Simple pneumonia and pleurisy with major complications in New Jersey
What 56 hospitals in New Jersey charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$99,889
Hospital list price billed
Average payment
$13,120
Medicare + patient + other payers
Medicare paid
$10,620
Average per stay
State rank
#42 of 50
1 = lowest average payment
Hospitals in New Jersey billed an average of $99,889 for simple pneumonia and pleurisy with major complications, about 7.6 times the average total payment of $13,120. That payment is 9% above the U.S. average of $12,020.
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 $13,120Billed $99,889
About 13¢ 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 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 |
|---|---|---|---|---|
| Community Medical CenterToms River | 254 | $88,535 | $11,889 | $9,519 |
| Morristown Memorial HospitalMorristown | 251 | $104,251 | $13,548 | $10,961 |
| Virtua West Jersey HospitalVoorhees | 226 | $113,009 | $10,962 | $9,299 |
| Ocean Medical CenterBrick | 198 | $78,382 | $12,684 | $10,329 |
| Valley HospitalRidgewood | 186 | $78,030 | $11,818 | $10,132 |
| Hackensack University Medical CenterHackensack | 182 | $119,987 | $18,820 | $15,018 |
| Overlook HospitalSummit | 170 | $83,373 | $14,141 | $11,150 |
| Centrastate Medical CenterFreehold | 154 | $75,854 | $11,762 | $9,714 |
| Bayshore Community HospitalHolmdel | 149 | $83,286 | $10,468 | $9,049 |
| Jersey Shore University Medical CenterNeptune City | 147 | $92,020 | $12,444 | $10,411 |
| Southern Ocean Medical CenterManahawkin | 137 | $70,953 | $10,588 | $8,451 |
| Jfk Medical CenterEdison | 136 | $96,794 | $12,350 | $10,235 |
| Jefferson Stratford HospitalCherry Hill | 120 | $93,421 | $13,750 | $10,439 |
| Raritan Bay Medical CenterPerth Amboy | 116 | $88,741 | $13,322 | $10,473 |
| Saint Barnabas Medical CenterLivingston | 116 | $116,023 | $16,722 | $11,432 |
| Riverview Medical CenterRed Bank | 115 | $77,761 | $10,707 | $8,837 |
| Inspira Medical Center Mullica HillElmer | 115 | $65,907 | $12,901 | $10,731 |
| St Joseph's Regional Medical CenterPaterson | 107 | $119,153 | $16,881 | $14,091 |
| Englewood Hospital and Medical CenterEnglewood | 98 | $59,648 | $13,854 | $11,369 |
| Inspira Medical Center VinelandVineland | 95 | $69,123 | $14,455 | $11,846 |
| Chilton HospitalPompton Plains | 94 | $105,020 | $12,120 | $9,084 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 94 | $63,998 | $12,010 | $10,215 |
| Capital Health System-Mercer CampusTrenton | 90 | $300,760 | $14,212 | $10,294 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 90 | $105,220 | $11,077 | $9,726 |
| Newton Memorial HospitalNewton | 89 | $169,002 | $10,878 | $8,786 |
| Robert Wood Johnson University HospitalNew Brunswick | 80 | $146,078 | $19,498 | $12,974 |
| Somerset Medical CenterSomerville | 80 | $113,925 | $11,884 | $9,024 |
| Cape Regional Medical Center INCCape May Court House | 73 | $66,641 | $10,496 | $8,939 |
| Holy Name Medical CenterTeaneck | 72 | $66,435 | $12,533 | $10,264 |
| Shore Memorial HospitalSomers Point | 71 | $66,344 | $10,736 | $9,018 |
| Saint Clare's HospitalDenville | 67 | $60,127 | $12,916 | $10,954 |
| Hackettstown Regional Medical CenterHackettstown | 67 | $127,794 | $10,660 | $8,476 |
| Mountainside HospitalGlen Ridge | 65 | $66,861 | $13,841 | $11,227 |
| Clara Maass Medical CenterBelleville | 64 | $105,418 | $11,586 | $9,829 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 64 | $110,760 | $10,110 | $8,887 |
| University Medical Center at PrincetonPrinceton | 59 | $79,099 | $11,596 | $10,151 |
| Hunterdon Medical CenterFlemington | 58 | $48,905 | $11,251 | $9,710 |
| Our Lady of Lourdes Medical CenterCamden | 52 | $110,273 | $13,614 | $10,218 |
| Monmouth Medical Center-Southern CampusLakewood | 50 | $107,282 | $11,776 | $9,869 |
| Saint Peter's University HospitalNew Brunswick | 48 | $186,859 | $15,521 | $12,505 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | 44 | $87,401 | $18,872 | $14,911 |
| Cooper University HospitalCamden | 44 | $75,962 | $15,656 | $12,350 |
| Monmouth Medical CenterLong Branch | 43 | $89,863 | $15,095 | $11,894 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 40 | $77,986 | $12,246 | $9,995 |
| Jersey City Medical CenterJersey City | 31 | $120,261 | $18,460 | $15,871 |
| Warren HospitalPhillipsburg | 28 | $97,514 | $13,898 | $11,715 |
| Bayonne Hospital CenterBayonne | 26 | $339,310 | $15,744 | $12,510 |
| Virtua Willingboro HospitalWillingboro | 26 | $145,155 | $11,023 | $10,088 |
| Capital Health System-Fuld CampusTrenton | 26 | $375,925 | $15,412 | $12,952 |
| Trinitas HospitalElizabeth | 19 | $65,694 | $16,622 | $14,382 |
| Deborah Heart and Lung CenterBrowns Mills | 18 | $71,052 | $15,607 | $12,244 |
| Newark Beth Israel Medical CenterNewark | 17 | $136,845 | $20,108 | $15,673 |
| Saint Michael's Medical CenterNewark | 17 | $74,747 | $17,660 | $14,860 |
| St Mary's HospitalPassaic | 15 | $51,306 | $15,794 | $13,676 |
| Robert Wood Johnson University Hospital at RahwayRahway | 14 | $119,007 | $11,085 | $9,805 |
| Umdnj University HospitalNewark | 13 | $118,251 | $26,702 | $22,141 |
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
| Robert Wood Johnson University Hospital HamiltonHamilton, NJ | $10,110 |
|---|---|
| Bayshore Community HospitalHolmdel, NJ | $10,468 |
| Cape Regional Medical Center INCCape May Court House, NJ | $10,496 |
| Southern Ocean Medical CenterManahawkin, NJ | $10,588 |
| Hackettstown Regional Medical CenterHackettstown, NJ | $10,660 |
Highest
| Umdnj University HospitalNewark, NJ | $26,702 |
|---|---|
| Newark Beth Israel Medical CenterNewark, NJ | $20,108 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $19,498 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen, NJ | $18,872 |
| Hackensack University Medical CenterHackensack, NJ | $18,820 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in New Jersey?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 56 hospitals in New Jersey was billed at $99,889 on average, while the average total payment was $13,120, of which Medicare paid $10,620. 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 7.6 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.