Dysequilibrium - costs for treatment in New Jersey

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Dysequilibrium - costs for treatment in New Jersey


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Community Medical Center Toms RiverToms River16$35,637.80$3,806.12$2,601.31
Virtua West Jersey Hospitals BerlinBerlin67$41,434.80$4,171.31$2,619.63
Shore Medical CenterSomers Point11$41,065.70$4,490.55$2,649.91
Ocean Medical CenterBrick15$52,066.60$3,784.93$2,818.53
Robert Wood Johnson University Hospital SomersetSomerville20$46,986.20$4,017.60$2,917.00
Univ Medical Center Of Princeton At PlainsboroPlainsboro24$30,963.20$4,312.04$2,964.04
Chilton Medical CenterPompton Plains44$39,646.10$4,431.48$3,008.68
Overlook Medical CenterSummit21$30,948.60$4,509.71$3,023.38
Valley Hospital RidgewoodRidgewood19$25,374.40$4,773.79$3,096.00
Capital Health System-Fuld CampusTrenton15$78,733.20$6,149.07$3,130.20
Holy Name Medical CenterTeaneck18$31,090.70$4,575.67$3,238.06
Inspira Medical Center WoodburyWoodbury12$42,088.90$4,428.92$3,248.92
Virtua Memorial Hospital Of Burlington CountyMount Holly28$32,748.70$5,035.36$3,249.93
Hackensack-Umc MountainsideMontclair12$33,494.00$5,370.50$3,523.00
Jersey Shore University Medical CenterNeptune12$32,907.00$4,953.00$3,555.75
Carepoint Health - Bayonne Medical CenterBayonne12$117,285.00$4,963.58$3,585.92
Morristown Medical CenterMorristown23$29,788.00$5,094.04$3,735.96
Kennedy University Hospital - Stratford DivStratford28$37,949.30$5,222.68$3,792.68
Englewood Hospital And Medical CenterEnglewood27$39,547.00$5,321.33$3,863.78
St Mary's General HospitalPassaic11$35,195.30$5,134.64$4,122.27
Inspira Medical Center VinelandVineland21$42,968.50$5,538.71$4,182.29
Atlanticare Regional Medical Center - City DivPomona45$52,512.90$5,330.00$4,283.73
Hackensack University Medical CenterHackensack20$43,106.10$5,752.55$4,395.25
Capital Health Medical Center - HopewellPennington15$78,181.70$5,472.67$4,411.13
Clara Maass Medical CenterBelleville19$44,679.80$5,190.32$4,413.84
Raritan Bay Medical CenterPerth Amboy11$37,312.10$5,518.91$4,486.55
Saint Barnabas Medical CenterLivingston17$34,194.20$6,507.47$4,540.82
Robert Wood Johnson University HospitalNew Brunswick18$54,092.10$6,316.78$4,591.44
Trinitas Regional Medical CenterElizabeth14$29,882.00$5,998.86$4,649.93
Palisades Medical CenterNorth Bergen26$34,942.10$7,138.96$4,811.27
St Joseph's Regional Medical CenterPaterson35$43,319.60$7,042.54$5,582.11
Jersey City Medical CenterJersey City11$34,831.50$7,673.64$6,183.82
Total 32 hospitals687

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.





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