facebook tracking Revision of hip or knee replacement with complications cost in New Jersey: 12 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in New Jersey

What 12 hospitals in New Jersey charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $138,412 Hospital list price billed
Average payment $30,749 Medicare + patient + other payers
Medicare paid $27,728 Average per stay
State rank #30 of 41 1 = lowest average payment

Hospitals in New Jersey billed an average of $138,412 for revision of hip or knee replacement with complications, about 4.5 times the average total payment of $30,749. That payment is about the same as the U.S. average of $30,673.

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 $30,749Billed $138,412

About 22¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: revision of hip or knee replacement with 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 89 $147,282 $31,692 $26,764
Ocean Medical CenterBrick 32 $120,411 $31,330 $29,376
Hackensack University Medical CenterHackensack 25 $121,327 $33,917 $31,619
University Medical Center at PrincetonPrinceton 22 $116,227 $26,383 $24,829
Atlanticare Regional Medical Center - City DivAtlantic City 22 $145,450 $33,867 $27,314
Valley HospitalRidgewood 20 $112,934 $28,979 $27,759
Riverview Medical CenterRed Bank 19 $119,080 $24,887 $23,685
Holy Name Medical CenterTeaneck 16 $109,316 $28,982 $27,986
Jersey Shore University Medical CenterNeptune City 16 $124,740 $27,743 $26,010
Jersey City Medical CenterJersey City 15 $125,162 $33,474 $31,919
Virtua West Jersey HospitalVoorhees 13 $268,179 $27,893 $26,391
Cooper University HospitalCamden 11 $194,766 $36,665 $33,441
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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

Riverview Medical CenterRed Bank, NJ$24,887
University Medical Center at PrincetonPrinceton, NJ$26,383
Jersey Shore University Medical CenterNeptune City, NJ$27,743
Virtua West Jersey HospitalVoorhees, NJ$27,893
Valley HospitalRidgewood, NJ$28,979

Highest

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 12 hospitals in New Jersey was billed at $138,412 on average, while the average total payment was $30,749, of which Medicare paid $27,728. 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 4.5 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.