Simple Pneumonia and Pleurisy Without Cc/Mcc in New Jersey
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$47,455typical hospital bill
$5,830typical amount paid
$5,020–$8,530range paid across 9 hospitals
New Jersey hospitals billed Medicare a typical $47,455 for this stay in 2024, about 8.1 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 | |
|---|---|---|---|---|---|
| University Medical Center of Princeton at Plainsboro | Plainsboro | 11 | $44,578 | $5,020 | |
| Cape Regional Medical Center Inc | Cape May Court House | 12 | $30,595 | $5,166 | |
| Valley Hospital | Paramus | 15 | $47,455 | $5,332 | |
| Community Medical Center | Toms River | 11 | $53,681 | $5,628 | |
| West Jersey Hospital | Voorhees | 25 | $55,774 | $5,830 | |
| Morristown Medical Center | Morristown | 16 | $47,433 | $6,445 | |
| Overlook Medical Center | Summit | 11 | $49,768 | $6,752 | |
| Englewood Hospital and Medical Center | Englewood | 12 | $36,544 | $7,048 | |
| Cooperman Barnabas Medical Center | Livingston | 12 | $69,148 | $8,530 |
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.