Medical back problems with major complications in New Jersey
What 17 hospitals in New Jersey charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.
Average charge
$110,550
Hospital list price billed
Average payment
$16,689
Medicare + patient + other payers
Medicare paid
$14,094
Average per stay
State rank
#24 of 33
1 = lowest average payment
Hospitals in New Jersey billed an average of $110,550 for medical back problems with major complications, about 6.6 times the average total payment of $16,689. That payment is 3% above the U.S. average of $16,215.
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 $16,689Billed $110,550
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: medical back problems 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 | 40 | $97,155 | $15,544 | $12,490 |
| Morristown Memorial HospitalMorristown | 34 | $114,377 | $17,967 | $14,838 |
| Robert Wood Johnson University HospitalNew Brunswick | 23 | $136,732 | $18,774 | $16,096 |
| Community Medical CenterToms River | 23 | $103,730 | $14,702 | $12,581 |
| Hackensack University Medical CenterHackensack | 22 | $140,299 | $19,560 | $16,494 |
| Valley HospitalRidgewood | 22 | $96,461 | $14,533 | $13,177 |
| Overlook HospitalSummit | 17 | $112,876 | $17,639 | $13,489 |
| Saint Barnabas Medical CenterLivingston | 17 | $116,321 | $19,886 | $15,561 |
| Cooper University HospitalCamden | 16 | $100,758 | $17,613 | $14,865 |
| Jfk Medical CenterEdison | 15 | $119,984 | $15,475 | $13,514 |
| Virtua West Jersey HospitalVoorhees | 14 | $153,460 | $13,353 | $12,181 |
| Riverview Medical CenterRed Bank | 12 | $96,838 | $12,811 | $11,587 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 12 | $117,236 | $15,114 | $12,776 |
| Inspira Medical Center Mullica HillElmer | 12 | $70,050 | $15,363 | $13,483 |
| Jersey City Medical CenterJersey City | 12 | $132,932 | $22,218 | $19,660 |
| Saint Clare's HospitalDenville | 11 | $55,694 | $15,553 | $13,052 |
| Jefferson Stratford HospitalCherry Hill | 11 | $92,170 | $15,920 | $14,217 |
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 | $12,811 |
|---|---|
| Virtua West Jersey HospitalVoorhees, NJ | $13,353 |
| Valley HospitalRidgewood, NJ | $14,533 |
| Community Medical CenterToms River, NJ | $14,702 |
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $15,114 |
Highest
| Jersey City Medical CenterJersey City, NJ | $22,218 |
|---|---|
| Saint Barnabas Medical CenterLivingston, NJ | $19,886 |
| Hackensack University Medical CenterHackensack, NJ | $19,560 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $18,774 |
| Morristown Memorial HospitalMorristown, NJ | $17,967 |
Medical back problems with major complications in other states
Questions
How much does medical back problems with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 17 hospitals in New Jersey was billed at $110,550 on average, while the average total payment was $16,689, of which Medicare paid $14,094. 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.