Diabetes with major complications in New Jersey
What 40 hospitals in New Jersey charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$98,288
Hospital list price billed
Average payment
$14,432
Medicare + patient + other payers
Medicare paid
$11,891
Average per stay
State rank
#35 of 43
1 = lowest average payment
Hospitals in New Jersey billed an average of $98,288 for diabetes with major complications, about 6.8 times the average total payment of $14,432. That payment is 3% above the U.S. average of $14,037.
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 $14,432Billed $98,288
About 15¢ 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: diabetes with 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 |
|---|---|---|---|---|
| Community Medical CenterToms River | 55 | $104,501 | $14,624 | $10,183 |
| Jefferson Stratford HospitalCherry Hill | 47 | $76,843 | $13,745 | $11,735 |
| Jfk Medical CenterEdison | 36 | $100,544 | $12,958 | $11,765 |
| Morristown Memorial HospitalMorristown | 34 | $107,557 | $13,480 | $12,098 |
| Virtua West Jersey HospitalVoorhees | 33 | $108,958 | $12,759 | $9,034 |
| Jersey Shore University Medical CenterNeptune City | 33 | $121,670 | $15,497 | $13,739 |
| Inspira Medical Center VinelandVineland | 29 | $69,476 | $14,564 | $12,814 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 27 | $72,363 | $13,198 | $11,857 |
| Clara Maass Medical CenterBelleville | 26 | $84,256 | $14,613 | $12,788 |
| Saint Barnabas Medical CenterLivingston | 25 | $120,034 | $16,798 | $12,561 |
| St Joseph's Regional Medical CenterPaterson | 24 | $112,648 | $18,081 | $16,117 |
| Centrastate Medical CenterFreehold | 24 | $73,391 | $12,024 | $10,921 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 23 | $125,086 | $12,142 | $10,949 |
| Hackensack University Medical CenterHackensack | 21 | $92,986 | $15,787 | $12,021 |
| Saint Clare's HospitalDenville | 21 | $44,152 | $14,393 | $11,612 |
| Robert Wood Johnson University HospitalNew Brunswick | 20 | $107,891 | $19,357 | $12,187 |
| Ocean Medical CenterBrick | 20 | $88,563 | $13,398 | $11,532 |
| Inspira Medical Center Mullica HillElmer | 20 | $80,230 | $13,929 | $11,859 |
| Valley HospitalRidgewood | 19 | $61,259 | $12,304 | $11,072 |
| Overlook HospitalSummit | 19 | $83,360 | $17,567 | $10,792 |
| Our Lady of Lourdes Medical CenterCamden | 18 | $160,962 | $16,804 | $10,361 |
| University Medical Center at PrincetonPrinceton | 17 | $69,187 | $12,441 | $11,068 |
| Chilton HospitalPompton Plains | 17 | $101,028 | $11,866 | $10,618 |
| Raritan Bay Medical CenterPerth Amboy | 17 | $82,189 | $14,671 | $11,172 |
| Umdnj University HospitalNewark | 16 | $109,185 | $26,716 | $22,989 |
| Newton Memorial HospitalNewton | 15 | $123,699 | $11,002 | $9,889 |
| Hunterdon Medical CenterFlemington | 14 | $73,184 | $13,580 | $10,348 |
| Holy Name Medical CenterTeaneck | 14 | $84,111 | $16,820 | $15,157 |
| Cooper University HospitalCamden | 14 | $87,134 | $15,658 | $12,850 |
| Riverview Medical CenterRed Bank | 13 | $102,102 | $11,285 | $10,281 |
| Somerset Medical CenterSomerville | 13 | $108,398 | $12,278 | $10,798 |
| Capital Health System-Fuld CampusTrenton | 13 | $367,270 | $15,126 | $12,345 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 13 | $104,552 | $10,662 | $9,846 |
| Jersey City Medical CenterJersey City | 12 | $130,138 | $21,956 | $18,331 |
| Southern Ocean Medical CenterManahawkin | 12 | $69,312 | $10,398 | $9,854 |
| Hackettstown Regional Medical CenterHackettstown | 12 | $109,923 | $13,126 | $8,465 |
| St Mary's HospitalPassaic | 11 | $49,708 | $16,973 | $15,043 |
| Cape Regional Medical Center INCCape May Court House | 11 | $52,278 | $11,227 | $10,015 |
| Robert Wood Johnson University Hospital at RahwayRahway | 11 | $70,997 | $11,472 | $10,434 |
| Shore Memorial HospitalSomers Point | 11 | $88,313 | $11,743 | $10,775 |
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
| Southern Ocean Medical CenterManahawkin, NJ | $10,398 |
|---|---|
| Robert Wood Johnson University Hospital HamiltonHamilton, NJ | $10,662 |
| Newton Memorial HospitalNewton, NJ | $11,002 |
| Cape Regional Medical Center INCCape May Court House, NJ | $11,227 |
| Riverview Medical CenterRed Bank, NJ | $11,285 |
Highest
| Umdnj University HospitalNewark, NJ | $26,716 |
|---|---|
| Jersey City Medical CenterJersey City, NJ | $21,956 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $19,357 |
| St Joseph's Regional Medical CenterPaterson, NJ | $18,081 |
| Overlook HospitalSummit, NJ | $17,567 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 40 hospitals in New Jersey was billed at $98,288 on average, while the average total payment was $14,432, of which Medicare paid $11,891. 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 6.8 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.