facebook tracking Hip and femur procedures except major joint with complications cost in New Jersey: 46 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in New Jersey

What 46 hospitals in New Jersey charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $115,852 Hospital list price billed
Average payment $19,756 Medicare + patient + other payers
Medicare paid $16,981 Average per stay
State rank #40 of 50 1 = lowest average payment

Hospitals in New Jersey billed an average of $115,852 for hip and femur procedures except major joint with complications, about 5.9 times the average total payment of $19,756. That payment is 7% above the U.S. average of $18,473.

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 $19,756Billed $115,852

About 17¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: hip and femur procedures except major joint with 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 161 $98,954 $20,366 $17,467
Hackensack University Medical CenterHackensack 98 $113,348 $24,464 $19,374
Community Medical CenterToms River 96 $91,947 $17,930 $15,411
Ocean Medical CenterBrick 94 $99,927 $19,295 $16,621
Cooper University HospitalCamden 81 $119,585 $21,608 $18,898
Jersey Shore University Medical CenterNeptune City 80 $111,306 $19,964 $15,941
Valley HospitalRidgewood 76 $73,944 $17,580 $16,098
Virtua West Jersey HospitalVoorhees 72 $195,495 $16,168 $14,565
Atlanticare Regional Medical Center - City DivAtlantic City 70 $109,817 $18,294 $16,622
Centrastate Medical CenterFreehold 65 $67,300 $16,942 $15,358
Jefferson Stratford HospitalCherry Hill 64 $130,384 $19,337 $17,331
Robert Wood Johnson University HospitalNew Brunswick 62 $159,591 $25,228 $18,526
Overlook HospitalSummit 61 $98,135 $20,887 $17,788
Virtua Memorial Hospital of Burlington CountyMt Holly 52 $149,706 $16,850 $15,435
Englewood Hospital and Medical CenterEnglewood 51 $159,446 $20,379 $17,241
St Joseph's Regional Medical CenterPaterson 46 $136,689 $26,736 $21,390
Chilton HospitalPompton Plains 45 $91,979 $17,890 $14,630
Southern Ocean Medical CenterManahawkin 45 $84,001 $15,575 $14,198
University Medical Center at PrincetonPrinceton 44 $98,004 $17,517 $15,966
Cape Regional Medical Center INCCape May Court House 41 $84,287 $16,214 $14,792
Shore Memorial HospitalSomers Point 41 $83,655 $16,481 $14,985
Saint Barnabas Medical CenterLivingston 41 $123,094 $22,434 $17,459
Somerset Medical CenterSomerville 39 $115,398 $16,483 $14,938
Jersey City Medical CenterJersey City 37 $123,759 $25,374 $21,133
Mountainside HospitalGlen Ridge 32 $82,056 $20,217 $17,737
Jfk Medical CenterEdison 32 $89,829 $20,656 $15,226
Inspira Medical Center VinelandVineland 29 $89,367 $21,856 $19,439
Inspira Medical Center Mullica HillElmer 29 $90,357 $19,402 $17,056
Bayshore Community HospitalHolmdel 29 $93,069 $15,987 $14,524
Capital Health System-Fuld CampusTrenton 28 $514,378 $22,141 $19,841
Saint Clare's HospitalDenville 24 $115,764 $18,677 $16,615
Holy Name Medical CenterTeaneck 23 $67,769 $17,768 $16,188
Riverview Medical CenterRed Bank 22 $84,760 $15,668 $14,184
Umdnj University HospitalNewark 22 $147,313 $35,234 $31,658
Hunterdon Medical CenterFlemington 21 $76,245 $17,234 $15,240
Monmouth Medical CenterLong Branch 19 $104,192 $19,634 $17,577
Robert Wood Johnson University Hospital HamiltonHamilton 19 $124,584 $17,771 $13,578
Newton Memorial HospitalNewton 18 $157,408 $15,834 $14,656
Raritan Bay Medical CenterPerth Amboy 18 $97,433 $18,715 $17,200
Monmouth Medical Center-Southern CampusLakewood 16 $112,109 $18,979 $14,882
Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen 15 $99,635 $26,342 $22,482
Clara Maass Medical CenterBelleville 15 $110,997 $19,016 $17,583
Warren HospitalPhillipsburg 14 $149,366 $20,711 $18,745
Hackensack Meridian Health Pascack Valley MedicalWestwood 14 $107,065 $17,374 $15,859
Saint Peter's University HospitalNew Brunswick 13 $138,659 $21,636 $19,440
Hackettstown Regional Medical CenterHackettstown 12 $108,245 $15,601 $14,105
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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

Southern Ocean Medical CenterManahawkin, NJ$15,575
Hackettstown Regional Medical CenterHackettstown, NJ$15,601
Riverview Medical CenterRed Bank, NJ$15,668
Newton Memorial HospitalNewton, NJ$15,834
Bayshore Community HospitalHolmdel, NJ$15,987

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 46 hospitals in New Jersey was billed at $115,852 on average, while the average total payment was $19,756, of which Medicare paid $16,981. 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 5.9 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.