facebook tracking Digestive malignancy with major complications cost in New Jersey: 15 hospitals compared (DRG 374)

Digestive malignancy with major complications in New Jersey

What 15 hospitals in New Jersey charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.

DRG 374 Inpatient 2024 Medicare data
Average charge $147,401 Hospital list price billed
Average payment $22,450 Medicare + patient + other payers
Medicare paid $17,977 Average per stay
State rank #18 of 28 1 = lowest average payment

Hospitals in New Jersey billed an average of $147,401 for digestive malignancy with major complications, about 6.6 times the average total payment of $22,450. That payment is 3% below the U.S. average of $23,203.

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 $22,450Billed $147,401

About 15¢ 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 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
Hackensack University Medical CenterHackensack 43 $146,072 $26,879 $20,869
Morristown Memorial HospitalMorristown 25 $161,781 $23,532 $17,363
Overlook HospitalSummit 24 $112,586 $20,376 $18,526
Valley HospitalRidgewood 23 $94,496 $17,273 $14,879
Saint Barnabas Medical CenterLivingston 22 $203,020 $30,028 $18,200
Ocean Medical CenterBrick 20 $90,597 $19,082 $14,974
Virtua West Jersey HospitalVoorhees 19 $170,974 $18,111 $13,726
Riverview Medical CenterRed Bank 17 $108,599 $16,400 $13,139
University Medical Center at PrincetonPrinceton 16 $132,581 $17,971 $16,339
Jersey Shore University Medical CenterNeptune City 16 $165,162 $18,811 $17,254
Robert Wood Johnson University HospitalNew Brunswick 15 $206,658 $24,541 $21,641
Englewood Hospital and Medical CenterEnglewood 15 $120,842 $22,434 $18,097
Chilton HospitalPompton Plains 14 $118,010 $16,780 $16,081
St Joseph's Regional Medical CenterPaterson 13 $322,966 $38,916 $30,030
Cooper University HospitalCamden 12 $102,892 $22,560 $19,482
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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

Riverview Medical CenterRed Bank, NJ$16,400
Chilton HospitalPompton Plains, NJ$16,780
Valley HospitalRidgewood, NJ$17,273
University Medical Center at PrincetonPrinceton, NJ$17,971
Virtua West Jersey HospitalVoorhees, NJ$18,111

Highest

Digestive malignancy with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 15 hospitals in New Jersey was billed at $147,401 on average, while the average total payment was $22,450, of which Medicare paid $17,977. 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 6.6 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.