facebook tracking Other musculoskeletal system and connective tissue diagnoses with complications cost in New Jersey: 14 hospitals compared (DRG 565)

Other musculoskeletal system and connective tissue diagnoses with complications in New Jersey

What 14 hospitals in New Jersey charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue diagnoses with complications (DRG 565), from 2024 Medicare claims.

DRG 565 Inpatient 2024 Medicare data
Average charge $69,768 Hospital list price billed
Average payment $12,171 Medicare + patient + other payers
Medicare paid $7,736 Average per stay
State rank #11 of 13 1 = lowest average payment

Hospitals in New Jersey billed an average of $69,768 for other musculoskeletal system and connective tissue diagnoses with complications, about 5.7 times the average total payment of $12,171. That payment is 18% above the U.S. average of $10,350.

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 $12,171Billed $69,768

About 17¢ 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 musculoskeletal system and connective tissue diagnoses with 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
Community Medical CenterToms River 23 $67,934 $10,025 $6,825
Morristown Memorial HospitalMorristown 16 $91,535 $28,214 $7,365
Jefferson Stratford HospitalCherry Hill 16 $67,722 $9,874 $7,870
Hackensack University Medical CenterHackensack 14 $75,327 $15,983 $9,028
Holy Name Medical CenterTeaneck 14 $42,155 $9,414 $7,364
Cooper University HospitalCamden 14 $50,362 $13,986 $7,590
Valley HospitalRidgewood 13 $48,019 $8,671 $7,229
Somerset Medical CenterSomerville 13 $74,104 $8,698 $7,043
Mountainside HospitalGlen Ridge 13 $68,277 $11,327 $7,676
Saint Barnabas Medical CenterLivingston 13 $67,275 $12,041 $8,818
St Joseph's Regional Medical CenterPaterson 12 $94,590 $13,601 $11,181
Virtua West Jersey HospitalVoorhees 12 $94,252 $8,165 $6,854
Riverview Medical CenterRed Bank 11 $77,474 $7,819 $6,338
Ocean Medical CenterBrick 11 $61,474 $9,565 $7,803
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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$7,819
Virtua West Jersey HospitalVoorhees, NJ$8,165
Valley HospitalRidgewood, NJ$8,671
Somerset Medical CenterSomerville, NJ$8,698
Holy Name Medical CenterTeaneck, NJ$9,414

Highest

Other musculoskeletal system and connective tissue diagnoses with complications in other states

Questions

How much does other musculoskeletal system and connective tissue diagnoses with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue diagnoses with complications (DRG 565) at 14 hospitals in New Jersey was billed at $69,768 on average, while the average total payment was $12,171, of which Medicare paid $7,736. 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 5.7 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.