facebook tracking Complicated peptic ulcer with complications cost in New Jersey: 2 hospitals compared (DRG 381)

Complicated peptic ulcer with complications in New Jersey

What 2 hospitals in New Jersey charged and were paid for a Medicare hospital stay for complicated peptic ulcer with complications (DRG 381), from 2024 Medicare claims.

DRG 381 Inpatient 2024 Medicare data
Average charge $88,199 Hospital list price billed
Average payment $12,717 Medicare + patient + other payers
Medicare paid $9,775 Average per stay
Volume 29 Medicare hospital stays

Hospitals in New Jersey billed an average of $88,199 for complicated peptic ulcer with complications, about 6.9 times the average total payment of $12,717. That payment is 20% above the U.S. average of $10,556.

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 $12,717Billed $88,199

About 14¢ 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: complicated peptic ulcer 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
Morristown Memorial HospitalMorristown 17 $88,926 $10,935 $9,697
Hackensack University Medical CenterHackensack 12 $87,169 $15,241 $9,886
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Complicated peptic ulcer with complications in other states

Questions

How much does complicated peptic ulcer with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for complicated peptic ulcer with complications (DRG 381) at 2 hospitals in New Jersey was billed at $88,199 on average, while the average total payment was $12,717, of which Medicare paid $9,775. 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 6.9 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.