Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in New Jersey
What 10 hospitals in New Jersey charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$438,135
Hospital list price billed
Average payment
$85,322
Medicare + patient + other payers
Medicare paid
$69,551
Average per stay
State rank
#26 of 37
1 = lowest average payment
Hospitals in New Jersey billed an average of $438,135 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.1 times the average total payment of $85,322. That payment is 2% above the U.S. average of $83,705.
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 $85,322Billed $438,135
About 19¢ was paid for every $1 hospitals in New Jersey billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New Jersey:
New Jersey hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 |
|---|---|---|---|---|
| Hackensack University Medical CenterHackensack | 55 | $381,440 | $91,910 | $76,978 |
| Robert Wood Johnson University HospitalNew Brunswick | 54 | $477,772 | $96,046 | $68,002 |
| Morristown Memorial HospitalMorristown | 51 | $526,383 | $82,650 | $68,601 |
| Jersey Shore University Medical CenterNeptune City | 43 | $364,309 | $81,193 | $64,907 |
| Cooper University HospitalCamden | 30 | $300,580 | $78,808 | $70,340 |
| Deborah Heart and Lung CenterBrowns Mills | 20 | $485,579 | $86,016 | $82,609 |
| Valley HospitalRidgewood | 19 | $426,235 | $67,768 | $66,243 |
| Our Lady of Lourdes Medical CenterCamden | 16 | $597,950 | $85,256 | $61,813 |
| Saint Barnabas Medical CenterLivingston | 16 | $516,037 | $94,555 | $63,515 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 13 | $380,607 | $65,377 | $63,523 |
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
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $65,377 |
|---|---|
| Valley HospitalRidgewood, NJ | $67,768 |
| Cooper University HospitalCamden, NJ | $78,808 |
| Jersey Shore University Medical CenterNeptune City, NJ | $81,193 |
| Morristown Memorial HospitalMorristown, NJ | $82,650 |
Highest
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $96,046 |
|---|---|
| Saint Barnabas Medical CenterLivingston, NJ | $94,555 |
| Hackensack University Medical CenterHackensack, NJ | $91,910 |
| Deborah Heart and Lung CenterBrowns Mills, NJ | $86,016 |
| Our Lady of Lourdes Medical CenterCamden, NJ | $85,256 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in New Jersey?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 10 hospitals in New Jersey was billed at $438,135 on average, while the average total payment was $85,322, of which Medicare paid $69,551. 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 5.1 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.