facebook tracking Level 3 ENT Procedures cost in New Jersey: 29 hospitals compared (APC 5163)

Level 3 ENT Procedures in New Jersey

What 29 hospitals in New Jersey charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.

APC 5163 Outpatient 2024 Medicare data
Average charge $7,406 Hospital list price billed
Average allowed $1,716 Medicare's payment + patient's share
Medicare paid $1,367 Average per service
State rank #43 of 44 1 = lowest average payment

Hospitals in New Jersey billed an average of $7,406 for level 3 ent procedures, about 4.3 times the average medicare-allowed amount of $1,716. That payment is 23% above the U.S. average of $1,397.

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 $1,716Billed $7,406

About 23¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 3 ent 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
Robert Wood Johnson University HospitalNew Brunswick 12 $7,406 $1,716 $1,367
Hackensack University Medical CenterHackensack – – – –
Clara Maass Medical CenterBelleville – – – –
University Medical Center at PrincetonPrinceton – – – –
Cooper University HospitalCamden – – – –
Morristown Memorial HospitalMorristown – – – –
Heights University HospitalJersey City – – – –
Newton Memorial HospitalNewton – – – –
Inspira Medical Center VinelandVineland – – – –
Community Medical CenterToms River – – – –
Englewood Hospital and Medical CenterEnglewood – – – –
Saint Clare's HospitalDenville – – – –
Overlook HospitalSummit – – – –
Ocean Medical CenterBrick – – – –
Warren HospitalPhillipsburg – – – –
Virtua Willingboro HospitalWillingboro – – – –
Atlanticare Regional Medical Center - City DivAtlantic City – – – –
Jersey Shore University Medical CenterNeptune City – – – –
Jersey City Medical CenterJersey City – – – –
Monmouth Medical CenterLong Branch – – – –
Saint Barnabas Medical CenterLivingston – – – –
Jefferson Stratford HospitalCherry Hill – – – –
Jfk Medical CenterEdison – – – –
Centrastate Medical CenterFreehold – – – –
Bayshore Community HospitalHolmdel – – – –
Southern Ocean Medical CenterManahawkin – – – –
Hackettstown Regional Medical CenterHackettstown – – – –
Hudson Regional HospitalSecaucus – – – –
Umdnj University HospitalNewark – – – –
Level 3 ENT Procedures: all states All New Jersey hospitals New Jersey hospital finances
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Level 3 ENT Procedures in other states

California · $1,911 Connecticut · $1,716 Delaware · $1,530 Massachusetts · $1,622 New York · $1,631 Oregon · $1,600 South Dakota · $1,469 Washington · $1,473

Questions

How much does level 3 ent procedures cost in New Jersey?

In 2024 Medicare data, level 3 ent procedures (APC 5163) at 29 hospitals in New Jersey was billed at $7,406 on average, while the average medicare-allowed amount was $1,716, of which Medicare paid $1,367. 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 4.3 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.