What 25 hospitals in New Jersey charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in New Jersey billed an average of $205,194 for level 2 icd and similar procedures, about 5.9 times the average medicare-allowed amount of $34,790. That payment is 12% above the U.S. average of $31,009.
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.
About 17¢ was paid for every $1 hospitals in New Jersey billed for this service.
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 |
|---|---|---|---|---|
| Jersey Shore University Medical CenterNeptune City | 118 | $122,475 | $34,100 | $32,466 |
| Morristown Memorial HospitalMorristown | 105 | $130,740 | $35,599 | $33,975 |
| Deborah Heart and Lung CenterBrowns Mills | 88 | $343,429 | $34,335 | $32,697 |
| Our Lady of Lourdes Medical CenterCamden | 74 | $328,474 | $33,920 | $32,282 |
| Cooper University HospitalCamden | 63 | $214,261 | $33,337 | $31,693 |
| Saint Barnabas Medical CenterLivingston | 61 | $108,455 | $33,575 | $31,943 |
| Robert Wood Johnson University HospitalNew Brunswick | 57 | $116,712 | $36,287 | $34,654 |
| Valley HospitalRidgewood | 55 | $74,863 | $37,317 | $35,684 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 51 | $199,810 | $33,729 | $32,097 |
| Hackensack University Medical CenterHackensack | 47 | $114,976 | $36,561 | $34,921 |
| Englewood Hospital and Medical CenterEnglewood | 47 | $592,224 | $35,804 | $34,166 |
| Newark Beth Israel Medical CenterNewark | 27 | $113,873 | $32,738 | $31,106 |
| Capital Health System-Fuld CampusTrenton | 17 | $407,106 | $34,335 | $32,703 |
| St Joseph's Regional Medical CenterPaterson | 13 | $155,176 | $37,317 | $35,685 |
| Holy Name Medical CenterTeaneck | 11 | $190,723 | $34,428 | $32,871 |
| Hunterdon Medical CenterFlemington | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Chilton HospitalPompton Plains | – | – | – | – |
| Community Medical CenterToms River | – | – | – | – |
| Ocean Medical CenterBrick | – | – | – | – |
| Virtua Memorial Hospital of Burlington CountyMt Holly | – | – | – | – |
| Warren HospitalPhillipsburg | – | – | – | – |
| Jersey City Medical CenterJersey City | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Newark Beth Israel Medical CenterNewark, NJ | $32,738 |
|---|---|
| Cooper University HospitalCamden, NJ | $33,337 |
| Saint Barnabas Medical CenterLivingston, NJ | $33,575 |
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $33,729 |
| Our Lady of Lourdes Medical CenterCamden, NJ | $33,920 |
| Valley HospitalRidgewood, NJ | $37,317 |
|---|---|
| St Joseph's Regional Medical CenterPaterson, NJ | $37,317 |
| Hackensack University Medical CenterHackensack, NJ | $36,561 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $36,287 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $35,804 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 25 hospitals in New Jersey was billed at $205,194 on average, while the average medicare-allowed amount was $34,790, of which Medicare paid $33,157. Your own cost depends on your insurance, deductible and the hospital.
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 5.9 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.