Level 3 Musculoskeletal Procedures in New Jersey
What 60 hospitals in New Jersey charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$23,692
Hospital list price billed
Average allowed
$3,401
Medicare's payment + patient's share
Medicare paid
$2,701
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $23,692 for level 3 musculoskeletal procedures, about 7.0 times the average medicare-allowed amount of $3,401. That payment is 14% above the U.S. average of $2,995.
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 $3,401Billed $23,692
About 14¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 3 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 | 229 | $20,619 | $3,365 | $2,673 |
| Hackensack University Medical CenterHackensack | 155 | $20,619 | $3,573 | $2,842 |
| University Medical Center at PrincetonPrinceton | 110 | $22,638 | $3,434 | $2,736 |
| Holy Name Medical CenterTeaneck | 99 | $16,115 | $3,683 | $2,935 |
| Valley HospitalRidgewood | 93 | $19,495 | $3,683 | $2,933 |
| Englewood Hospital and Medical CenterEnglewood | 72 | $39,914 | $3,645 | $2,893 |
| Inspira Medical Center VinelandVineland | 68 | $18,234 | $3,339 | $2,659 |
| Cooper University HospitalCamden | 63 | $15,803 | $2,331 | $1,837 |
| Community Medical CenterToms River | 57 | $12,541 | $3,341 | $2,653 |
| Riverview Medical CenterRed Bank | 55 | $17,161 | $3,381 | $2,679 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 54 | $33,613 | $3,339 | $2,650 |
| Chilton HospitalPompton Plains | 52 | $19,918 | $3,587 | $2,836 |
| Overlook HospitalSummit | 47 | $21,868 | $3,503 | $2,779 |
| Inspira Medical Center Mullica HillElmer | 47 | $27,358 | $3,317 | $2,641 |
| Southern Ocean Medical CenterManahawkin | 47 | $16,913 | $3,057 | $2,413 |
| Jefferson Stratford HospitalCherry Hill | 45 | $31,025 | $3,389 | $2,695 |
| Jfk Medical CenterEdison | 44 | $16,906 | $3,356 | $2,674 |
| Hunterdon Medical CenterFlemington | 41 | $16,161 | $3,265 | $2,601 |
| Virtua West Jersey HospitalVoorhees | 39 | $46,198 | $3,389 | $2,700 |
| Newton Memorial HospitalNewton | 39 | $35,380 | $3,319 | $2,631 |
| Jersey Shore University Medical CenterNeptune City | 37 | $18,943 | $3,172 | $2,512 |
| Saint Clare's HospitalDenville | 35 | $30,805 | $3,560 | $2,816 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 35 | $26,364 | $3,473 | $2,767 |
| Shore Memorial HospitalSomers Point | 34 | $31,007 | $3,389 | $2,694 |
| Mountainside HospitalGlen Ridge | 34 | $14,299 | $3,477 | $2,767 |
| Monmouth Medical CenterLong Branch | 33 | $19,571 | $3,348 | $2,648 |
| Ocean Medical CenterBrick | 32 | $21,561 | $3,177 | $2,531 |
| St Joseph's Regional Medical CenterPaterson | 31 | $21,250 | $3,589 | $2,839 |
| Somerset Medical CenterSomerville | 31 | $22,901 | $3,389 | $2,688 |
| Warren HospitalPhillipsburg | 31 | $45,431 | $3,389 | $2,700 |
| Hackettstown Regional Medical CenterHackettstown | 29 | $16,966 | $3,389 | $2,697 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 28 | $36,969 | $3,147 | $2,500 |
| Raritan Bay Medical CenterPerth Amboy | 26 | $15,115 | $3,434 | $2,736 |
| Saint Barnabas Medical CenterLivingston | 25 | $19,265 | $3,477 | $2,767 |
| Hudson Regional HospitalSecaucus | 25 | $64,515 | $3,419 | $2,697 |
| Centrastate Medical CenterFreehold | 23 | $13,108 | $3,431 | $2,729 |
| Capital Health System-Mercer CampusTrenton | 22 | $92,229 | $3,389 | $2,700 |
| Monmouth Medical Center-Southern CampusLakewood | 22 | $18,411 | $3,266 | $2,577 |
| Cape Regional Medical Center INCCape May Court House | 21 | $14,487 | $3,389 | $2,700 |
| Bayshore Community HospitalHolmdel | 20 | $16,365 | $3,431 | $2,734 |
| Robert Wood Johnson University Hospital at RahwayRahway | 19 | $22,541 | $3,247 | $2,558 |
| Clara Maass Medical CenterBelleville | 18 | $14,965 | $3,348 | $2,641 |
| St Mary's HospitalPassaic | 17 | $38,527 | $3,511 | $2,762 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | 15 | $17,503 | $3,683 | $2,935 |
| Robert Wood Johnson University HospitalNew Brunswick | 12 | $16,880 | $3,643 | $2,902 |
| Jersey City Medical CenterJersey City | 12 | $17,732 | $3,683 | $2,935 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 12 | $21,153 | $3,389 | $2,684 |
| Umdnj University HospitalNewark | 11 | $26,817 | $3,643 | $2,901 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| Heights University HospitalJersey City | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Our Lady of Lourdes Medical CenterCamden | – | – | – | – |
| Hoboken University Medical CenterHoboken | – | – | – | – |
| Bergen Regional Medical CenterParamus | – | – | – | – |
| Virtua Willingboro HospitalWillingboro | – | – | – | – |
| Saint Peter's University HospitalNew Brunswick | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Capital Health System-Fuld CampusTrenton | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
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 | $2,331 |
|---|---|
| Southern Ocean Medical CenterManahawkin, NJ | $3,057 |
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $3,147 |
| Jersey Shore University Medical CenterNeptune City, NJ | $3,172 |
| Ocean Medical CenterBrick, NJ | $3,177 |
Highest
| Valley HospitalRidgewood, NJ | $3,683 |
|---|---|
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen, NJ | $3,683 |
| Holy Name Medical CenterTeaneck, NJ | $3,683 |
| Jersey City Medical CenterJersey City, NJ | $3,683 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $3,645 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in New Jersey?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 60 hospitals in New Jersey was billed at $23,692 on average, while the average medicare-allowed amount was $3,401, of which Medicare paid $2,701. 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 7.0 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.