facebook tracking Level 4 ENT Procedures cost in New Jersey: 34 hospitals compared (APC 5164)

Level 4 ENT Procedures in New Jersey

What 34 hospitals in New Jersey charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.

APC 5164 Outpatient 2024 Medicare data
Average charge $22,621 Hospital list price billed
Average allowed $3,415 Medicare's payment + patient's share
Medicare paid $2,708 Average per service
State rank #45 of 48 1 = lowest average payment

Hospitals in New Jersey billed an average of $22,621 for level 4 ent procedures, about 6.6 times the average medicare-allowed amount of $3,415. That payment is 22% above the U.S. average of $2,798.

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 $3,415Billed $22,621

About 15¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 4 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
Cooper University HospitalCamden 35 $19,136 $3,371 $2,679
Hackensack University Medical CenterHackensack 18 $24,469 $3,664 $2,919
Morristown Memorial HospitalMorristown 18 $21,817 $3,623 $2,887
Virtua West Jersey HospitalVoorhees 15 $32,274 $3,228 $2,518
Jersey Shore University Medical CenterNeptune City 13 $26,316 $3,204 $2,510
Jfk Medical CenterEdison 13 $16,898 $3,284 $2,610
Newark Beth Israel Medical CenterNewark 12 $20,408 $3,458 $2,749
University Medical Center at PrincetonPrinceton 11 $23,652 $3,416 $2,721
Hunterdon Medical CenterFlemington – – – –
Cape Regional Medical Center INCCape May Court House – – – –
Valley HospitalRidgewood – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Inspira Medical Center VinelandVineland – – – –
Riverview Medical CenterRed Bank – – – –
Robert Wood Johnson University HospitalNew Brunswick – – – –
Community Medical CenterToms River – – – –
Englewood Hospital and Medical CenterEnglewood – – – –
Shore Memorial HospitalSomers Point – – – –
Somerset Medical CenterSomerville – – – –
Overlook HospitalSummit – – – –
Ocean Medical CenterBrick – – – –
Warren HospitalPhillipsburg – – – –
Atlanticare Regional Medical Center - City DivAtlantic City – – – –
Inspira Medical Center Mullica HillElmer – – – –
Saint Peter's University HospitalNew Brunswick – – – –
Jersey City Medical CenterJersey City – – – –
Monmouth Medical CenterLong Branch – – – –
Saint Barnabas Medical CenterLivingston – – – –
Jefferson Stratford HospitalCherry Hill – – – –
Centrastate Medical CenterFreehold – – – –
Bayshore Community HospitalHolmdel – – – –
Southern Ocean Medical CenterManahawkin – – – –
Hackettstown Regional Medical CenterHackettstown – – – –
Umdnj University HospitalNewark – – – –
Level 4 ENT Procedures: all states All New Jersey hospitals New Jersey hospital finances
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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

Jersey Shore University Medical CenterNeptune City, NJ$3,204
Virtua West Jersey HospitalVoorhees, NJ$3,228
Jfk Medical CenterEdison, NJ$3,284
Cooper University HospitalCamden, NJ$3,371
University Medical Center at PrincetonPrinceton, NJ$3,416

Level 4 ENT Procedures in other states

Alaska · $3,559 Connecticut · $3,564 Delaware · $3,230 Hawaii · $3,296 North Dakota · $3,091 Oregon · $3,354 Rhode Island · $3,267 Washington · $3,182

Questions

How much does level 4 ent procedures cost in New Jersey?

In 2024 Medicare data, level 4 ent procedures (APC 5164) at 34 hospitals in New Jersey was billed at $22,621 on average, while the average medicare-allowed amount was $3,415, of which Medicare paid $2,708. 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.