facebook tracking Pulmonary embolism without major complications cost in New Jersey: 21 hospitals compared (DRG 176)

Pulmonary embolism without major complications in New Jersey

What 21 hospitals in New Jersey charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.

DRG 176 Inpatient 2024 Medicare data
Average charge $60,314 Hospital list price billed
Average payment $8,334 Medicare + patient + other payers
Medicare paid $5,809 Average per stay
State rank #32 of 39 1 = lowest average payment

Hospitals in New Jersey billed an average of $60,314 for pulmonary embolism without major complications, about 7.2 times the average total payment of $8,334. That payment is about the same as the U.S. average of $8,294.

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 $8,334Billed $60,314

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 without major 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 41 $61,065 $8,736 $6,303
Virtua West Jersey HospitalVoorhees 38 $78,171 $7,068 $5,179
Valley HospitalRidgewood 30 $39,139 $7,596 $5,464
Jefferson Stratford HospitalCherry Hill 23 $50,416 $8,027 $5,283
Community Medical CenterToms River 22 $74,870 $7,740 $5,399
Overlook HospitalSummit 21 $59,062 $9,038 $6,447
Jersey Shore University Medical CenterNeptune City 21 $69,054 $9,823 $5,521
Cooper University HospitalCamden 20 $50,424 $9,310 $7,225
Saint Barnabas Medical CenterLivingston 19 $70,013 $10,971 $6,429
Inspira Medical Center Mullica HillElmer 18 $42,512 $8,793 $5,761
Virtua Memorial Hospital of Burlington CountyMt Holly 16 $63,508 $7,966 $4,561
Atlanticare Regional Medical Center - City DivAtlantic City 16 $35,047 $7,248 $5,704
Cape Regional Medical Center INCCape May Court House 14 $51,166 $6,615 $5,781
Newton Memorial HospitalNewton 14 $88,007 $6,364 $5,198
Holy Name Medical CenterTeaneck 13 $41,610 $7,678 $6,078
Chilton HospitalPompton Plains 13 $59,926 $7,641 $5,298
Robert Wood Johnson University HospitalNew Brunswick 13 $87,461 $9,822 $7,754
Englewood Hospital and Medical CenterEnglewood 12 $79,017 $9,088 $6,947
Ocean Medical CenterBrick 12 $54,223 $7,705 $5,800
Centrastate Medical CenterFreehold 12 $47,352 $10,529 $4,093
Jfk Medical CenterEdison 11 $60,607 $7,894 $6,190
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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

Newton Memorial HospitalNewton, NJ$6,364
Cape Regional Medical Center INCCape May Court House, NJ$6,615
Virtua West Jersey HospitalVoorhees, NJ$7,068
Atlanticare Regional Medical Center - City DivAtlantic City, NJ$7,248
Valley HospitalRidgewood, NJ$7,596

Highest

Pulmonary embolism without major complications in other states

Questions

How much does pulmonary embolism without major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 21 hospitals in New Jersey was billed at $60,314 on average, while the average total payment was $8,334, of which Medicare paid $5,809. 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 7.2 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.