facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in New Jersey: 9 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in New Jersey

What 9 hospitals in New Jersey charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $1,052,952 Hospital list price billed
Average payment $216,794 Medicare + patient + other payers
Medicare paid $180,986 Average per stay
State rank #13 of 29 1 = lowest average payment

Hospitals in New Jersey billed an average of $1,052,952 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 4.9 times the average total payment of $216,794. That payment is 12% below the U.S. average of $246,178.

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 $216,794Billed $1,052,952

About 21¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

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
Cooper University HospitalCamden 30 $724,756 $178,496 $172,074
Jersey Shore University Medical CenterNeptune City 30 $1,179,275 $194,370 $161,291
Robert Wood Johnson University HospitalNew Brunswick 28 $1,076,014 $253,492 $176,363
Morristown Memorial HospitalMorristown 26 $1,132,752 $209,373 $184,768
Our Lady of Lourdes Medical CenterCamden 21 $1,337,947 $175,375 $165,942
Saint Barnabas Medical CenterLivingston 18 $934,992 $205,911 $183,502
Hackensack University Medical CenterHackensack 17 $976,842 $257,452 $195,522
Umdnj University HospitalNewark 14 $990,955 $251,221 $214,073
Valley HospitalRidgewood 13 $1,178,791 $284,461 $215,569
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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

Our Lady of Lourdes Medical CenterCamden, NJ$175,375
Cooper University HospitalCamden, NJ$178,496
Jersey Shore University Medical CenterNeptune City, NJ$194,370
Saint Barnabas Medical CenterLivingston, NJ$205,911
Morristown Memorial HospitalMorristown, NJ$209,373

Highest

Valley HospitalRidgewood, NJ$284,461
Hackensack University Medical CenterHackensack, NJ$257,452
Robert Wood Johnson University HospitalNew Brunswick, NJ$253,492
Umdnj University HospitalNewark, NJ$251,221
Morristown Memorial HospitalMorristown, NJ$209,373

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in New Jersey?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 9 hospitals in New Jersey was billed at $1,052,952 on average, while the average total payment was $216,794, of which Medicare paid $180,986. 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 4.9 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.