facebook tracking Pneumothorax with complications cost in New Jersey: 5 hospitals compared (DRG 200)

Pneumothorax with complications in New Jersey

What 5 hospitals in New Jersey charged and were paid for a Medicare hospital stay for pneumothorax with complications (DRG 200), from 2024 Medicare claims.

DRG 200 Inpatient 2024 Medicare data
Average charge $91,713 Hospital list price billed
Average payment $16,124 Medicare + patient + other payers
Medicare paid $8,814 Average per stay
State rank #17 of 18 1 = lowest average payment

Hospitals in New Jersey billed an average of $91,713 for pneumothorax with complications, about 5.7 times the average total payment of $16,124. That payment is 34% above the U.S. average of $12,018.

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 $16,124Billed $91,713

About 18¢ 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: pneumothorax 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
Jersey Shore University Medical CenterNeptune City 17 $87,090 $20,631 $6,825
Cooper University HospitalCamden 16 $66,554 $12,466 $9,013
Morristown Memorial HospitalMorristown 16 $77,601 $11,692 $8,775
Robert Wood Johnson University HospitalNew Brunswick 15 $125,326 $20,059 $10,235
Hackensack University Medical CenterHackensack 13 $107,308 $15,650 $9,576
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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

Highest

Pneumothorax with complications in other states

Questions

How much does pneumothorax with complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for pneumothorax with complications (DRG 200) at 5 hospitals in New Jersey was billed at $91,713 on average, while the average total payment was $16,124, of which Medicare paid $8,814. 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.