What 53 hospitals in New Jersey charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.
APC 5194Outpatient2024 Medicare data
Average charge$102,200Hospital list price billed
Average allowed$18,363Medicare's payment + patient's share
Medicare paid$16,754Average per service
State rank#44 of 481 = lowest average payment
Hospitals in New Jersey billed an average of $102,200 for level 4 endovascular procedures, about 5.6 times the average medicare-allowed amount of $18,363. That payment is 13% above the U.S. average of $16,197.
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 $18,363Billed $102,200
About 18¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 4 endovascular procedures
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
How much does level 4 endovascular procedures cost in New Jersey?
In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 53 hospitals in New Jersey was billed at $102,200 on average, while the average medicare-allowed amount was $18,363, of which Medicare paid $16,754. 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 5.6 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.
