facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in New Jersey: 30 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in New Jersey

What 30 hospitals in New Jersey charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $103,645 Hospital list price billed
Average payment $14,042 Medicare + patient + other payers
Medicare paid $11,458 Average per stay
State rank #40 of 48 1 = lowest average payment

Hospitals in New Jersey billed an average of $103,645 for pulmonary embolism with major complications or acute cor pulmonale, about 7.4 times the average total payment of $14,042. That payment is 4% above the U.S. average of $13,466.

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 $14,042Billed $103,645

About 14¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 76 $105,843 $14,428 $11,681
Virtua West Jersey HospitalVoorhees 37 $96,651 $12,207 $9,250
Overlook HospitalSummit 36 $94,641 $15,067 $12,042
Englewood Hospital and Medical CenterEnglewood 32 $96,116 $14,160 $11,888
Jefferson Stratford HospitalCherry Hill 32 $74,361 $13,463 $10,070
Cooper University HospitalCamden 30 $98,811 $15,255 $12,947
Hackensack University Medical CenterHackensack 26 $106,728 $24,043 $13,633
Robert Wood Johnson University HospitalNew Brunswick 26 $148,467 $15,399 $13,227
Inspira Medical Center Mullica HillElmer 26 $76,319 $12,564 $10,575
Jersey Shore University Medical CenterNeptune City 26 $135,967 $16,822 $15,012
Valley HospitalRidgewood 23 $85,556 $12,117 $10,706
Inspira Medical Center VinelandVineland 23 $73,245 $15,109 $12,809
Newton Memorial HospitalNewton 21 $124,016 $10,923 $9,759
Chilton HospitalPompton Plains 19 $105,730 $11,599 $10,569
Jfk Medical CenterEdison 19 $85,682 $13,780 $10,957
Community Medical CenterToms River 18 $117,662 $13,336 $10,300
Centrastate Medical CenterFreehold 18 $84,320 $12,638 $11,260
Ocean Medical CenterBrick 17 $91,655 $13,168 $11,461
Mountainside HospitalGlen Ridge 17 $71,068 $13,586 $11,514
Virtua Memorial Hospital of Burlington CountyMt Holly 17 $103,179 $11,818 $10,769
Saint Barnabas Medical CenterLivingston 17 $140,623 $17,182 $12,901
Our Lady of Lourdes Medical CenterCamden 16 $107,074 $14,158 $11,852
Atlanticare Regional Medical Center - City DivAtlantic City 16 $51,866 $11,841 $10,433
University Medical Center at PrincetonPrinceton 14 $76,531 $11,426 $10,149
Riverview Medical CenterRed Bank 14 $78,348 $10,919 $10,219
Hunterdon Medical CenterFlemington 13 $75,151 $12,383 $10,659
Cape Regional Medical Center INCCape May Court House 11 $64,234 $10,196 $8,686
Capital Health System-Mercer CampusTrenton 11 $388,493 $13,627 $11,712
Somerset Medical CenterSomerville 11 $123,554 $14,320 $9,935
Saint Peter's University HospitalNew Brunswick 11 $153,086 $15,076 $13,028
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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

Cape Regional Medical Center INCCape May Court House, NJ$10,196
Riverview Medical CenterRed Bank, NJ$10,919
Newton Memorial HospitalNewton, NJ$10,923
University Medical Center at PrincetonPrinceton, NJ$11,426
Chilton HospitalPompton Plains, NJ$11,599

Highest

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in New Jersey?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 30 hospitals in New Jersey was billed at $103,645 on average, while the average total payment was $14,042, of which Medicare paid $11,458. 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 7.4 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.