facebook tracking Pancreas, liver and shunt procedures with complications cost in New Jersey: 5 hospitals compared (DRG 406)

Pancreas, liver and shunt procedures with complications in New Jersey

What 5 hospitals in New Jersey charged and were paid for a Medicare hospital stay for pancreas, liver and shunt procedures with complications (DRG 406), from 2024 Medicare claims.

DRG 406 Inpatient 2024 Medicare data
Average charge $168,587 Hospital list price billed
Average payment $30,663 Medicare + patient + other payers
Medicare paid $25,009 Average per stay
State rank #10 of 21 1 = lowest average payment

Hospitals in New Jersey billed an average of $168,587 for pancreas, liver and shunt procedures with complications, about 5.5 times the average total payment of $30,663. That payment is 8% below the U.S. average of $33,362.

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 $30,663Billed $168,587

About 18¢ was paid for every $1 hospitals in New Jersey billed for this stay.

New Jersey hospitals: pancreas, liver and shunt procedures 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
Morristown Memorial HospitalMorristown 23 $128,492 $31,506 $24,043
Saint Barnabas Medical CenterLivingston 13 $164,503 $30,021 $25,834
Cooper University HospitalCamden 11 $194,966 $30,100 $27,030
Robert Wood Johnson University HospitalNew Brunswick 11 $251,976 $35,654 $25,719
Jersey Shore University Medical CenterNeptune City 11 $147,481 $25,232 $23,325
Advertisement

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

Jersey Shore University Medical CenterNeptune City, NJ$25,232
Saint Barnabas Medical CenterLivingston, NJ$30,021
Cooper University HospitalCamden, NJ$30,100
Morristown Memorial HospitalMorristown, NJ$31,506
Robert Wood Johnson University HospitalNew Brunswick, NJ$35,654

Highest

Robert Wood Johnson University HospitalNew Brunswick, NJ$35,654
Morristown Memorial HospitalMorristown, NJ$31,506
Cooper University HospitalCamden, NJ$30,100
Saint Barnabas Medical CenterLivingston, NJ$30,021
Jersey Shore University Medical CenterNeptune City, NJ$25,232

Pancreas, liver and shunt procedures with complications in other states

Questions

How much does pancreas, liver and shunt procedures with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for pancreas, liver and shunt procedures with complications (DRG 406) at 5 hospitals in New Jersey was billed at $168,587 on average, while the average total payment was $30,663, of which Medicare paid $25,009. 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 5.5 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.