CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Jersey Shore University Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,622
about 1.7× the $14,044 Medicare rate · typically $17,305–$35,604
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,886
Below the fair price — a good deal
about $4,736 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $23,622 This hospital $18,886 Cash price $15,996

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

Cheapest $15,142 Priciest $19,104

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 $23,622 (about 1.7× the $14,044 Medicare rate). Jersey Shore University Medical Center charges insurers about $18,886, or about $15,996 in cash — below the fair price — a good deal. Located in Neptune, 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 $13,612 - $80,322 97%
Blue Cross Blue Shieldmajor $17,015 121%
Aetnamajor $17,015 - $80,434 121%
Cignamajor $54,985 - $60,838 392%
Amerigroup $17,015 121%
AmeriHealth $15,443 110%
Clover Health $18,716 133%
WellCare $17,015 121%
+ 6 smaller / regional plans $16,183 - $114,356
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 1945 Rte 33, Neptune, NJ 07754
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals