Level 1 Breast/Lymphatic Surgery and Related Procedures in New Jersey
What 55 hospitals in New Jersey charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$24,781
Hospital list price billed
Average allowed
$4,070
Medicare's payment + patient's share
Medicare paid
$3,233
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $24,781 for level 1 breast/lymphatic surgery and related procedures, about 6.1 times the average medicare-allowed amount of $4,070. That payment is 10% above the U.S. average of $3,688.
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 $4,070Billed $24,781
About 16¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 1 breast/lymphatic surgery 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 |
|---|---|---|---|---|
| Cooper University HospitalCamden | 153 | $22,275 | $3,938 | $3,134 |
| Morristown Memorial HospitalMorristown | 106 | $23,734 | $4,075 | $3,247 |
| Hackensack University Medical CenterHackensack | 103 | $19,999 | $4,304 | $3,422 |
| Riverview Medical CenterRed Bank | 95 | $16,174 | $3,975 | $3,148 |
| Englewood Hospital and Medical CenterEnglewood | 83 | $39,391 | $4,296 | $3,410 |
| Valley HospitalRidgewood | 73 | $20,187 | $4,338 | $3,452 |
| Ocean Medical CenterBrick | 65 | $17,645 | $3,991 | $3,179 |
| University Medical Center at PrincetonPrinceton | 59 | $30,656 | $3,989 | $3,167 |
| Overlook HospitalSummit | 53 | $25,672 | $4,290 | $3,418 |
| Jefferson Stratford HospitalCherry Hill | 49 | $26,439 | $3,991 | $3,179 |
| Robert Wood Johnson University HospitalNew Brunswick | 45 | $28,596 | $4,290 | $3,414 |
| Chilton HospitalPompton Plains | 40 | $22,982 | $4,290 | $3,418 |
| Community Medical CenterToms River | 38 | $14,950 | $3,991 | $3,179 |
| Somerset Medical CenterSomerville | 37 | $27,350 | $3,905 | $3,091 |
| Monmouth Medical CenterLong Branch | 35 | $17,036 | $3,581 | $2,759 |
| Inspira Medical Center VinelandVineland | 34 | $25,713 | $3,991 | $3,179 |
| Centrastate Medical CenterFreehold | 32 | $15,644 | $4,040 | $3,219 |
| Jersey Shore University Medical CenterNeptune City | 30 | $19,068 | $4,041 | $3,216 |
| Bayshore Community HospitalHolmdel | 27 | $17,396 | $4,041 | $3,212 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 26 | $40,712 | $3,871 | $3,050 |
| Holy Name Medical CenterTeaneck | 24 | $20,443 | $4,337 | $3,456 |
| Capital Health System-Mercer CampusTrenton | 24 | $81,902 | $3,991 | $3,179 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 24 | $34,039 | $3,991 | $3,179 |
| Jfk Medical CenterEdison | 24 | $20,643 | $4,044 | $3,222 |
| Hunterdon Medical CenterFlemington | 21 | $19,730 | $3,991 | $3,179 |
| Virtua West Jersey HospitalVoorhees | 21 | $35,339 | $3,991 | $3,179 |
| Saint Barnabas Medical CenterLivingston | 21 | $20,480 | $4,094 | $3,262 |
| Mountainside HospitalGlen Ridge | 19 | $14,624 | $3,923 | $3,086 |
| Inspira Medical Center Mullica HillElmer | 19 | $28,740 | $3,991 | $3,179 |
| Shore Memorial HospitalSomers Point | 17 | $29,603 | $3,803 | $2,992 |
| Clara Maass Medical CenterBelleville | 15 | $19,185 | $3,677 | $2,845 |
| St Joseph's Regional Medical CenterPaterson | 14 | $19,442 | $4,337 | $3,456 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 13 | $30,303 | $3,991 | $3,179 |
| Jersey City Medical CenterJersey City | 12 | $17,835 | $4,337 | $3,456 |
| Newton Memorial HospitalNewton | 11 | $46,841 | $3,991 | $3,179 |
| Saint Peter's University HospitalNew Brunswick | 11 | $36,677 | $3,751 | $2,929 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Cape Regional Medical Center INCCape May Court House | – | – | – | – |
| Heights University HospitalJersey City | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Our Lady of Lourdes Medical CenterCamden | – | – | – | – |
| Raritan Bay Medical CenterPerth Amboy | – | – | – | – |
| Hoboken University Medical CenterHoboken | – | – | – | – |
| Saint Clare's HospitalDenville | – | – | – | – |
| Warren HospitalPhillipsburg | – | – | – | – |
| Virtua Willingboro HospitalWillingboro | – | – | – | – |
| Monmouth Medical Center-Southern CampusLakewood | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Southern Ocean Medical CenterManahawkin | – | – | – | – |
| Hackettstown Regional Medical CenterHackettstown | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | – | – | – | – |
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
| Monmouth Medical CenterLong Branch, NJ | $3,581 |
|---|---|
| Clara Maass Medical CenterBelleville, NJ | $3,677 |
| Saint Peter's University HospitalNew Brunswick, NJ | $3,751 |
| Shore Memorial HospitalSomers Point, NJ | $3,803 |
| Virtua Memorial Hospital of Burlington CountyMt Holly, NJ | $3,871 |
Highest
| Valley HospitalRidgewood, NJ | $4,338 |
|---|---|
| Holy Name Medical CenterTeaneck, NJ | $4,337 |
| St Joseph's Regional Medical CenterPaterson, NJ | $4,337 |
| Jersey City Medical CenterJersey City, NJ | $4,337 |
| Hackensack University Medical CenterHackensack, NJ | $4,304 |
Level 1 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 1 breast/lymphatic surgery and related procedures cost in New Jersey?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 55 hospitals in New Jersey was billed at $24,781 on average, while the average medicare-allowed amount was $4,070, of which Medicare paid $3,233. 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 6.1 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.