facebook tracking Heart transplant or implant of heart assist system with major complications cost in New Jersey: 3 hospitals compared (DRG 001)

Heart transplant or implant of heart assist system with major complications in New Jersey

What 3 hospitals in New Jersey charged and were paid for a Medicare hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001), from 2024 Medicare claims.

DRG 001 Inpatient 2024 Medicare data
Average charge $1,303,529 Hospital list price billed
Average payment $305,025 Medicare + patient + other payers
Medicare paid $253,121 Average per stay
State rank #5 of 13 1 = lowest average payment

Hospitals in New Jersey billed an average of $1,303,529 for heart transplant or implant of heart assist system with major complications, about 4.3 times the average total payment of $305,025. That payment is 13% below the U.S. average of $349,592.

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 $305,025Billed $1,303,529

About 23¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: heart transplant or implant of heart assist system 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 22 $1,103,877 $295,971 $286,554
Deborah Heart and Lung CenterBrowns Mills 14 $1,344,837 $294,965 $259,185
Morristown Memorial HospitalMorristown 11 $1,650,258 $335,937 $178,537
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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

Deborah Heart and Lung CenterBrowns Mills, NJ$294,965
Hackensack University Medical CenterHackensack, NJ$295,971
Morristown Memorial HospitalMorristown, NJ$335,937

Highest

Morristown Memorial HospitalMorristown, NJ$335,937
Hackensack University Medical CenterHackensack, NJ$295,971
Deborah Heart and Lung CenterBrowns Mills, NJ$294,965

Heart transplant or implant of heart assist system with major complications in other states

Questions

How much does heart transplant or implant of heart assist system with major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001) at 3 hospitals in New Jersey was billed at $1,303,529 on average, while the average total payment was $305,025, of which Medicare paid $253,121. 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 4.3 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.