facebook tracking Malignancy of hepatobiliary system or pancreas with major complications cost in New Jersey: 21 hospitals compared (DRG 435)

Malignancy of hepatobiliary system or pancreas with major complications in New Jersey

What 21 hospitals in New Jersey charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.

DRG 435 Inpatient 2024 Medicare data
Average charge $129,538 Hospital list price billed
Average payment $18,952 Medicare + patient + other payers
Medicare paid $15,056 Average per stay
State rank #25 of 32 1 = lowest average payment

Hospitals in New Jersey billed an average of $129,538 for malignancy of hepatobiliary system or pancreas with major complications, about 6.8 times the average total payment of $18,952. That payment is 2% below the U.S. average of $19,425.

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 $18,952Billed $129,538

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: malignancy of hepatobiliary system or pancreas 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
Morristown Memorial HospitalMorristown 48 $163,323 $20,962 $17,232
Hackensack University Medical CenterHackensack 42 $118,316 $23,996 $15,854
Jersey Shore University Medical CenterNeptune City 29 $134,659 $16,204 $14,787
Riverview Medical CenterRed Bank 28 $96,093 $13,856 $12,924
Overlook HospitalSummit 24 $109,491 $20,015 $14,584
Cooper University HospitalCamden 23 $102,048 $19,234 $16,936
Saint Barnabas Medical CenterLivingston 23 $153,122 $23,598 $14,179
Valley HospitalRidgewood 19 $91,912 $15,429 $14,079
Robert Wood Johnson University HospitalNew Brunswick 19 $183,310 $21,154 $18,203
Atlanticare Regional Medical Center - City DivAtlantic City 18 $87,164 $15,565 $13,962
Virtua West Jersey HospitalVoorhees 17 $102,218 $13,967 $12,641
Our Lady of Lourdes Medical CenterCamden 17 $159,274 $21,244 $14,181
Ocean Medical CenterBrick 17 $109,241 $16,776 $14,570
University Medical Center at PrincetonPrinceton 16 $122,138 $16,484 $14,789
Englewood Hospital and Medical CenterEnglewood 12 $108,904 $18,516 $16,493
Saint Peter's University HospitalNew Brunswick 12 $260,802 $18,344 $15,241
Jefferson Stratford HospitalCherry Hill 12 $114,926 $17,179 $15,326
Inspira Medical Center Mullica HillElmer 11 $84,808 $16,846 $14,957
Monmouth Medical CenterLong Branch 11 $153,760 $20,483 $15,100
Jfk Medical CenterEdison 11 $171,744 $25,094 $11,431
Centrastate Medical CenterFreehold 11 $101,892 $14,957 $13,478
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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

Riverview Medical CenterRed Bank, NJ$13,856
Virtua West Jersey HospitalVoorhees, NJ$13,967
Centrastate Medical CenterFreehold, NJ$14,957
Valley HospitalRidgewood, NJ$15,429
Atlanticare Regional Medical Center - City DivAtlantic City, NJ$15,565

Highest

Malignancy of hepatobiliary system or pancreas with major complications in other states

Questions

How much does malignancy of hepatobiliary system or pancreas with major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 21 hospitals in New Jersey was billed at $129,538 on average, while the average total payment was $18,952, of which Medicare paid $15,056. 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 6.8 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.