facebook tracking Aortic and heart assist procedures except pulsation balloon without major complications cost in New Jersey: 9 hospitals compared (DRG 269)

Aortic and heart assist procedures except pulsation balloon without major complications in New Jersey

What 9 hospitals in New Jersey charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.

DRG 269 Inpatient 2024 Medicare data
Average charge $193,311 Hospital list price billed
Average payment $42,878 Medicare + patient + other payers
Medicare paid $34,838 Average per stay
State rank #30 of 35 1 = lowest average payment

Hospitals in New Jersey billed an average of $193,311 for aortic and heart assist procedures except pulsation balloon without major complications, about 4.5 times the average total payment of $42,878. That payment is 8% above the U.S. average of $39,522.

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 $42,878Billed $193,311

About 22¢ 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: aortic and heart assist procedures except pulsation balloon without major 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
Morristown Memorial HospitalMorristown 35 $208,468 $42,220 $36,167
Cooper University HospitalCamden 25 $177,513 $42,465 $37,320
Robert Wood Johnson University HospitalNew Brunswick 23 $169,074 $53,178 $32,399
Valley HospitalRidgewood 20 $154,511 $38,418 $32,221
Our Lady of Lourdes Medical CenterCamden 19 $374,922 $37,412 $31,575
Jersey Shore University Medical CenterNeptune City 18 $133,127 $36,249 $34,538
Ocean Medical CenterBrick 16 $112,784 $40,357 $33,412
Hackensack University Medical CenterHackensack 13 $121,926 $49,156 $37,074
Deborah Heart and Lung CenterBrowns Mills 11 $288,493 $49,023 $40,387
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Lowest and highest payments in New Jersey

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Jersey Shore University Medical CenterNeptune City, NJ$36,249
Our Lady of Lourdes Medical CenterCamden, NJ$37,412
Valley HospitalRidgewood, NJ$38,418
Ocean Medical CenterBrick, NJ$40,357
Morristown Memorial HospitalMorristown, NJ$42,220

Highest

Robert Wood Johnson University HospitalNew Brunswick, NJ$53,178
Hackensack University Medical CenterHackensack, NJ$49,156
Deborah Heart and Lung CenterBrowns Mills, NJ$49,023
Cooper University HospitalCamden, NJ$42,465
Morristown Memorial HospitalMorristown, NJ$42,220

Aortic and heart assist procedures except pulsation balloon without major complications in other states

Questions

How much does aortic and heart assist procedures except pulsation balloon without major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 9 hospitals in New Jersey was billed at $193,311 on average, while the average total payment was $42,878, of which Medicare paid $34,838. 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 4.5 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.