facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in New Jersey: 36 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in New Jersey

What 36 hospitals in New Jersey charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.

DRG 563 Inpatient 2024 Medicare data
Average charge $55,519 Hospital list price billed
Average payment $9,213 Medicare + patient + other payers
Medicare paid $6,515 Average per stay
State rank #32 of 39 1 = lowest average payment

Hospitals in New Jersey billed an average of $55,519 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 6.0 times the average total payment of $9,213. That payment is 5% above the U.S. average of $8,749.

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 $9,213Billed $55,519

About 17¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 59 $56,213 $10,279 $6,819
Virtua West Jersey HospitalVoorhees 54 $63,887 $7,297 $5,722
Community Medical CenterToms River 52 $49,571 $7,866 $5,796
Atlanticare Regional Medical Center - City DivAtlantic City 44 $51,171 $9,145 $6,508
Chilton HospitalPompton Plains 39 $55,423 $7,497 $5,990
Saint Clare's HospitalDenville 39 $28,149 $9,021 $6,947
Valley HospitalRidgewood 32 $42,580 $7,596 $6,204
Somerset Medical CenterSomerville 29 $70,619 $7,975 $5,787
Jersey Shore University Medical CenterNeptune City 27 $68,429 $9,698 $6,019
Hackensack University Medical CenterHackensack 26 $77,125 $16,019 $7,686
Jefferson Stratford HospitalCherry Hill 24 $53,557 $8,754 $6,652
Cooper University HospitalCamden 23 $60,398 $11,068 $6,934
Englewood Hospital and Medical CenterEnglewood 22 $28,902 $9,619 $7,724
Robert Wood Johnson University HospitalNew Brunswick 21 $86,786 $12,622 $8,023
Overlook HospitalSummit 21 $56,108 $9,277 $7,255
St Joseph's Regional Medical CenterPaterson 20 $59,242 $12,095 $10,081
Saint Barnabas Medical CenterLivingston 18 $68,462 $11,114 $7,912
Hunterdon Medical CenterFlemington 17 $38,523 $7,943 $6,093
University Medical Center at PrincetonPrinceton 17 $50,404 $7,854 $6,210
Newton Memorial HospitalNewton 17 $82,322 $7,038 $5,089
Bayshore Community HospitalHolmdel 16 $48,056 $7,013 $5,585
Shore Memorial HospitalSomers Point 15 $32,940 $7,344 $5,886
Ocean Medical CenterBrick 15 $67,665 $8,333 $6,390
Robert Wood Johnson University Hospital HamiltonHamilton 15 $67,343 $7,248 $5,229
Hackensack Meridian Health Pascack Valley MedicalWestwood 15 $48,270 $7,694 $6,280
Clara Maass Medical CenterBelleville 13 $56,250 $8,853 $7,459
Cape Regional Medical Center INCCape May Court House 13 $51,844 $7,245 $5,837
Virtua Memorial Hospital of Burlington CountyMt Holly 13 $67,860 $10,328 $5,561
Inspira Medical Center Mullica HillElmer 13 $42,198 $8,628 $6,536
Monmouth Medical CenterLong Branch 13 $50,790 $9,434 $6,399
Monmouth Medical Center-Southern CampusLakewood 13 $60,669 $15,395 $5,581
Jfk Medical CenterEdison 13 $53,064 $14,030 $6,326
Centrastate Medical CenterFreehold 13 $43,121 $7,667 $6,173
Inspira Medical Center VinelandVineland 12 $62,185 $10,389 $8,065
Mountainside HospitalGlen Ridge 12 $46,546 $9,408 $7,195
Riverview Medical CenterRed Bank 11 $63,033 $6,613 $5,130
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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

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 36 hospitals in New Jersey was billed at $55,519 on average, while the average total payment was $9,213, of which Medicare paid $6,515. 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 6.0 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.