Simple pneumonia and pleurisy with complications in New Jersey
What 49 hospitals in New Jersey charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$65,965
Hospital list price billed
Average payment
$8,236
Medicare + patient + other payers
Medicare paid
$5,907
Average per stay
State rank
#38 of 47
1 = lowest average payment
Hospitals in New Jersey billed an average of $65,965 for simple pneumonia and pleurisy with complications, about 8.0 times the average total payment of $8,236. That payment is 4% above the U.S. average of $7,941.
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 $8,236Billed $65,965
About 12¢ was paid for every $1 hospitals in New Jersey billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New Jersey:
New Jersey hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Virtua West Jersey HospitalVoorhees | 123 | $76,851 | $7,021 | $5,189 |
| Morristown Memorial HospitalMorristown | 118 | $63,304 | $8,597 | $6,093 |
| Valley HospitalRidgewood | 81 | $43,272 | $7,579 | $5,574 |
| Community Medical CenterToms River | 81 | $67,136 | $7,596 | $5,412 |
| Centrastate Medical CenterFreehold | 77 | $52,379 | $7,098 | $5,673 |
| Overlook HospitalSummit | 67 | $52,714 | $8,669 | $6,468 |
| Chilton HospitalPompton Plains | 64 | $68,997 | $7,368 | $5,121 |
| University Medical Center at PrincetonPrinceton | 59 | $51,778 | $7,228 | $5,624 |
| Ocean Medical CenterBrick | 56 | $54,937 | $7,693 | $5,882 |
| Holy Name Medical CenterTeaneck | 54 | $39,315 | $7,878 | $5,923 |
| Cape Regional Medical Center INCCape May Court House | 53 | $48,019 | $6,643 | $5,249 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 51 | $68,265 | $7,157 | $5,572 |
| Jersey Shore University Medical CenterNeptune City | 51 | $68,344 | $8,582 | $5,742 |
| Newton Memorial HospitalNewton | 47 | $101,728 | $6,703 | $4,943 |
| Robert Wood Johnson University HospitalNew Brunswick | 44 | $84,700 | $10,825 | $6,917 |
| Inspira Medical Center Mullica HillElmer | 43 | $45,204 | $8,261 | $5,942 |
| Shore Memorial HospitalSomers Point | 38 | $44,372 | $7,226 | $5,148 |
| Jefferson Stratford HospitalCherry Hill | 38 | $47,834 | $9,300 | $5,946 |
| Southern Ocean Medical CenterManahawkin | 38 | $49,196 | $6,201 | $4,870 |
| Englewood Hospital and Medical CenterEnglewood | 35 | $47,100 | $8,496 | $6,664 |
| Somerset Medical CenterSomerville | 34 | $68,585 | $8,168 | $4,927 |
| Hackensack University Medical CenterHackensack | 32 | $52,404 | $12,604 | $6,979 |
| Hunterdon Medical CenterFlemington | 30 | $34,422 | $7,432 | $5,440 |
| Mountainside HospitalGlen Ridge | 29 | $40,192 | $8,113 | $6,252 |
| Saint Barnabas Medical CenterLivingston | 29 | $74,096 | $11,631 | $6,415 |
| Jfk Medical CenterEdison | 29 | $66,519 | $7,782 | $6,195 |
| Riverview Medical CenterRed Bank | 28 | $55,936 | $6,407 | $5,081 |
| Clara Maass Medical CenterBelleville | 27 | $77,063 | $8,735 | $6,662 |
| Bayonne Hospital CenterBayonne | 26 | $204,470 | $10,162 | $7,584 |
| Inspira Medical Center VinelandVineland | 25 | $53,201 | $9,506 | $7,384 |
| Raritan Bay Medical CenterPerth Amboy | 25 | $51,485 | $9,595 | $5,798 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 24 | $74,274 | $7,172 | $4,112 |
| Monmouth Medical Center-Southern CampusLakewood | 23 | $73,665 | $7,037 | $5,831 |
| Hackettstown Regional Medical CenterHackettstown | 23 | $80,004 | $7,424 | $4,712 |
| Capital Health System-Mercer CampusTrenton | 22 | $239,335 | $12,200 | $6,158 |
| Monmouth Medical CenterLong Branch | 22 | $63,600 | $10,285 | $7,496 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 22 | $47,953 | $9,252 | $5,407 |
| Saint Peter's University HospitalNew Brunswick | 21 | $113,821 | $10,256 | $7,575 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | 20 | $66,349 | $12,997 | $8,983 |
| Saint Clare's HospitalDenville | 19 | $24,378 | $8,639 | $5,541 |
| Virtua Willingboro HospitalWillingboro | 19 | $69,304 | $7,149 | $5,676 |
| St Joseph's Regional Medical CenterPaterson | 18 | $95,884 | $11,780 | $9,286 |
| Bayshore Community HospitalHolmdel | 18 | $53,993 | $6,444 | $4,993 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 17 | $40,130 | $7,824 | $6,392 |
| Our Lady of Lourdes Medical CenterCamden | 16 | $72,131 | $8,851 | $6,308 |
| Cooper University HospitalCamden | 14 | $35,723 | $9,123 | $7,120 |
| Capital Health System-Fuld CampusTrenton | 14 | $231,751 | $9,474 | $7,288 |
| Warren HospitalPhillipsburg | 13 | $64,341 | $7,444 | $5,689 |
| Jersey City Medical CenterJersey City | 12 | $57,292 | $12,105 | $10,197 |
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
| Southern Ocean Medical CenterManahawkin, NJ | $6,201 |
|---|---|
| Riverview Medical CenterRed Bank, NJ | $6,407 |
| Bayshore Community HospitalHolmdel, NJ | $6,444 |
| Cape Regional Medical Center INCCape May Court House, NJ | $6,643 |
| Newton Memorial HospitalNewton, NJ | $6,703 |
Highest
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen, NJ | $12,997 |
|---|---|
| Hackensack University Medical CenterHackensack, NJ | $12,604 |
| Capital Health System-Mercer CampusTrenton, NJ | $12,200 |
| Jersey City Medical CenterJersey City, NJ | $12,105 |
| St Joseph's Regional Medical CenterPaterson, NJ | $11,780 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 49 hospitals in New Jersey was billed at $65,965 on average, while the average total payment was $8,236, of which Medicare paid $5,907. 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 8.0 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.