Other endovascular cardiac valve procedures with major complications in New Jersey
What 1 hospital in New Jersey charged and were paid for a Medicare hospital stay for other endovascular cardiac valve procedures with major complications (DRG 319), from 2024 Medicare claims.
Average charge
$268,828
Hospital list price billed
Average payment
$40,448
Medicare + patient + other payers
Medicare paid
$38,666
Average per stay
Volume
11
Medicare hospital stays
Hospitals in New Jersey billed an average of $268,828 for other endovascular cardiac valve procedures with major complications, about 6.6 times the average total payment of $40,448. That payment is 20% below the U.S. average of $50,304.
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 $40,448Billed $268,828
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: other endovascular cardiac valve procedures 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 | 11 | $268,828 | $40,448 | $38,666 |
Other endovascular cardiac valve procedures with major complications in other states
Questions
How much does other endovascular cardiac valve procedures with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for other endovascular cardiac valve procedures with major complications (DRG 319) at 1 hospital in New Jersey was billed at $268,828 on average, while the average total payment was $40,448, of which Medicare paid $38,666. 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.