facebook tracking Spinal fusion except cervical without major complications cost in New Jersey: 19 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in New Jersey

What 19 hospitals in New Jersey charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $184,524 Hospital list price billed
Average payment $36,873 Medicare + patient + other payers
Medicare paid $29,335 Average per stay
State rank #33 of 43 1 = lowest average payment

Hospitals in New Jersey billed an average of $184,524 for spinal fusion except cervical without major complications, about 5.0 times the average total payment of $36,873. That payment is 8% above the U.S. average of $34,025.

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 $36,873Billed $184,524

About 20¢ 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: spinal fusion except cervical 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 51 $160,263 $40,147 $29,931
Jersey Shore University Medical CenterNeptune City 41 $135,258 $37,948 $27,943
Saint Barnabas Medical CenterLivingston 34 $170,900 $37,976 $30,100
Englewood Hospital and Medical CenterEnglewood 29 $416,286 $36,919 $31,125
Monmouth Medical CenterLong Branch 27 $144,356 $41,417 $28,654
Riverview Medical CenterRed Bank 24 $129,532 $35,171 $23,674
Overlook HospitalSummit 20 $152,775 $40,550 $29,296
Valley HospitalRidgewood 18 $140,550 $31,371 $29,940
Robert Wood Johnson University HospitalNew Brunswick 18 $171,022 $38,109 $30,468
University Medical Center at PrincetonPrinceton 16 $116,319 $30,176 $28,529
Hackensack University Medical CenterHackensack 15 $170,320 $37,428 $34,704
Ocean Medical CenterBrick 15 $124,947 $38,856 $28,881
Atlanticare Regional Medical Center - City DivAtlantic City 14 $170,403 $31,787 $30,010
Community Medical CenterToms River 13 $125,312 $39,852 $24,613
Virtua West Jersey HospitalVoorhees 12 $299,281 $29,160 $27,588
Virtua Memorial Hospital of Burlington CountyMt Holly 12 $321,358 $31,047 $29,666
Hudson Regional HospitalSecaucus 12 $308,934 $33,432 $31,800
Cooper University HospitalCamden 11 $165,859 $36,625 $34,112
Jefferson Stratford HospitalCherry Hill 11 $178,335 $35,010 $29,205
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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.

Highest

Monmouth Medical CenterLong Branch, NJ$41,417
Overlook HospitalSummit, NJ$40,550
Morristown Memorial HospitalMorristown, NJ$40,147
Community Medical CenterToms River, NJ$39,852
Ocean Medical CenterBrick, NJ$38,856

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 19 hospitals in New Jersey was billed at $184,524 on average, while the average total payment was $36,873, of which Medicare paid $29,335. 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 5.0 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.