facebook tracking Level 2 ICD and Similar Procedures cost in New Jersey: 25 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in New Jersey

What 25 hospitals in New Jersey charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $205,194 Hospital list price billed
Average allowed $34,790 Medicare's payment + patient's share
Medicare paid $33,157 Average per service
State rank #41 of 47 1 = lowest average payment

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.

Paid $34,790Billed $205,194

About 17¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 2 icd and similar 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
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 – – – –
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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.

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in New Jersey?

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.

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 5.9 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.