facebook tracking Revision of hip or knee replacement without complications cost in New Jersey: 10 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in New Jersey

What 10 hospitals in New Jersey charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $125,452 Hospital list price billed
Average payment $24,165 Medicare + patient + other payers
Medicare paid $22,200 Average per stay
State rank #29 of 42 1 = lowest average payment

Hospitals in New Jersey billed an average of $125,452 for revision of hip or knee replacement without complications, about 5.2 times the average total payment of $24,165. That payment is 1% above the U.S. average of $23,925.

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 $24,165Billed $125,452

About 19¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: revision of hip or knee replacement without 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 36 $109,893 $25,478 $23,727
Atlanticare Regional Medical Center - City DivAtlantic City 33 $113,921 $23,210 $21,730
Hackensack University Medical CenterHackensack 20 $84,767 $27,751 $25,630
Saint Barnabas Medical CenterLivingston 17 $101,666 $26,101 $23,962
Holy Name Medical CenterTeaneck 16 $79,223 $23,316 $21,740
Virtua West Jersey HospitalVoorhees 16 $225,495 $21,159 $19,596
University Medical Center at PrincetonPrinceton 15 $93,137 $20,589 $17,047
Capital Health System-Mercer CampusTrenton 15 $254,209 $22,550 $19,486
Somerset Medical CenterSomerville 12 $107,877 $21,775 $20,092
Jersey City Medical CenterJersey City 12 $130,610 $28,151 $26,734
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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.

Highest

Jersey City Medical CenterJersey City, NJ$28,151
Hackensack University Medical CenterHackensack, NJ$27,751
Saint Barnabas Medical CenterLivingston, NJ$26,101
Morristown Memorial HospitalMorristown, NJ$25,478
Holy Name Medical CenterTeaneck, NJ$23,316

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 10 hospitals in New Jersey was billed at $125,452 on average, while the average total payment was $24,165, of which Medicare paid $22,200. 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.