Other Respiratory System O.r. Procedures with Mcc in New Jersey
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$216,535typical hospital bill
$37,041typical amount paid
$34,860–$57,272range paid across 5 hospitals
New Jersey hospitals billed Medicare a typical $216,535 for this stay in 2024, about 5.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Inspira Medical Center Mullica Hill | Elmer | 20 | $165,052 | $34,860 | |
| Valley Hospital | Paramus | 14 | $216,535 | $36,742 | |
| Morristown Medical Center | Morristown | 14 | $210,601 | $37,041 | |
| JFK University Medical Center | Edison | 14 | $230,736 | $49,257 | |
| Hackensack University Medical Center | Hackensack | 22 | $275,896 | $57,272 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.