Level 1 ICD and Similar Procedures in New Jersey
What 23 hospitals in New Jersey charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$138,650
Hospital list price billed
Average allowed
$25,172
Medicare's payment + patient's share
Medicare paid
$23,537
Average per service
State rank
#31 of 34
1 = lowest average payment
Hospitals in New Jersey billed an average of $138,650 for level 1 icd and similar procedures, about 5.5 times the average medicare-allowed amount of $25,172. That payment is 11% above the U.S. average of $22,647.
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 $25,172Billed $138,650
About 18¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 1 icd and similar procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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 | $23,565 |
|---|---|
| Jersey Shore University Medical CenterNeptune City, NJ | $23,983 |
| Our Lady of Lourdes Medical CenterCamden, NJ | $24,609 |
| Saint Barnabas Medical CenterLivingston, NJ | $25,248 |
| Morristown Memorial HospitalMorristown, NJ | $25,270 |
Highest
| Hackensack University Medical CenterHackensack, NJ | $26,746 |
|---|---|
| Valley HospitalRidgewood, NJ | $26,746 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $26,746 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $25,497 |
| Morristown Memorial HospitalMorristown, NJ | $25,270 |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in New Jersey?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 23 hospitals in New Jersey was billed at $138,650 on average, while the average medicare-allowed amount was $25,172, of which Medicare paid $23,537. 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 5.5 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.