facebook tracking Amputation for circulatory system disorders except upper limb and toe with complications cost in New Jersey: 1 hospitals compared (DRG 240)

Amputation for circulatory system disorders except upper limb and toe with complications in New Jersey

What 1 hospital in New Jersey charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with complications (DRG 240), from 2024 Medicare claims.

DRG 240 Inpatient 2024 Medicare data
Average charge $284,181 Hospital list price billed
Average payment $21,854 Medicare + patient + other payers
Medicare paid $21,040 Average per stay
Volume 14 Medicare hospital stays

Hospitals in New Jersey billed an average of $284,181 for amputation for circulatory system disorders except upper limb and toe with complications, about 13.0 times the average total payment of $21,854. That payment is 23% below the U.S. average of $28,370.

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 $21,854Billed $284,181

About 8¢ was paid for every $1 hospitals in New Jersey billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New Jersey:

New Jersey hospitals: amputation for circulatory system disorders except upper limb and toe with 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
Virtua Memorial Hospital of Burlington CountyMt Holly 14 $284,181 $21,854 $21,040
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Amputation for circulatory system disorders except upper limb and toe with complications in other states

Questions

How much does amputation for circulatory system disorders except upper limb and toe with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with complications (DRG 240) at 1 hospital in New Jersey was billed at $284,181 on average, while the average total payment was $21,854, of which Medicare paid $21,040. 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 13.0 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.