facebook tracking Concomitant aortic and mitral valve procedures cost in New Jersey: 1 hospitals compared (DRG 212)

Concomitant aortic and mitral valve procedures in New Jersey

What 1 hospital in New Jersey charged and were paid for a Medicare hospital stay for concomitant aortic and mitral valve procedures (DRG 212), from 2024 Medicare claims.

DRG 212 Inpatient 2024 Medicare data
Average charge $638,805 Hospital list price billed
Average payment $123,011 Medicare + patient + other payers
Medicare paid $97,130 Average per stay
Volume 11 Medicare hospital stays

Hospitals in New Jersey billed an average of $638,805 for concomitant aortic and mitral valve procedures, about 5.2 times the average total payment of $123,011. That payment is 2% below the U.S. average of $126,075.

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 $123,011Billed $638,805

About 19¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: concomitant aortic and mitral valve procedures

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 11 $638,805 $123,011 $97,130
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Concomitant aortic and mitral valve procedures in other states

Questions

How much does concomitant aortic and mitral valve procedures cost in New Jersey?

In 2024 Medicare data, a hospital stay for concomitant aortic and mitral valve procedures (DRG 212) at 1 hospital in New Jersey was billed at $638,805 on average, while the average total payment was $123,011, of which Medicare paid $97,130. 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 5.2 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.