facebook tracking Digestive malignancy with complications cost in New Jersey: 11 hospitals compared (DRG 375)

Digestive malignancy with complications in New Jersey

What 11 hospitals in New Jersey charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.

DRG 375 Inpatient 2024 Medicare data
Average charge $89,200 Hospital list price billed
Average payment $13,905 Medicare + patient + other payers
Medicare paid $9,510 Average per stay
State rank #16 of 20 1 = lowest average payment

Hospitals in New Jersey billed an average of $89,200 for digestive malignancy with complications, about 6.4 times the average total payment of $13,905. That payment is 6% above the U.S. average of $13,131.

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 $13,905Billed $89,200

About 16¢ 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: digestive malignancy 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 39 $84,112 $13,680 $9,148
Hackensack University Medical CenterHackensack 28 $86,860 $16,565 $10,721
Saint Barnabas Medical CenterLivingston 24 $111,603 $15,441 $11,532
Virtua West Jersey HospitalVoorhees 22 $109,817 $12,661 $8,000
Robert Wood Johnson University HospitalNew Brunswick 22 $137,325 $18,968 $9,222
Valley HospitalRidgewood 16 $69,731 $9,945 $8,857
Cooper University HospitalCamden 13 $64,334 $12,118 $10,263
Overlook HospitalSummit 12 $64,844 $13,969 $9,124
Inspira Medical Center Mullica HillElmer 12 $49,083 $10,885 $9,179
Riverview Medical CenterRed Bank 11 $67,998 $10,872 $7,739
Atlanticare Regional Medical Center - City DivAtlantic City 11 $76,079 $11,064 $9,514
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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

Highest

Robert Wood Johnson University HospitalNew Brunswick, NJ$18,968
Hackensack University Medical CenterHackensack, NJ$16,565
Saint Barnabas Medical CenterLivingston, NJ$15,441
Overlook HospitalSummit, NJ$13,969
Morristown Memorial HospitalMorristown, NJ$13,680

Digestive malignancy with complications in other states

Questions

How much does digestive malignancy with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 11 hospitals in New Jersey was billed at $89,200 on average, while the average total payment was $13,905, of which Medicare paid $9,510. 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 6.4 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.