Hip or knee replacement (inpatient stay)
Facility: Saint Michael's Medical Center
Billing Code: 470 (MS-DRG)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
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 $24,714 (about 1.8× the $14,044 Medicare rate). Saint Michael's Medical Center charges insurers about $28,404, or about $25,375 in cash — about the fair price. Located in Newark, NJ.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $20,824 - $33,925 | 148% |
| Blue Cross Blue Shieldmajor | $20,824 | 148% |
| Aetnamajor | $20,824 - $45,929 | 148% |
| Cignamajor | $32,676 | 233% |
| Humanamajor | $25,375 | 181% |
| AmeriHealth | $20,824 | 148% |
| Clover Health | $21,657 | 154% |
| WellCare | $21,449 - $34,256 | 153% |
| + 5 smaller / regional plans | $12,421 - $41,030 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint Michael's Medical Center
Compare: Hip or knee replacement (inpatient stay) at other NJ hospitals
- Valley Hospital · Paramus $15,142
- Shore Medical Center · Somers Point $15,215
- Carewell Health Medical Center · East Orange $16,253
- Southern Ocean Medical Center · Manahawkin $17,238
- Riverview Medical Center · Red Bank $17,275
- Bayshore Medical Center · Holmdel $17,391
- Jersey Shore University Medical Center · Neptune $18,886
- Jfk University Medical Center · Edison $18,963
Insurance negotiated median for the same procedure, sorted lowest first.