facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in New Jersey: 33 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in New Jersey

What 33 hospitals in New Jersey charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.

APC 5093 Outpatient 2024 Medicare data
Average charge $59,017 Hospital list price billed
Average allowed $10,271 Medicare's payment + patient's share
Medicare paid $8,639 Average per service
State rank #29 of 31 1 = lowest average payment

Hospitals in New Jersey billed an average of $59,017 for level 3 breast/lymphatic surgery and related procedures, about 5.7 times the average medicare-allowed amount of $10,271. That payment is 12% above the U.S. average of $9,171.

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 $10,271Billed $59,017

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

New Jersey hospitals: level 3 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
Overlook HospitalSummit 15 $46,089 $10,598 $8,966
Jefferson Stratford HospitalCherry Hill 12 $75,177 $9,861 $8,229
Hackensack University Medical CenterHackensack – – – –
Newark Beth Israel Medical CenterNewark – – – –
Hunterdon Medical CenterFlemington – – – –
Holy Name Medical CenterTeaneck – – – –
Clara Maass Medical CenterBelleville – – – –
University Medical Center at PrincetonPrinceton – – – –
Valley HospitalRidgewood – – – –
Cooper University HospitalCamden – – – –
Morristown Memorial HospitalMorristown – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Virtua West Jersey HospitalVoorhees – – – –
Inspira Medical Center VinelandVineland – – – –
Riverview Medical CenterRed Bank – – – –
Robert Wood Johnson University HospitalNew Brunswick – – – –
Community Medical CenterToms River – – – –
Capital Health System-Mercer CampusTrenton – – – –
Englewood Hospital and Medical CenterEnglewood – – – –
Shore Memorial HospitalSomers Point – – – –
Somerset Medical CenterSomerville – – – –
Ocean Medical CenterBrick – – – –
Mountainside HospitalGlen Ridge – – – –
Virtua Memorial Hospital of Burlington CountyMt Holly – – – –
Atlanticare Regional Medical Center - City DivAtlantic City – – – –
Inspira Medical Center Mullica HillElmer – – – –
Saint Peter's University HospitalNew Brunswick – – – –
Jersey Shore University Medical CenterNeptune City – – – –
Monmouth Medical CenterLong Branch – – – –
Saint Barnabas Medical CenterLivingston – – – –
Bayshore Community HospitalHolmdel – – – –
Southern Ocean Medical CenterManahawkin – – – –
Hackettstown Regional Medical CenterHackettstown – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All New Jersey hospitals New Jersey hospital finances
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Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Arizona · $9,187 Delaware · $9,452 Massachusetts · $9,976 Minnesota · $9,255 New Hampshire · $9,624 New Mexico · $9,540 New York · $10,613 Washington · $9,493

Questions

How much does level 3 breast/lymphatic surgery and related procedures cost in New Jersey?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 33 hospitals in New Jersey was billed at $59,017 on average, while the average medicare-allowed amount was $10,271, of which Medicare paid $8,639. 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 5.7 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.