Other circulatory system operating room procedures in New Jersey
What 11 hospitals in New Jersey charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$202,314
Hospital list price billed
Average payment
$32,770
Medicare + patient + other payers
Medicare paid
$28,269
Average per stay
State rank
#8 of 21
1 = lowest average payment
Hospitals in New Jersey billed an average of $202,314 for other circulatory system operating room procedures, about 6.2 times the average total payment of $32,770. That payment is 8% below the U.S. average of $35,518.
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 $32,770Billed $202,314
About 16¢ was paid for every $1 hospitals in New Jersey billed for this stay.
New Jersey hospitals: other circulatory system operating room procedures
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 | 37 | $299,026 | $48,308 | $41,731 |
| Valley HospitalRidgewood | 33 | $221,804 | $29,999 | $28,207 |
| Inspira Medical Center Mullica HillElmer | 32 | $122,735 | $30,821 | $27,022 |
| Jfk Medical CenterEdison | 22 | $182,683 | $31,144 | $25,081 |
| Morristown Memorial HospitalMorristown | 21 | $207,002 | $30,050 | $26,921 |
| Virtua West Jersey HospitalVoorhees | 21 | $192,404 | $26,891 | $21,266 |
| Jersey Shore University Medical CenterNeptune City | 21 | $230,139 | $36,521 | $25,862 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 16 | $170,853 | $24,217 | $23,063 |
| Our Lady of Lourdes Medical CenterCamden | 13 | $193,040 | $29,328 | $25,814 |
| Overlook HospitalSummit | 12 | $126,698 | $30,246 | $28,045 |
| Community Medical CenterToms River | 11 | $185,373 | $26,263 | $24,426 |
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 Memorial Hospital of Burlington CountyMt Holly, NJ | $24,217 |
|---|---|
| Community Medical CenterToms River, NJ | $26,263 |
| Virtua West Jersey HospitalVoorhees, NJ | $26,891 |
| Our Lady of Lourdes Medical CenterCamden, NJ | $29,328 |
| Valley HospitalRidgewood, NJ | $29,999 |
Highest
| Hackensack University Medical CenterHackensack, NJ | $48,308 |
|---|---|
| Jersey Shore University Medical CenterNeptune City, NJ | $36,521 |
| Jfk Medical CenterEdison, NJ | $31,144 |
| Inspira Medical Center Mullica HillElmer, NJ | $30,821 |
| Overlook HospitalSummit, NJ | $30,246 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in New Jersey?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 11 hospitals in New Jersey was billed at $202,314 on average, while the average total payment was $32,770, of which Medicare paid $28,269. 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 6.2 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.