,125 $22,809 $17,354
Capital Health System-Mercer CampusTrenton 18 $226,756 $17,490 $15,068
Saint Barnabas Medical CenterLivingston 18 $67,058 $19,275 $15,092
Hackensack Meridian Health Pascack Valley MedicalWestwood 17 $80,884 $16,528 $14,896
Cooper University HospitalCamden 14 $96,163 $19,498 $17,551
Shore Memorial HospitalSomers Point 14 $84,037 $15,139 $13,464
Cape Regional Medical Center INCCape May Court House 11 $81,476 $14,815 $13,462
Valley HospitalRidgewood 11 $80,515 $16,135 $14,607
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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

Cape Regional Medical Center INCCape May Court House, NJ$14,815
Robert Wood Johnson University Hospital HamiltonHamilton, NJ$15,092
Shore Memorial HospitalSomers Point, NJ$15,139
Virtua West Jersey HospitalVoorhees, NJ$15,171
Riverview Medical CenterRed Bank, NJ$15,188

Highest

St Joseph's Regional Medical CenterPaterson, NJ$23,227
Hackensack University Medical CenterHackensack, NJ$22,809
Monmouth Medical CenterLong Branch, NJ$20,447
Cooper University HospitalCamden, NJ$19,498
Saint Barnabas Medical CenterLivingston, NJ$19,275

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 26 hospitals in New Jersey was billed at $91,075 on average, while the average total payment was $17,455, of which Medicare paid $15,111. 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 5.2 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.