Level 2 Breast/Lymphatic Surgery and Related Procedures in New Jersey
What 50 hospitals in New Jersey charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$43,758
Hospital list price billed
Average allowed
$6,924
Medicare's payment + patient's share
Medicare paid
$5,498
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $43,758 for level 2 breast/lymphatic surgery and related procedures, about 6.3 times the average medicare-allowed amount of $6,924. That payment is 11% above the U.S. average of $6,262.
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 $6,924Billed $43,758
About 16¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 2 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 | 126 | $35,280 | $6,643 | $5,275 |
| Morristown Memorial HospitalMorristown | 89 | $33,255 | $6,877 | $5,478 |
| Hackensack University Medical CenterHackensack | 67 | $43,366 | $7,350 | $5,842 |
| Robert Wood Johnson University HospitalNew Brunswick | 59 | $38,529 | $7,145 | $5,652 |
| Overlook HospitalSummit | 55 | $38,464 | $7,232 | $5,735 |
| Valley HospitalRidgewood | 52 | $26,996 | $7,307 | $5,795 |
| University Medical Center at PrincetonPrinceton | 45 | $48,988 | $6,918 | $5,512 |
| Riverview Medical CenterRed Bank | 45 | $44,570 | $6,912 | $5,507 |
| Ocean Medical CenterBrick | 43 | $50,874 | $6,827 | $5,432 |
| Englewood Hospital and Medical CenterEnglewood | 38 | $83,510 | $7,420 | $5,912 |
| Jefferson Stratford HospitalCherry Hill | 38 | $47,490 | $6,827 | $5,439 |
| Somerset Medical CenterSomerville | 32 | $50,749 | $6,827 | $5,439 |
| Monmouth Medical CenterLong Branch | 32 | $32,260 | $6,740 | $5,335 |
| Virtua West Jersey HospitalVoorhees | 30 | $68,109 | $6,646 | $5,258 |
| Community Medical CenterToms River | 30 | $23,552 | $6,646 | $5,256 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 28 | $56,895 | $6,827 | $5,439 |
| Jersey Shore University Medical CenterNeptune City | 25 | $48,211 | $6,692 | $5,287 |
| Hunterdon Medical CenterFlemington | 23 | $38,419 | $6,827 | $5,439 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 23 | $61,843 | $6,599 | $5,203 |
| Jfk Medical CenterEdison | 20 | $37,357 | $6,918 | $5,512 |
| Chilton HospitalPompton Plains | 18 | $40,530 | $7,339 | $5,847 |
| Inspira Medical Center VinelandVineland | 17 | $47,358 | $6,827 | $5,439 |
| Clara Maass Medical CenterBelleville | 14 | $31,570 | $6,235 | $4,811 |
| Capital Health System-Mercer CampusTrenton | 13 | $134,603 | $6,827 | $5,439 |
| Holy Name Medical CenterTeaneck | 11 | $32,608 | $7,420 | $5,912 |
| Cape Regional Medical Center INCCape May Court House | 11 | $29,520 | $6,827 | $5,439 |
| Saint Barnabas Medical CenterLivingston | 11 | $35,760 | $6,497 | $5,064 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Heights University HospitalJersey City | – | – | – | – |
| St Joseph's Regional Medical CenterPaterson | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Newton Memorial HospitalNewton | – | – | – | – |
| Raritan Bay Medical CenterPerth Amboy | – | – | – | – |
| Shore Memorial HospitalSomers Point | – | – | – | – |
| Saint Clare's HospitalDenville | – | – | – | – |
| Mountainside HospitalGlen Ridge | – | – | – | – |
| Warren HospitalPhillipsburg | – | – | – | – |
| Inspira Medical Center Mullica HillElmer | – | – | – | – |
| Saint Peter's University HospitalNew Brunswick | – | – | – | – |
| Jersey City Medical CenterJersey City | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Robert Wood Johnson University Hospital HamiltonHamilton | – | – | – | – |
| Centrastate Medical CenterFreehold | – | – | – | – |
| Bayshore Community HospitalHolmdel | – | – | – | – |
| Southern Ocean Medical CenterManahawkin | – | – | – | – |
| Hackettstown Regional Medical CenterHackettstown | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
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
| Clara Maass Medical CenterBelleville, NJ | $6,235 |
|---|---|
| Saint Barnabas Medical CenterLivingston, NJ | $6,497 |
| Virtua Memorial Hospital of Burlington CountyMt Holly, NJ | $6,599 |
| Cooper University HospitalCamden, NJ | $6,643 |
| Virtua West Jersey HospitalVoorhees, NJ | $6,646 |
Highest
| Holy Name Medical CenterTeaneck, NJ | $7,420 |
|---|---|
| Englewood Hospital and Medical CenterEnglewood, NJ | $7,420 |
| Hackensack University Medical CenterHackensack, NJ | $7,350 |
| Chilton HospitalPompton Plains, NJ | $7,339 |
| Valley HospitalRidgewood, NJ | $7,307 |
Level 2 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 2 breast/lymphatic surgery and related procedures cost in New Jersey?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 50 hospitals in New Jersey was billed at $43,758 on average, while the average medicare-allowed amount was $6,924, of which Medicare paid $5,498. 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 6.3 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.