Hip replacement with principal diagnosis of hip fracture with major complications in New Jersey
What 12 hospitals in New Jersey charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$160,674
Hospital list price billed
Average payment
$28,685
Medicare + patient + other payers
Medicare paid
$25,506
Average per stay
State rank
#34 of 40
1 = lowest average payment
Hospitals in New Jersey billed an average of $160,674 for hip replacement with principal diagnosis of hip fracture with major complications, about 5.6 times the average total payment of $28,685. That payment is 11% above the U.S. average of $25,727.
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 $28,685Billed $160,674
About 18¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Jersey Shore University Medical CenterNeptune City | 23 | $158,927 | $26,247 | $24,327 |
| Cooper University HospitalCamden | 21 | $193,156 | $34,724 | $28,586 |
| Jefferson Stratford HospitalCherry Hill | 20 | $159,991 | $27,239 | $24,888 |
| Ocean Medical CenterBrick | 19 | $146,192 | $25,437 | $23,200 |
| Robert Wood Johnson University HospitalNew Brunswick | 18 | $176,385 | $32,849 | $26,313 |
| Overlook HospitalSummit | 18 | $135,086 | $27,219 | $25,049 |
| Hackensack University Medical CenterHackensack | 17 | $209,525 | $38,019 | $34,265 |
| Morristown Memorial HospitalMorristown | 16 | $160,649 | $30,804 | $24,626 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 14 | $132,991 | $25,102 | $23,331 |
| Valley HospitalRidgewood | 13 | $115,347 | $24,716 | $23,214 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 13 | $199,045 | $24,241 | $23,461 |
| Centrastate Medical CenterFreehold | 13 | $120,110 | $23,929 | $22,756 |
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
| Centrastate Medical CenterFreehold, NJ | $23,929 |
|---|---|
| Virtua Memorial Hospital of Burlington CountyMt Holly, NJ | $24,241 |
| Valley HospitalRidgewood, NJ | $24,716 |
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $25,102 |
| Ocean Medical CenterBrick, NJ | $25,437 |
Highest
| Hackensack University Medical CenterHackensack, NJ | $38,019 |
|---|---|
| Cooper University HospitalCamden, NJ | $34,724 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $32,849 |
| Morristown Memorial HospitalMorristown, NJ | $30,804 |
| Jefferson Stratford HospitalCherry Hill, NJ | $27,239 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 12 hospitals in New Jersey was billed at $160,674 on average, while the average total payment was $28,685, of which Medicare paid $25,506. 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 5.6 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.