Respiratory signs and symptoms in New Jersey
What 3 hospitals in New Jersey charged and were paid for a Medicare hospital stay for respiratory signs and symptoms (DRG 204), from 2024 Medicare claims.
Average charge
$67,109
Hospital list price billed
Average payment
$7,120
Medicare + patient + other payers
Medicare paid
$5,651
Average per stay
State rank
#2 of 4
1 = lowest average payment
Hospitals in New Jersey billed an average of $67,109 for respiratory signs and symptoms, about 9.4 times the average total payment of $7,120. That payment is 16% below the U.S. average of $8,497.
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 $7,120Billed $67,109
About 11¢ was paid for every $1 hospitals in New Jersey billed for this stay.
New Jersey hospitals: respiratory signs and symptoms
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 | 13 | $63,996 | $7,476 | $5,657 |
| Virtua West Jersey HospitalVoorhees | 11 | $69,181 | $6,698 | $5,596 |
| Somerset Medical CenterSomerville | 11 | $68,717 | $7,122 | $5,699 |
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
| Virtua West Jersey HospitalVoorhees, NJ | $6,698 |
|---|---|
| Somerset Medical CenterSomerville, NJ | $7,122 |
| Jersey Shore University Medical CenterNeptune City, NJ | $7,476 |
Highest
| Jersey Shore University Medical CenterNeptune City, NJ | $7,476 |
|---|---|
| Somerset Medical CenterSomerville, NJ | $7,122 |
| Virtua West Jersey HospitalVoorhees, NJ | $6,698 |
Respiratory signs and symptoms in other states
Questions
How much does respiratory signs and symptoms cost in New Jersey?
In 2024 Medicare data, a hospital stay for respiratory signs and symptoms (DRG 204) at 3 hospitals in New Jersey was billed at $67,109 on average, while the average total payment was $7,120, of which Medicare paid $5,651. 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 9.4 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.