facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in New Jersey: 13 hospitals compared (DRG 809)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in New Jersey

What 13 hospitals in New Jersey charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809), from 2024 Medicare claims.

DRG 809 Inpatient 2024 Medicare data
Average charge $90,521 Hospital list price billed
Average payment $13,736 Medicare + patient + other payers
Medicare paid $9,989 Average per stay
State rank #12 of 25 1 = lowest average payment

Hospitals in New Jersey billed an average of $90,521 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 6.6 times the average total payment of $13,736. That payment is 10% below the U.S. average of $15,246.

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 $13,736Billed $90,521

About 15¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 40 $99,639 $17,339 $10,943
Morristown Memorial HospitalMorristown 40 $104,510 $14,282 $11,655
Overlook HospitalSummit 26 $72,307 $14,117 $9,447
Riverview Medical CenterRed Bank 22 $58,702 $10,121 $8,043
Jefferson Stratford HospitalCherry Hill 20 $63,754 $11,645 $9,400
Robert Wood Johnson University HospitalNew Brunswick 18 $115,054 $17,302 $10,183
Virtua West Jersey HospitalVoorhees 17 $108,821 $9,795 $8,646
Jersey Shore University Medical CenterNeptune City 17 $106,059 $15,112 $9,430
Ocean Medical CenterBrick 16 $112,202 $11,676 $9,258
Saint Barnabas Medical CenterLivingston 16 $101,416 $15,785 $10,802
Valley HospitalRidgewood 12 $51,751 $10,507 $9,609
University Medical Center at PrincetonPrinceton 11 $82,529 $10,649 $9,181
Englewood Hospital and Medical CenterEnglewood 11 $72,310 $13,540 $10,436
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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

Virtua West Jersey HospitalVoorhees, NJ$9,795
Riverview Medical CenterRed Bank, NJ$10,121
Valley HospitalRidgewood, NJ$10,507
University Medical Center at PrincetonPrinceton, NJ$10,649
Jefferson Stratford HospitalCherry Hill, NJ$11,645

Highest

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in New Jersey?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809) at 13 hospitals in New Jersey was billed at $90,521 on average, while the average total payment was $13,736, of which Medicare paid $9,989. 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 6.6 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.