Pleural effusion with complications in New Jersey
What 1 hospital in New Jersey charged and were paid for a Medicare hospital stay for pleural effusion with complications (DRG 187), from 2024 Medicare claims.
Average charge
$65,530
Hospital list price billed
Average payment
$8,531
Medicare + patient + other payers
Medicare paid
$6,942
Average per stay
Volume
17
Medicare hospital stays
Hospitals in New Jersey billed an average of $65,530 for pleural effusion with complications, about 7.7 times the average total payment of $8,531. That payment is 19% below the U.S. average of $10,572.
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 $8,531Billed $65,530
About 13¢ 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: pleural effusion 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 | 17 | $65,530 | $8,531 | $6,942 |
Pleural effusion with complications in other states
Questions
How much does pleural effusion with complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for pleural effusion with complications (DRG 187) at 1 hospital in New Jersey was billed at $65,530 on average, while the average total payment was $8,531, of which Medicare paid $6,942. 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 7.7 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.