Level 3 Upper GI Procedures in New Jersey
What 47 hospitals in New Jersey charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$26,846
Hospital list price billed
Average allowed
$4,080
Medicare's payment + patient's share
Medicare paid
$3,245
Average per service
State rank
#42 of 48
1 = lowest average payment
Hospitals in New Jersey billed an average of $26,846 for level 3 upper gi procedures, about 6.6 times the average medicare-allowed amount of $4,080. That payment is 12% above the U.S. average of $3,633.
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 $4,080Billed $26,846
About 15¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 3 upper gi procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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 | $3,827 |
|---|---|
| Virtua West Jersey HospitalVoorhees, NJ | $4,009 |
| Capital Health System-Mercer CampusTrenton, NJ | $4,009 |
| Somerset Medical CenterSomerville, NJ | $4,009 |
| Ocean Medical CenterBrick, NJ | $4,009 |
Highest
| Hackensack University Medical CenterHackensack, NJ | $4,358 |
|---|---|
| Valley HospitalRidgewood, NJ | $4,358 |
| Umdnj University HospitalNewark, NJ | $4,310 |
| Chilton HospitalPompton Plains, NJ | $4,310 |
| Morristown Memorial HospitalMorristown, NJ | $4,237 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in New Jersey?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 47 hospitals in New Jersey was billed at $26,846 on average, while the average medicare-allowed amount was $4,080, of which Medicare paid $3,245. 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 6.6 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.