Pneumonia, with major complications in New Jersey

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$90,941typical hospital bill

$12,909typical amount paid

$10,110–$26,702range paid across 56 hospitals

New Jersey hospitals billed Medicare a typical $90,941 for this stay in 2024, about 7.0 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
Robert Wood Johnson University Hospital at Hamilton	Hamilton	64	$110,760	$10,110
Bayshore Medical Center	Holmdel	149	$83,286	$10,468
Cape Regional Medical Center Inc	Cape May Court House	73	$66,641	$10,496
Southern Ocean Medical Center	Manahawkin	137	$70,953	$10,588
AHS Hospital Corp	Hackettstown	67	$127,794	$10,660
Riverview Medical Center	Red Bank	115	$77,761	$10,707
Shore Medical Center	Somers Point	71	$66,344	$10,736
Newton Medical Center	Newton	89	$169,002	$10,878
West Jersey Hospital	Voorhees	226	$113,009	$10,962
Virtua Willingboro Hospital	Willingboro	26	$145,155	$11,023
Virtua Mount Holly Hospital	Mount Holly	90	$105,220	$11,077
Robert Wood Johnson University Hospital at Rahway	Rahway	14	$119,007	$11,085
Hunterdon Medical Center	Flemington	58	$48,905	$11,251
Clara Maass Medical Center	Belleville	64	$105,418	$11,586
University Medical Center of Princeton at Plainsboro	Plainsboro	59	$79,099	$11,596
Centrastate Medical Center	Freehold	154	$75,854	$11,762
Monmouth Medical Center-Southern Campus	Lakewood	50	$107,282	$11,776
Valley Hospital	Paramus	186	$78,030	$11,818
Robert Wood Johnson University Hospital - Somerset	Somerville	80	$113,925	$11,884
Community Medical Center	Toms River	254	$88,535	$11,889
Atlanticare Regional Medical Center - City Campus	Atlantic City	94	$63,998	$12,010
Chilton Medical Center	Pompton Plains	94	$105,020	$12,120
Hackensack Meridian Health Pascack Valley Medical	Westwood	40	$77,986	$12,246
JFK University Medical Center	Edison	136	$96,794	$12,350
Jersey Shore University Medical Center	Neptune	147	$92,020	$12,444
Holy Name Medical Center	Teaneck	72	$66,435	$12,533
Ocean Medical Center	Brick	198	$78,382	$12,684
Inspira Medical Center Mullica Hill	Elmer	115	$65,907	$12,901
Saint Clare's Hospital/ Denville Campus	Denville	67	$60,127	$12,916
Raritan Bay Medical Center	Perth Amboy	116	$88,741	$13,322
Morristown Medical Center	Morristown	251	$104,251	$13,549
Virtua Our Lady of Lourdes Hospital	Camden	52	$110,273	$13,614
Jefferson Stratford Hospital	Stratford	120	$93,421	$13,750
Hackensack Meridian Mountainside Medical	Montclair	65	$66,861	$13,841
Englewood Hospital and Medical Center	Englewood	98	$59,648	$13,854
St Luke's Warren Hospital	Phillipsburg	28	$97,514	$13,898
Overlook Medical Center	Summit	170	$83,373	$14,141
Capital Health Medical Center - Hopewell	Pennington	90	$300,760	$14,212
Inspira Medical Center Vineland	Vineland	95	$69,123	$14,455
Monmouth Medical Center	Long Branch	43	$89,863	$15,095
Capital Health Regional Medical Center	Trenton	26	$375,925	$15,412
Saint Peter's University Hospital	New Brunswick	48	$186,859	$15,521
Deborah Heart and Lung Center	Browns Mills	18	$71,053	$15,607
Cooper University Hospital	Camden	44	$75,962	$15,656
Carepoint Health - Bayonne Medical Center	Bayonne	26	$339,310	$15,744
St Mary's General Hospital	Passaic	15	$51,306	$15,794
Trinitas Regional Medical Center	Elizabeth	19	$65,694	$16,622
Cooperman Barnabas Medical Center	Livingston	116	$116,023	$16,722
St Joseph's University Medical Center Inc	Paterson	107	$119,153	$16,881
Saint Michael's Medical Center	Newark	17	$74,747	$17,660
Jersey City Medical Center	Jersey City	31	$120,261	$18,460
Hackensack University Medical Center	Hackensack	182	$119,987	$18,820
Palisades Medical Center	North Bergen	44	$87,401	$18,872
Robert Wood Johnson University Hospital	New Brunswick	80	$146,078	$19,498
Newark Beth Israel Medical Center	Newark	17	$136,845	$20,108
The University Hospital	Newark	13	$118,251	$26,702

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.