Level 3 Pacemaker and Similar Procedures in New Jersey
What 48 hospitals in New Jersey charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$67,027
Hospital list price billed
Average allowed
$11,502
Medicare's payment + patient's share
Medicare paid
$9,869
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $67,027 for level 3 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $11,502. That payment is 13% above the U.S. average of $10,202.
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 $11,502Billed $67,027
About 17¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 3 pacemaker and similar 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 |
|---|---|---|---|---|
| Jersey Shore University Medical CenterNeptune City | 220 | $48,756 | $11,177 | $9,542 |
| Morristown Memorial HospitalMorristown | 155 | $53,497 | $12,001 | $10,369 |
| Hackensack University Medical CenterHackensack | 140 | $47,563 | $12,134 | $10,502 |
| Valley HospitalRidgewood | 138 | $42,058 | $12,134 | $10,502 |
| Our Lady of Lourdes Medical CenterCamden | 111 | $111,516 | $11,082 | $9,448 |
| Cooper University HospitalCamden | 99 | $67,609 | $11,166 | $9,531 |
| Saint Barnabas Medical CenterLivingston | 97 | $50,911 | $11,355 | $9,720 |
| Englewood Hospital and Medical CenterEnglewood | 83 | $181,408 | $12,134 | $10,499 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 74 | $77,394 | $11,166 | $9,533 |
| Community Medical CenterToms River | 62 | $39,050 | $11,166 | $9,534 |
| Deborah Heart and Lung CenterBrowns Mills | 60 | $57,642 | $11,166 | $9,534 |
| Robert Wood Johnson University HospitalNew Brunswick | 58 | $47,112 | $11,643 | $10,011 |
| Somerset Medical CenterSomerville | 47 | $38,099 | $10,761 | $9,126 |
| Overlook HospitalSummit | 43 | $47,628 | $12,001 | $10,363 |
| Jfk Medical CenterEdison | 41 | $44,306 | $11,315 | $9,683 |
| Hunterdon Medical CenterFlemington | 40 | $48,587 | $10,928 | $9,296 |
| St Joseph's Regional Medical CenterPaterson | 33 | $50,410 | $11,816 | $10,182 |
| Capital Health System-Fuld CampusTrenton | 30 | $190,958 | $11,166 | $9,534 |
| Capital Health System-Mercer CampusTrenton | 28 | $175,198 | $11,166 | $9,534 |
| Saint Peter's University HospitalNew Brunswick | 28 | $109,494 | $11,315 | $9,683 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 27 | $102,710 | $11,166 | $9,525 |
| Holy Name Medical CenterTeaneck | 19 | $52,176 | $12,134 | $10,501 |
| Inspira Medical Center Mullica HillElmer | 18 | $75,712 | $11,167 | $9,521 |
| Jersey City Medical CenterJersey City | 18 | $52,147 | $11,551 | $9,919 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 18 | $35,173 | $11,166 | $9,534 |
| University Medical Center at PrincetonPrinceton | 16 | $34,972 | $11,315 | $9,683 |
| Saint Clare's HospitalDenville | 15 | $65,481 | $12,001 | $10,366 |
| Clara Maass Medical CenterBelleville | 13 | $34,875 | $9,944 | $8,312 |
| Ocean Medical CenterBrick | 13 | $46,485 | $11,166 | $9,529 |
| Bayshore Community HospitalHolmdel | 13 | $39,174 | $11,306 | $9,665 |
| St Mary's HospitalPassaic | 12 | $76,107 | $12,134 | $10,502 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| Cape Regional Medical Center INCCape May Court House | – | – | – | – |
| Chilton HospitalPompton Plains | – | – | – | – |
| Virtua West Jersey HospitalVoorhees | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Newton Memorial HospitalNewton | – | – | – | – |
| Inspira Medical Center VinelandVineland | – | – | – | – |
| Riverview Medical CenterRed Bank | – | – | – | – |
| Raritan Bay Medical CenterPerth Amboy | – | – | – | – |
| Mountainside HospitalGlen Ridge | – | – | – | – |
| Warren HospitalPhillipsburg | – | – | – | – |
| Monmouth Medical CenterLong Branch | – | – | – | – |
| Monmouth Medical Center-Southern CampusLakewood | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Centrastate Medical CenterFreehold | – | – | – | – |
| Southern Ocean Medical CenterManahawkin | – | – | – | – |
| Hackettstown Regional Medical CenterHackettstown | – | – | – | – |
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
| Clara Maass Medical CenterBelleville, NJ | $9,944 |
|---|---|
| Somerset Medical CenterSomerville, NJ | $10,761 |
| Hunterdon Medical CenterFlemington, NJ | $10,928 |
| Our Lady of Lourdes Medical CenterCamden, NJ | $11,082 |
| Community Medical CenterToms River, NJ | $11,166 |
Highest
| Englewood Hospital and Medical CenterEnglewood, NJ | $12,134 |
|---|---|
| Holy Name Medical CenterTeaneck, NJ | $12,134 |
| Hackensack University Medical CenterHackensack, NJ | $12,134 |
| St Mary's HospitalPassaic, NJ | $12,134 |
| Valley HospitalRidgewood, NJ | $12,134 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in New Jersey?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 48 hospitals in New Jersey was billed at $67,027 on average, while the average medicare-allowed amount was $11,502, of which Medicare paid $9,869. 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 5.8 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.