Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in New Jersey
What 59 hospitals in New Jersey charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$24,996
Hospital list price billed
Average allowed
$3,658
Medicare's payment + patient's share
Medicare paid
$2,904
Average per service
State rank
#41 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $24,996 for level 1 abdominal/peritoneal/biliary and related procedures, about 6.8 times the average medicare-allowed amount of $3,658. That payment is 10% above the U.S. average of $3,323.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $3,658Billed $24,996
About 15¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Morristown Memorial HospitalMorristown | 154 | $22,121 | $3,754 | $2,991 |
| Overlook HospitalSummit | 120 | $19,601 | $3,868 | $3,074 |
| University Medical Center at PrincetonPrinceton | 117 | $21,328 | $3,628 | $2,888 |
| Hackensack University Medical CenterHackensack | 114 | $19,619 | $3,910 | $3,106 |
| Cooper University HospitalCamden | 111 | $18,095 | $3,113 | $2,460 |
| Jefferson Stratford HospitalCherry Hill | 105 | $22,542 | $3,577 | $2,841 |
| Valley HospitalRidgewood | 95 | $20,482 | $3,937 | $3,135 |
| Community Medical CenterToms River | 85 | $15,371 | $3,588 | $2,849 |
| Jersey Shore University Medical CenterNeptune City | 85 | $19,198 | $3,633 | $2,888 |
| Ocean Medical CenterBrick | 81 | $19,950 | $3,622 | $2,883 |
| Englewood Hospital and Medical CenterEnglewood | 73 | $50,642 | $3,910 | $3,113 |
| Cape Regional Medical Center INCCape May Court House | 63 | $15,149 | $3,622 | $2,886 |
| Holy Name Medical CenterTeaneck | 55 | $17,982 | $3,937 | $3,137 |
| Riverview Medical CenterRed Bank | 50 | $19,524 | $3,609 | $2,860 |
| Inspira Medical Center VinelandVineland | 47 | $21,919 | $3,622 | $2,881 |
| Monmouth Medical CenterLong Branch | 47 | $19,502 | $3,543 | $2,794 |
| Warren HospitalPhillipsburg | 45 | $40,360 | $3,584 | $2,847 |
| Saint Barnabas Medical CenterLivingston | 44 | $22,079 | $3,447 | $2,686 |
| Inspira Medical Center Mullica HillElmer | 43 | $21,942 | $3,622 | $2,880 |
| Virtua West Jersey HospitalVoorhees | 38 | $42,086 | $3,470 | $2,728 |
| Saint Peter's University HospitalNew Brunswick | 38 | $33,727 | $3,477 | $2,770 |
| Newton Memorial HospitalNewton | 37 | $45,611 | $3,622 | $2,877 |
| Capital Health System-Mercer CampusTrenton | 36 | $68,446 | $3,462 | $2,722 |
| Saint Clare's HospitalDenville | 36 | $41,620 | $3,807 | $3,011 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 34 | $33,236 | $3,622 | $2,886 |
| Centrastate Medical CenterFreehold | 34 | $14,071 | $3,594 | $2,846 |
| Jfk Medical CenterEdison | 32 | $19,947 | $3,670 | $2,924 |
| Chilton HospitalPompton Plains | 29 | $35,206 | $3,786 | $2,995 |
| Robert Wood Johnson University HospitalNew Brunswick | 29 | $22,102 | $3,894 | $3,098 |
| Hackettstown Regional Medical CenterHackettstown | 29 | $18,622 | $3,529 | $2,786 |
| Somerset Medical CenterSomerville | 28 | $25,400 | $3,622 | $2,886 |
| Raritan Bay Medical CenterPerth Amboy | 26 | $15,484 | $3,670 | $2,924 |
| Southern Ocean Medical CenterManahawkin | 25 | $22,524 | $3,622 | $2,871 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 24 | $33,141 | $3,502 | $2,766 |
| Hunterdon Medical CenterFlemington | 23 | $13,892 | $3,543 | $2,822 |
| Our Lady of Lourdes Medical CenterCamden | 22 | $52,953 | $3,491 | $2,741 |
| Trinitas HospitalElizabeth | 21 | $27,180 | $3,598 | $2,862 |
| Shore Memorial HospitalSomers Point | 20 | $28,045 | $3,622 | $2,886 |
| Clara Maass Medical CenterBelleville | 18 | $20,695 | $3,552 | $2,796 |
| Saint Michael's Medical CenterNewark | 17 | $37,510 | $3,716 | $2,961 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 16 | $24,916 | $3,622 | $2,886 |
| Newark Beth Israel Medical CenterNewark | 15 | $21,847 | $3,716 | $2,943 |
| Virtua Willingboro HospitalWillingboro | 15 | $50,003 | $3,622 | $2,886 |
| St Joseph's Regional Medical CenterPaterson | 14 | $36,659 | $3,727 | $2,899 |
| Mountainside HospitalGlen Ridge | 14 | $21,980 | $3,716 | $2,961 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 14 | $37,803 | $3,937 | $3,137 |
| Monmouth Medical Center-Southern CampusLakewood | 12 | $15,022 | $3,622 | $2,886 |
| Umdnj University HospitalNewark | 11 | $24,576 | $3,894 | $3,075 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Heights University HospitalJersey City | – | – | – | – |
| Robert Wood Johnson University Hospital at RahwayRahway | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Bergen Regional Medical CenterParamus | – | – | – | – |
| Jersey City Medical CenterJersey City | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Capital Health System-Fuld CampusTrenton | – | – | – | – |
| Bayshore Community HospitalHolmdel | – | – | – | – |
| Hudson Regional HospitalSecaucus | – | – | – | – |
Lowest and highest allowed amounts in New Jersey
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Cooper University HospitalCamden, NJ | $3,113 |
|---|---|
| Saint Barnabas Medical CenterLivingston, NJ | $3,447 |
| Capital Health System-Mercer CampusTrenton, NJ | $3,462 |
| Virtua West Jersey HospitalVoorhees, NJ | $3,470 |
| Saint Peter's University HospitalNew Brunswick, NJ | $3,477 |
Highest
| Valley HospitalRidgewood, NJ | $3,937 |
|---|---|
| Holy Name Medical CenterTeaneck, NJ | $3,937 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ | $3,937 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $3,910 |
| Hackensack University Medical CenterHackensack, NJ | $3,910 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in New Jersey?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 59 hospitals in New Jersey was billed at $24,996 on average, while the average medicare-allowed amount was $3,658, of which Medicare paid $2,904. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in New Jersey, average charges were 6.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.