Hip replacement with principal diagnosis of hip fracture without major complications in New Jersey
What 39 hospitals in New Jersey charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$115,486
Hospital list price billed
Average payment
$19,513
Medicare + patient + other payers
Medicare paid
$16,972
Average per stay
State rank
#39 of 50
1 = lowest average payment
Hospitals in New Jersey billed an average of $115,486 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.9 times the average total payment of $19,513. That payment is 7% above the U.S. average of $18,301.
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 $19,513Billed $115,486
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: hip replacement with principal diagnosis of hip fracture 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 | 67 | $107,566 | $20,974 | $17,543 |
| Virtua West Jersey HospitalVoorhees | 66 | $150,737 | $17,561 | $14,641 |
| Valley HospitalRidgewood | 58 | $76,046 | $17,929 | $15,930 |
| Jersey Shore University Medical CenterNeptune City | 52 | $110,840 | $18,682 | $16,901 |
| University Medical Center at PrincetonPrinceton | 48 | $93,826 | $17,879 | $16,173 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 47 | $145,456 | $17,392 | $15,939 |
| Hackensack University Medical CenterHackensack | 45 | $99,764 | $22,781 | $20,142 |
| Ocean Medical CenterBrick | 43 | $103,397 | $19,861 | $16,791 |
| Community Medical CenterToms River | 42 | $88,991 | $18,374 | $15,335 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 42 | $111,520 | $18,634 | $17,039 |
| Overlook HospitalSummit | 41 | $104,580 | $20,573 | $18,451 |
| Centrastate Medical CenterFreehold | 40 | $66,746 | $17,310 | $15,705 |
| Jefferson Stratford HospitalCherry Hill | 35 | $127,489 | $19,484 | $17,429 |
| Saint Barnabas Medical CenterLivingston | 31 | $119,714 | $22,576 | $19,085 |
| Chilton HospitalPompton Plains | 30 | $106,306 | $17,079 | $15,882 |
| Riverview Medical CenterRed Bank | 29 | $107,209 | $16,404 | $15,054 |
| Somerset Medical CenterSomerville | 29 | $113,076 | $18,965 | $15,442 |
| Cooper University HospitalCamden | 28 | $125,884 | $22,423 | $19,736 |
| Shore Memorial HospitalSomers Point | 26 | $111,674 | $16,668 | $15,094 |
| Inspira Medical Center Mullica HillElmer | 25 | $100,046 | $19,913 | $17,485 |
| Monmouth Medical CenterLong Branch | 25 | $100,708 | $22,664 | $19,047 |
| Holy Name Medical CenterTeaneck | 24 | $71,176 | $18,707 | $16,867 |
| Englewood Hospital and Medical CenterEnglewood | 24 | $221,390 | $22,204 | $19,800 |
| Robert Wood Johnson University HospitalNew Brunswick | 23 | $155,044 | $24,711 | $18,726 |
| Cape Regional Medical Center INCCape May Court House | 21 | $102,782 | $16,563 | $15,052 |
| St Joseph's Regional Medical CenterPaterson | 21 | $161,229 | $26,281 | $21,082 |
| Raritan Bay Medical CenterPerth Amboy | 20 | $97,432 | $20,751 | $16,562 |
| Southern Ocean Medical CenterManahawkin | 20 | $84,118 | $15,490 | $14,023 |
| Hunterdon Medical CenterFlemington | 19 | $77,897 | $17,839 | $15,944 |
| Inspira Medical Center VinelandVineland | 18 | $87,338 | $22,036 | $19,636 |
| Capital Health System-Mercer CampusTrenton | 16 | $404,007 | $21,193 | $15,873 |
| Saint Clare's HospitalDenville | 16 | $132,714 | $19,830 | $17,937 |
| Jfk Medical CenterEdison | 15 | $95,505 | $21,171 | $16,177 |
| Mountainside HospitalGlen Ridge | 14 | $88,475 | $20,694 | $18,310 |
| Jersey City Medical CenterJersey City | 14 | $116,341 | $24,223 | $22,197 |
| Newton Memorial HospitalNewton | 13 | $186,065 | $18,915 | $13,874 |
| Clara Maass Medical CenterBelleville | 12 | $87,911 | $18,075 | $16,835 |
| Warren HospitalPhillipsburg | 11 | $150,240 | $21,137 | $18,739 |
| Bayshore Community HospitalHolmdel | 11 | $97,135 | $16,388 | $14,908 |
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 | $15,490 |
|---|---|
| Bayshore Community HospitalHolmdel, NJ | $16,388 |
| Riverview Medical CenterRed Bank, NJ | $16,404 |
| Cape Regional Medical Center INCCape May Court House, NJ | $16,563 |
| Shore Memorial HospitalSomers Point, NJ | $16,668 |
Highest
| St Joseph's Regional Medical CenterPaterson, NJ | $26,281 |
|---|---|
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $24,711 |
| Jersey City Medical CenterJersey City, NJ | $24,223 |
| Hackensack University Medical CenterHackensack, NJ | $22,781 |
| Monmouth Medical CenterLong Branch, NJ | $22,664 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 39 hospitals in New Jersey was billed at $115,486 on average, while the average total payment was $19,513, of which Medicare paid $16,972. 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.