facebook tracking Level 2 Musculoskeletal Procedures cost in New Jersey: 59 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in New Jersey

What 59 hospitals in New Jersey charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $13,573 Hospital list price billed
Average allowed $1,689 Medicare's payment + patient's share
Medicare paid $1,337 Average per service
State rank #41 of 49 1 = lowest average payment

Hospitals in New Jersey billed an average of $13,573 for level 2 musculoskeletal procedures, about 8.0 times the average medicare-allowed amount of $1,689. That payment is 12% above the U.S. average of $1,511.

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 $1,689Billed $13,573

About 12¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 2 musculoskeletal 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
Morristown Memorial HospitalMorristown 193 $12,921 $1,696 $1,344
Valley HospitalRidgewood 117 $11,024 $1,821 $1,445
University Medical Center at PrincetonPrinceton 101 $14,200 $1,678 $1,329
Hackensack University Medical CenterHackensack 91 $13,251 $1,692 $1,341
Englewood Hospital and Medical CenterEnglewood 59 $20,416 $1,780 $1,405
Cooper University HospitalCamden 55 $12,314 $1,260 $1,004
Mountainside HospitalGlen Ridge 52 $8,265 $1,700 $1,345
Overlook HospitalSummit 51 $11,833 $1,809 $1,435
Ocean Medical CenterBrick 50 $9,649 $1,683 $1,333
Cape Regional Medical Center INCCape May Court House 44 $10,978 $1,683 $1,339
Virtua West Jersey HospitalVoorhees 39 $22,567 $1,683 $1,333
St Joseph's Regional Medical CenterPaterson 38 $13,317 $1,714 $1,335
Community Medical CenterToms River 38 $9,780 $1,542 $1,194
Inspira Medical Center Mullica HillElmer 36 $13,061 $1,683 $1,341
Chilton HospitalPompton Plains 35 $12,888 $1,809 $1,441
Hackettstown Regional Medical CenterHackettstown 35 $16,878 $1,683 $1,339
Saint Barnabas Medical CenterLivingston 34 $13,154 $1,647 $1,292
Robert Wood Johnson University HospitalNew Brunswick 32 $14,582 $1,674 $1,306
Centrastate Medical CenterFreehold 32 $12,083 $1,704 $1,357
Jersey Shore University Medical CenterNeptune City 31 $12,015 $1,704 $1,347
Atlanticare Regional Medical Center - City DivAtlantic City 30 $19,933 $1,638 $1,296
Holy Name Medical CenterTeaneck 29 $9,108 $1,829 $1,457
Raritan Bay Medical CenterPerth Amboy 28 $8,686 $1,705 $1,358
Newton Memorial HospitalNewton 25 $25,430 $1,683 $1,341
Riverview Medical CenterRed Bank 24 $12,845 $1,647 $1,285
Shore Memorial HospitalSomers Point 21 $13,291 $1,683 $1,341
Somerset Medical CenterSomerville 21 $11,793 $1,683 $1,341
Warren HospitalPhillipsburg 21 $16,578 $1,622 $1,277
Monmouth Medical CenterLong Branch 20 $10,399 $1,574 $1,218
Jefferson Stratford HospitalCherry Hill 20 $17,941 $1,683 $1,331
Hunterdon Medical CenterFlemington 19 $9,654 $1,638 $1,305
Bayshore Community HospitalHolmdel 19 $12,688 $1,704 $1,338
Southern Ocean Medical CenterManahawkin 19 $13,099 $1,683 $1,331
Jfk Medical CenterEdison 18 $11,019 $1,610 $1,283
Virtua Memorial Hospital of Burlington CountyMt Holly 17 $19,245 $1,683 $1,330
Jersey City Medical CenterJersey City 16 $13,081 $1,829 $1,457
Inspira Medical Center VinelandVineland 12 $12,294 $1,683 $1,341
Saint Peter's University HospitalNew Brunswick 11 $46,695 $1,705 $1,359
Newark Beth Israel Medical CenterNewark – – – –
Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen – – – –
St Mary's HospitalPassaic – – – –
Clara Maass Medical CenterBelleville – – – –
Heights University HospitalJersey City – – – –
Robert Wood Johnson University Hospital at RahwayRahway – – – –
Bayonne Hospital CenterBayonne – – – –
Trinitas HospitalElizabeth – – – –
Our Lady of Lourdes Medical CenterCamden – – – –
Deborah Heart and Lung CenterBrowns Mills – – – –
Hoboken University Medical CenterHoboken – – – –
Capital Health System-Mercer CampusTrenton – – – –
Saint Clare's HospitalDenville – – – –
Virtua Willingboro HospitalWillingboro – – – –
Monmouth Medical Center-Southern CampusLakewood – – – –
Capital Health System-Fuld CampusTrenton – – – –
Saint Michael's Medical CenterNewark – – – –
Robert Wood Johnson University Hospital HamiltonHamilton – – – –
Hudson Regional HospitalSecaucus – – – –
Umdnj University HospitalNewark – – – –
Hackensack Meridian Health Pascack Valley MedicalWestwood – – – –
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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.

Lowest

Cooper University HospitalCamden, NJ$1,260
Community Medical CenterToms River, NJ$1,542
Monmouth Medical CenterLong Branch, NJ$1,574
Jfk Medical CenterEdison, NJ$1,610
Warren HospitalPhillipsburg, NJ$1,622

Highest

Holy Name Medical CenterTeaneck, NJ$1,829
Jersey City Medical CenterJersey City, NJ$1,829
Valley HospitalRidgewood, NJ$1,821
Overlook HospitalSummit, NJ$1,809
Chilton HospitalPompton Plains, NJ$1,809

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in New Jersey?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 59 hospitals in New Jersey was billed at $13,573 on average, while the average medicare-allowed amount was $1,689, of which Medicare paid $1,337. 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 8.0 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.