CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Raritan Bay Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,669
about 1.7× the $14,044 Medicare rate · typically $17,278–$36,323
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,260
Below the fair price — a good deal
about $3,409 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $23,669 This hospital $20,260 Cash price $16,309

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $15,142 Priciest $20,260

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $23,669 (about 1.7× the $14,044 Medicare rate). Raritan Bay Medical Center charges insurers about $20,260, or about $16,309 in cash — below the fair price — a good deal. Located in Perth Amboy, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $18,338 - $71,236 131%
Blue Cross Blue Shieldmajor $17,465 124%
Aetnamajor $17,465 - $52,596 124%
Cignamajor $59,246 - $65,155 422%
Amerigroup $17,465 - $18,688 124%
AmeriHealth $15,304 109%
Clover Health $19,212 137%
WellCare $17,465 124%
+ 8 smaller / regional plans $5,095 - $76,380
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 530 New Brunswick Ave, Perth Amboy, NJ 08861
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals