Hip and femur procedures except major joint with major complications in New Jersey
What 31 hospitals in New Jersey charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$175,163
Hospital list price billed
Average payment
$27,847
Medicare + patient + other payers
Medicare paid
$24,679
Average per stay
State rank
#38 of 46
1 = lowest average payment
Hospitals in New Jersey billed an average of $175,163 for hip and femur procedures except major joint with major complications, about 6.3 times the average total payment of $27,847. That payment is 6% above the U.S. average of $26,284.
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 $27,847Billed $175,163
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: hip and femur procedures except major joint 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 | 46 | $185,603 | $34,362 | $30,446 |
| Ocean Medical CenterBrick | 45 | $148,021 | $26,542 | $24,127 |
| Cooper University HospitalCamden | 37 | $173,468 | $31,570 | $28,337 |
| Morristown Memorial HospitalMorristown | 37 | $164,138 | $28,123 | $26,230 |
| Virtua West Jersey HospitalVoorhees | 32 | $303,201 | $25,887 | $20,963 |
| Robert Wood Johnson University HospitalNew Brunswick | 32 | $200,137 | $32,198 | $27,415 |
| Jersey Shore University Medical CenterNeptune City | 32 | $161,729 | $27,823 | $22,767 |
| Community Medical CenterToms River | 31 | $115,625 | $23,305 | $21,504 |
| Saint Barnabas Medical CenterLivingston | 26 | $194,793 | $36,460 | $27,513 |
| Jefferson Stratford HospitalCherry Hill | 26 | $175,542 | $26,287 | $22,938 |
| Riverview Medical CenterRed Bank | 23 | $136,602 | $22,304 | $21,099 |
| Englewood Hospital and Medical CenterEnglewood | 21 | $198,951 | $28,989 | $26,610 |
| Overlook HospitalSummit | 20 | $148,802 | $27,875 | $25,772 |
| Valley HospitalRidgewood | 19 | $102,722 | $23,610 | $22,419 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 19 | $139,026 | $25,789 | $24,209 |
| Bayshore Community HospitalHolmdel | 19 | $140,255 | $27,909 | $21,375 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 17 | $233,356 | $23,576 | $22,176 |
| Jfk Medical CenterEdison | 17 | $133,352 | $24,378 | $22,462 |
| Centrastate Medical CenterFreehold | 17 | $123,307 | $31,299 | $25,241 |
| Raritan Bay Medical CenterPerth Amboy | 15 | $167,910 | $27,597 | $25,236 |
| Somerset Medical CenterSomerville | 15 | $128,230 | $21,009 | $20,181 |
| Saint Clare's HospitalDenville | 15 | $140,633 | $26,085 | $21,236 |
| University Medical Center at PrincetonPrinceton | 13 | $146,697 | $24,754 | $23,108 |
| Holy Name Medical CenterTeaneck | 12 | $109,134 | $25,934 | $23,670 |
| Chilton HospitalPompton Plains | 12 | $134,105 | $23,578 | $22,218 |
| St Joseph's Regional Medical CenterPaterson | 12 | $148,324 | $31,743 | $29,190 |
| Shore Memorial HospitalSomers Point | 12 | $111,674 | $22,975 | $21,521 |
| Inspira Medical Center Mullica HillElmer | 12 | $118,042 | $27,789 | $25,164 |
| Capital Health System-Fuld CampusTrenton | 12 | $826,128 | $36,472 | $33,662 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 12 | $155,732 | $21,436 | $20,076 |
| Jersey City Medical CenterJersey City | 11 | $128,916 | $29,675 | $27,682 |
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
| Somerset Medical CenterSomerville, NJ | $21,009 |
|---|---|
| Robert Wood Johnson University Hospital HamiltonHamilton, NJ | $21,436 |
| Riverview Medical CenterRed Bank, NJ | $22,304 |
| Shore Memorial HospitalSomers Point, NJ | $22,975 |
| Community Medical CenterToms River, NJ | $23,305 |
Highest
| Capital Health System-Fuld CampusTrenton, NJ | $36,472 |
|---|---|
| Saint Barnabas Medical CenterLivingston, NJ | $36,460 |
| Hackensack University Medical CenterHackensack, NJ | $34,362 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $32,198 |
| St Joseph's Regional Medical CenterPaterson, NJ | $31,743 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 31 hospitals in New Jersey was billed at $175,163 on average, while the average total payment was $27,847, of which Medicare paid $24,679. 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 6.3 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.