Extensive operating room procedures unrelated to principal diagnosis with major complications in New Jersey
What 29 hospitals in New Jersey charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$300,155
Hospital list price billed
Average payment
$47,085
Medicare + patient + other payers
Medicare paid
$40,143
Average per stay
State rank
#29 of 42
1 = lowest average payment
Hospitals in New Jersey billed an average of $300,155 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 6.4 times the average total payment of $47,085. That payment is about the same as the U.S. average of $47,051.
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 $47,085Billed $300,155
About 16¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Morristown Memorial HospitalMorristown | 55 | $344,373 | $55,230 | $41,320 |
| Hackensack University Medical CenterHackensack | 42 | $340,437 | $61,150 | $50,191 |
| Robert Wood Johnson University HospitalNew Brunswick | 41 | $404,639 | $58,475 | $44,695 |
| Jersey Shore University Medical CenterNeptune City | 38 | $239,596 | $38,005 | $36,115 |
| Overlook HospitalSummit | 32 | $264,561 | $50,069 | $41,541 |
| Saint Barnabas Medical CenterLivingston | 32 | $397,489 | $64,509 | $51,238 |
| Inspira Medical Center Mullica HillElmer | 31 | $155,759 | $38,122 | $35,539 |
| Ocean Medical CenterBrick | 29 | $228,614 | $42,249 | $36,406 |
| Jfk Medical CenterEdison | 29 | $263,275 | $48,420 | $38,205 |
| Centrastate Medical CenterFreehold | 26 | $165,238 | $38,811 | $37,413 |
| Valley HospitalRidgewood | 25 | $234,192 | $42,365 | $40,851 |
| Virtua West Jersey HospitalVoorhees | 25 | $346,895 | $37,825 | $35,527 |
| Cooper University HospitalCamden | 24 | $327,366 | $50,334 | $40,626 |
| Community Medical CenterToms River | 24 | $237,795 | $37,370 | $34,607 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 24 | $201,808 | $38,393 | $36,846 |
| Inspira Medical Center VinelandVineland | 21 | $211,160 | $42,999 | $39,417 |
| Clara Maass Medical CenterBelleville | 18 | $243,165 | $37,412 | $35,574 |
| St Joseph's Regional Medical CenterPaterson | 17 | $402,369 | $53,925 | $50,160 |
| Jefferson Stratford HospitalCherry Hill | 17 | $225,284 | $43,396 | $38,954 |
| Holy Name Medical CenterTeaneck | 15 | $139,346 | $41,327 | $39,436 |
| Somerset Medical CenterSomerville | 14 | $258,537 | $43,849 | $33,131 |
| Bayshore Community HospitalHolmdel | 14 | $212,721 | $39,670 | $33,357 |
| Our Lady of Lourdes Medical CenterCamden | 13 | $336,903 | $38,256 | $34,870 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 13 | $329,349 | $39,177 | $36,655 |
| Capital Health System-Fuld CampusTrenton | 13 | $1,394,860 | $61,439 | $46,857 |
| University Medical Center at PrincetonPrinceton | 12 | $261,783 | $41,101 | $39,343 |
| Riverview Medical CenterRed Bank | 12 | $279,342 | $37,329 | $36,377 |
| Englewood Hospital and Medical CenterEnglewood | 12 | $350,469 | $49,658 | $40,233 |
| Mountainside HospitalGlen Ridge | 12 | $166,610 | $57,492 | $39,151 |
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 | $37,329 |
|---|---|
| Community Medical CenterToms River, NJ | $37,370 |
| Clara Maass Medical CenterBelleville, NJ | $37,412 |
| Virtua West Jersey HospitalVoorhees, NJ | $37,825 |
| Jersey Shore University Medical CenterNeptune City, NJ | $38,005 |
Highest
| Saint Barnabas Medical CenterLivingston, NJ | $64,509 |
|---|---|
| Capital Health System-Fuld CampusTrenton, NJ | $61,439 |
| Hackensack University Medical CenterHackensack, NJ | $61,150 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $58,475 |
| Mountainside HospitalGlen Ridge, NJ | $57,492 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 29 hospitals in New Jersey was billed at $300,155 on average, while the average total payment was $47,085, of which Medicare paid $40,143. 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.