facebook tracking Trauma to the skin, subcutaneous tissue and breast without major complications cost in New Jersey: 12 hospitals compared (DRG 605)

Trauma to the skin, subcutaneous tissue and breast without major complications in New Jersey

What 12 hospitals in New Jersey charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.

DRG 605 Inpatient 2024 Medicare data
Average charge $57,984 Hospital list price billed
Average payment $10,096 Medicare + patient + other payers
Medicare paid $6,689 Average per stay
State rank #21 of 25 1 = lowest average payment

Hospitals in New Jersey billed an average of $57,984 for trauma to the skin, subcutaneous tissue and breast without major complications, about 5.7 times the average total payment of $10,096. That payment is 7% above the U.S. average of $9,406.

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 $10,096Billed $57,984

About 17¢ 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: trauma to the skin, subcutaneous tissue and breast 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
Virtua West Jersey HospitalVoorhees 32 $64,727 $8,362 $6,101
Morristown Memorial HospitalMorristown 30 $60,149 $10,277 $7,135
Community Medical CenterToms River 16 $53,167 $9,217 $5,141
University Medical Center at PrincetonPrinceton 15 $52,804 $10,218 $5,330
Robert Wood Johnson University HospitalNew Brunswick 15 $86,033 $12,160 $8,571
Englewood Hospital and Medical CenterEnglewood 15 $35,999 $9,758 $8,220
Cooper University HospitalCamden 14 $76,724 $10,516 $7,003
Centrastate Medical CenterFreehold 13 $44,039 $9,016 $6,081
Jersey Shore University Medical CenterNeptune City 12 $62,988 $17,780 $5,916
Valley HospitalRidgewood 11 $48,293 $7,864 $6,319
Saint Clare's HospitalDenville 11 $32,362 $9,159 $7,285
Jefferson Stratford HospitalCherry Hill 11 $60,743 $8,934 $7,569
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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

Valley HospitalRidgewood, NJ$7,864
Virtua West Jersey HospitalVoorhees, NJ$8,362
Jefferson Stratford HospitalCherry Hill, NJ$8,934
Centrastate Medical CenterFreehold, NJ$9,016
Saint Clare's HospitalDenville, NJ$9,159

Highest

Trauma to the skin, subcutaneous tissue and breast without major complications in other states

Questions

How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in New Jersey?

In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 12 hospitals in New Jersey was billed at $57,984 on average, while the average total payment was $10,096, of which Medicare paid $6,689. 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 5.7 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.