Hip or knee replacement (inpatient stay)
Facility: AHS Hospital Corp
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 $23,043 (about 1.6× the $14,044 Medicare rate). AHS Hospital Corp charges insurers about $29,014, or about $22,469 in cash — above the fair price. Located in Hackettstown, NJ.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $23,043. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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 | $28,530 - $29,412 | 203% |
| Blue Cross Blue Shieldmajor | $5,941 - $42,442 | 42% |
| Aetnamajor | $5,941 - $29,014 | 42% |
| Cignamajor | $16,310 - $49,487 | 116% |
| Humanamajor | $43,965 | 313% |
| Ambetter (Centene) | $37,029 | 264% |
| AmeriHealth | $16,636 | 118% |
| GEHA | $29,412 | 209% |
| Harvard Pilgrim | $29,412 | 209% |
| Health Net | $8,682 - $29,014 | 62% |
| MVP Health Care | $44,988 | 320% |
| Oscar Health | $43,965 | 313% |
| Tufts Health Plan | $44,988 | 320% |
| UPMC Health Plan | $17,941 | 128% |
| WellCare | $17,452 | 124% |
| + 40 smaller / regional plans | $5,203 - $49,487 |
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 AHS Hospital Corp
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.