Disorders of pancreas except malignancy with major complications in New Jersey
What 4 hospitals in New Jersey charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with major complications (DRG 438), from 2024 Medicare claims.
Average charge
$130,177
Hospital list price billed
Average payment
$15,875
Medicare + patient + other payers
Medicare paid
$13,854
Average per stay
State rank
#7 of 22
1 = lowest average payment
Hospitals in New Jersey billed an average of $130,177 for disorders of pancreas except malignancy with major complications, about 8.2 times the average total payment of $15,875. That payment is 11% below the U.S. average of $17,913.
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 $15,875Billed $130,177
About 12¢ 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: disorders of pancreas except 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 |
|---|---|---|---|---|
| Valley HospitalRidgewood | 14 | $121,324 | $14,228 | $13,039 |
| Jersey Shore University Medical CenterNeptune City | 12 | $154,562 | $15,532 | $13,500 |
| Robert Wood Johnson University HospitalNew Brunswick | 11 | $138,972 | $18,943 | $16,223 |
| Ocean Medical CenterBrick | 11 | $106,048 | $15,275 | $12,906 |
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
| Valley HospitalRidgewood, NJ | $14,228 |
|---|---|
| Ocean Medical CenterBrick, NJ | $15,275 |
| Jersey Shore University Medical CenterNeptune City, NJ | $15,532 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $18,943 |
Highest
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $18,943 |
|---|---|
| Jersey Shore University Medical CenterNeptune City, NJ | $15,532 |
| Ocean Medical CenterBrick, NJ | $15,275 |
| Valley HospitalRidgewood, NJ | $14,228 |
Disorders of pancreas except malignancy with major complications in other states
Questions
How much does disorders of pancreas except malignancy with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with major complications (DRG 438) at 4 hospitals in New Jersey was billed at $130,177 on average, while the average total payment was $15,875, of which Medicare paid $13,854. 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 8.2 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.