Level 2 Upper GI Procedures in New Jersey
What 59 hospitals in New Jersey charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$16,802
Hospital list price billed
Average allowed
$2,013
Medicare's payment + patient's share
Medicare paid
$1,603
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $16,802 for level 2 upper gi procedures, about 8.3 times the average medicare-allowed amount of $2,013. That payment is 11% above the U.S. average of $1,815.
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 $2,013Billed $16,802
About 12¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 2 upper gi 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 | 582 | $15,654 | $1,857 | $1,485 |
| Overlook HospitalSummit | 381 | $15,969 | $2,114 | $1,686 |
| Morristown Memorial HospitalMorristown | 331 | $12,373 | $2,120 | $1,688 |
| Jersey Shore University Medical CenterNeptune City | 234 | $13,001 | $2,013 | $1,604 |
| Capital Health System-Mercer CampusTrenton | 225 | $49,264 | $1,971 | $1,571 |
| Hackensack University Medical CenterHackensack | 195 | $15,402 | $2,130 | $1,691 |
| Our Lady of Lourdes Medical CenterCamden | 186 | $23,253 | $1,968 | $1,562 |
| Mountainside HospitalGlen Ridge | 148 | $18,306 | $2,022 | $1,621 |
| University Medical Center at PrincetonPrinceton | 141 | $16,034 | $2,019 | $1,614 |
| Saint Peter's University HospitalNew Brunswick | 140 | $23,768 | $2,019 | $1,612 |
| Riverview Medical CenterRed Bank | 132 | $11,683 | $1,980 | $1,571 |
| Saint Barnabas Medical CenterLivingston | 127 | $12,204 | $1,994 | $1,572 |
| Valley HospitalRidgewood | 122 | $9,339 | $2,137 | $1,700 |
| Jfk Medical CenterEdison | 109 | $12,791 | $2,005 | $1,593 |
| Robert Wood Johnson University HospitalNew Brunswick | 102 | $12,137 | $2,073 | $1,641 |
| Warren HospitalPhillipsburg | 101 | $16,980 | $1,992 | $1,595 |
| St Joseph's Regional Medical CenterPaterson | 100 | $10,188 | $2,148 | $1,711 |
| Englewood Hospital and Medical CenterEnglewood | 100 | $24,319 | $2,165 | $1,726 |
| Inspira Medical Center Mullica HillElmer | 100 | $7,244 | $1,960 | $1,557 |
| Virtua West Jersey HospitalVoorhees | 90 | $27,900 | $1,992 | $1,588 |
| Monmouth Medical CenterLong Branch | 88 | $9,215 | $1,782 | $1,371 |
| Jefferson Stratford HospitalCherry Hill | 88 | $18,124 | $1,981 | $1,581 |
| Ocean Medical CenterBrick | 85 | $12,655 | $1,943 | $1,540 |
| Centrastate Medical CenterFreehold | 71 | $9,977 | $2,003 | $1,596 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 70 | $18,887 | $1,969 | $1,565 |
| Inspira Medical Center VinelandVineland | 59 | $10,396 | $1,968 | $1,562 |
| Somerset Medical CenterSomerville | 51 | $11,439 | $1,992 | $1,588 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 50 | $14,930 | $1,992 | $1,590 |
| Chilton HospitalPompton Plains | 48 | $14,598 | $2,111 | $1,678 |
| Hunterdon Medical CenterFlemington | 41 | $9,296 | $1,992 | $1,589 |
| Umdnj University HospitalNewark | 39 | $12,677 | $2,142 | $1,686 |
| Southern Ocean Medical CenterManahawkin | 35 | $14,199 | $1,992 | $1,604 |
| Cape Regional Medical Center INCCape May Court House | 32 | $17,178 | $1,992 | $1,583 |
| Bayshore Community HospitalHolmdel | 31 | $13,752 | $2,017 | $1,607 |
| Community Medical CenterToms River | 30 | $11,151 | $1,992 | $1,587 |
| Newton Memorial HospitalNewton | 29 | $11,564 | $1,992 | $1,591 |
| Holy Name Medical CenterTeaneck | 28 | $10,136 | $2,165 | $1,725 |
| Trinitas HospitalElizabeth | 27 | $10,429 | $1,992 | $1,583 |
| Raritan Bay Medical CenterPerth Amboy | 26 | $12,074 | $2,019 | $1,615 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 24 | $31,619 | $1,951 | $1,556 |
| Robert Wood Johnson University Hospital at RahwayRahway | 20 | $13,252 | $1,992 | $1,578 |
| Hackettstown Regional Medical CenterHackettstown | 19 | $9,203 | $1,992 | $1,587 |
| Bayonne Hospital CenterBayonne | 17 | $10,054 | $2,165 | $1,730 |
| St Mary's HospitalPassaic | 16 | $17,098 | $2,165 | $1,725 |
| Shore Memorial HospitalSomers Point | 16 | $14,113 | $1,992 | $1,587 |
| Saint Clare's HospitalDenville | 15 | $11,772 | $2,141 | $1,706 |
| Newark Beth Israel Medical CenterNewark | 13 | $17,457 | $2,044 | $1,628 |
| Jersey City Medical CenterJersey City | 13 | $11,575 | $2,165 | $1,721 |
| Capital Health System-Fuld CampusTrenton | 13 | $66,107 | $1,870 | $1,488 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| Clara Maass Medical CenterBelleville | – | – | – | – |
| Heights University HospitalJersey City | – | – | – | – |
| Hoboken University Medical CenterHoboken | – | – | – | – |
| Bergen Regional Medical CenterParamus | – | – | – | – |
| Virtua Willingboro HospitalWillingboro | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Monmouth Medical Center-Southern CampusLakewood | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | – | – | – | – |
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
| Monmouth Medical CenterLong Branch, NJ | $1,782 |
|---|---|
| Cooper University HospitalCamden, NJ | $1,857 |
| Capital Health System-Fuld CampusTrenton, NJ | $1,870 |
| Ocean Medical CenterBrick, NJ | $1,943 |
| Virtua Memorial Hospital of Burlington CountyMt Holly, NJ | $1,951 |
Highest
| Jersey City Medical CenterJersey City, NJ | $2,165 |
|---|---|
| St Mary's HospitalPassaic, NJ | $2,165 |
| Holy Name Medical CenterTeaneck, NJ | $2,165 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $2,165 |
| Bayonne Hospital CenterBayonne, NJ | $2,165 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in New Jersey?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 59 hospitals in New Jersey was billed at $16,802 on average, while the average medicare-allowed amount was $2,013, of which Medicare paid $1,603. 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 8.3 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.