Pneumonia, with complications in New Jersey

MS-DRG 194: Simple pneumonia and pleurisy with cc

$63,304typical hospital bill

$8,168typical amount paid

$6,201–$12,997range paid across 49 hospitals

New Jersey hospitals billed Medicare a typical $63,304 for this stay in 2024, about 7.8 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
Southern Ocean Medical Center	Manahawkin	38	$49,196	$6,201
Riverview Medical Center	Red Bank	28	$55,936	$6,407
Bayshore Medical Center	Holmdel	18	$53,993	$6,444
Cape Regional Medical Center Inc	Cape May Court House	53	$48,019	$6,643
Newton Medical Center	Newton	47	$101,728	$6,703
West Jersey Hospital	Voorhees	123	$76,851	$7,021
Monmouth Medical Center-Southern Campus	Lakewood	23	$73,665	$7,037
Centrastate Medical Center	Freehold	77	$52,379	$7,098
Virtua Willingboro Hospital	Willingboro	19	$69,304	$7,149
Virtua Mount Holly Hospital	Mount Holly	51	$68,265	$7,157
Robert Wood Johnson University Hospital at Hamilton	Hamilton	24	$74,274	$7,172
Shore Medical Center	Somers Point	38	$44,372	$7,226
University Medical Center of Princeton at Plainsboro	Plainsboro	59	$51,778	$7,228
Chilton Medical Center	Pompton Plains	64	$68,997	$7,368
AHS Hospital Corp	Hackettstown	23	$80,004	$7,424
Hunterdon Medical Center	Flemington	30	$34,422	$7,432
St Luke's Warren Hospital	Phillipsburg	13	$64,341	$7,444
Valley Hospital	Paramus	81	$43,272	$7,579
Community Medical Center	Toms River	81	$67,136	$7,596
Ocean Medical Center	Brick	56	$54,937	$7,693
JFK University Medical Center	Edison	29	$66,519	$7,782
Atlanticare Regional Medical Center - City Campus	Atlantic City	17	$40,130	$7,824
Holy Name Medical Center	Teaneck	54	$39,315	$7,878
Hackensack Meridian Mountainside Medical	Montclair	29	$40,192	$8,113
Robert Wood Johnson University Hospital - Somerset	Somerville	34	$68,585	$8,168
Inspira Medical Center Mullica Hill	Elmer	43	$45,204	$8,261
Englewood Hospital and Medical Center	Englewood	35	$47,100	$8,496
Jersey Shore University Medical Center	Neptune	51	$68,344	$8,582
Morristown Medical Center	Morristown	118	$63,304	$8,597
Saint Clare's Hospital/ Denville Campus	Denville	19	$24,378	$8,639
Overlook Medical Center	Summit	67	$52,714	$8,669
Clara Maass Medical Center	Belleville	27	$77,063	$8,735
Virtua Our Lady of Lourdes Hospital	Camden	16	$72,131	$8,851
Cooper University Hospital	Camden	14	$35,723	$9,123
Hackensack Meridian Health Pascack Valley Medical	Westwood	22	$47,953	$9,252
Jefferson Stratford Hospital	Stratford	38	$47,834	$9,300
Capital Health Regional Medical Center	Trenton	14	$231,751	$9,474
Inspira Medical Center Vineland	Vineland	25	$53,201	$9,506
Raritan Bay Medical Center	Perth Amboy	25	$51,485	$9,595
Carepoint Health - Bayonne Medical Center	Bayonne	26	$204,470	$10,162
Saint Peter's University Hospital	New Brunswick	21	$113,821	$10,256
Monmouth Medical Center	Long Branch	22	$63,600	$10,285
Robert Wood Johnson University Hospital	New Brunswick	44	$84,700	$10,825
Cooperman Barnabas Medical Center	Livingston	29	$74,096	$11,631
St Joseph's University Medical Center Inc	Paterson	18	$95,884	$11,780
Jersey City Medical Center	Jersey City	12	$57,292	$12,105
Capital Health Medical Center - Hopewell	Pennington	22	$239,335	$12,200
Hackensack University Medical Center	Hackensack	32	$52,404	$12,604
Palisades Medical Center	North Bergen	20	$66,349	$12,997

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.