Level 4 Musculoskeletal Procedures in New Jersey
What 57 hospitals in New Jersey charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$44,520
Hospital list price billed
Average allowed
$7,592
Medicare's payment + patient's share
Medicare paid
$6,037
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $44,520 for level 4 musculoskeletal procedures, about 5.9 times the average medicare-allowed amount of $7,592. That payment is 13% above the U.S. average of $6,708.
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 $7,592Billed $44,520
About 17¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 4 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 | 428 | $36,607 | $7,579 | $6,036 |
| Hackensack University Medical CenterHackensack | 299 | $43,122 | $8,119 | $6,485 |
| University Medical Center at PrincetonPrinceton | 221 | $37,400 | $7,451 | $5,922 |
| Valley HospitalRidgewood | 204 | $34,028 | $8,108 | $6,474 |
| Overlook HospitalSummit | 174 | $40,978 | $7,755 | $6,158 |
| Jefferson Stratford HospitalCherry Hill | 135 | $51,741 | $7,445 | $5,923 |
| Monmouth Medical CenterLong Branch | 122 | $34,102 | $7,145 | $5,599 |
| Holy Name Medical CenterTeaneck | 105 | $28,734 | $8,078 | $6,445 |
| Cooper University HospitalCamden | 99 | $33,655 | $6,154 | $4,881 |
| Englewood Hospital and Medical CenterEnglewood | 94 | $86,546 | $8,140 | $6,508 |
| Riverview Medical CenterRed Bank | 86 | $36,035 | $7,446 | $5,904 |
| Inspira Medical Center Mullica HillElmer | 83 | $40,992 | $7,436 | $5,920 |
| Ocean Medical CenterBrick | 82 | $39,573 | $7,216 | $5,749 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 81 | $52,935 | $7,342 | $5,819 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 80 | $79,787 | $7,415 | $5,893 |
| Hunterdon Medical CenterFlemington | 77 | $29,339 | $7,490 | $5,966 |
| Jersey Shore University Medical CenterNeptune City | 76 | $41,188 | $7,583 | $6,041 |
| Chilton HospitalPompton Plains | 72 | $42,244 | $7,939 | $6,327 |
| Saint Barnabas Medical CenterLivingston | 71 | $38,683 | $7,340 | $5,774 |
| St Joseph's Regional Medical CenterPaterson | 70 | $39,115 | $8,140 | $6,508 |
| Inspira Medical Center VinelandVineland | 69 | $42,610 | $7,490 | $5,967 |
| Centrastate Medical CenterFreehold | 68 | $17,742 | $7,406 | $5,864 |
| Jfk Medical CenterEdison | 66 | $33,428 | $7,475 | $5,956 |
| Capital Health System-Mercer CampusTrenton | 63 | $124,933 | $7,395 | $5,871 |
| Virtua West Jersey HospitalVoorhees | 62 | $76,252 | $7,490 | $5,964 |
| Shore Memorial HospitalSomers Point | 62 | $58,725 | $7,393 | $5,870 |
| Cape Regional Medical Center INCCape May Court House | 61 | $27,846 | $7,490 | $5,967 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 60 | $43,583 | $7,869 | $6,291 |
| Hudson Regional HospitalSecaucus | 56 | $98,956 | $7,819 | $6,178 |
| Community Medical CenterToms River | 53 | $25,364 | $7,264 | $5,739 |
| Raritan Bay Medical CenterPerth Amboy | 42 | $39,113 | $7,038 | $5,491 |
| Robert Wood Johnson University HospitalNew Brunswick | 41 | $33,438 | $8,051 | $6,414 |
| Clara Maass Medical CenterBelleville | 40 | $24,078 | $7,378 | $5,812 |
| Somerset Medical CenterSomerville | 40 | $42,420 | $7,490 | $5,959 |
| Saint Clare's HospitalDenville | 35 | $72,164 | $7,868 | $6,236 |
| Mountainside HospitalGlen Ridge | 33 | $36,087 | $7,684 | $6,123 |
| Warren HospitalPhillipsburg | 32 | $86,793 | $7,490 | $5,967 |
| Robert Wood Johnson University Hospital at RahwayRahway | 30 | $44,473 | $7,490 | $5,960 |
| Bayshore Community HospitalHolmdel | 28 | $39,880 | $7,583 | $6,042 |
| Newton Memorial HospitalNewton | 22 | $74,346 | $7,490 | $5,964 |
| Hackettstown Regional Medical CenterHackettstown | 22 | $27,651 | $7,490 | $5,959 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | 20 | $39,546 | $7,379 | $5,727 |
| Trinitas HospitalElizabeth | 20 | $32,336 | $7,191 | $5,669 |
| Southern Ocean Medical CenterManahawkin | 20 | $36,777 | $7,490 | $5,967 |
| Jersey City Medical CenterJersey City | 18 | $36,505 | $8,140 | $6,508 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 16 | $37,670 | $7,490 | $5,967 |
| Monmouth Medical Center-Southern CampusLakewood | 15 | $35,062 | $7,092 | $5,569 |
| Capital Health System-Fuld CampusTrenton | 14 | $129,769 | $7,490 | $5,967 |
| Our Lady of Lourdes Medical CenterCamden | 13 | $66,593 | $7,490 | $5,967 |
| Saint Peter's University HospitalNew Brunswick | 11 | $56,118 | $7,590 | $6,047 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Hoboken University Medical CenterHoboken | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
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 | $6,154 |
|---|---|
| Raritan Bay Medical CenterPerth Amboy, NJ | $7,038 |
| Monmouth Medical Center-Southern CampusLakewood, NJ | $7,092 |
| Monmouth Medical CenterLong Branch, NJ | $7,145 |
| Trinitas HospitalElizabeth, NJ | $7,191 |
Highest
| Englewood Hospital and Medical CenterEnglewood, NJ | $8,140 |
|---|---|
| St Joseph's Regional Medical CenterPaterson, NJ | $8,140 |
| Jersey City Medical CenterJersey City, NJ | $8,140 |
| Hackensack University Medical CenterHackensack, NJ | $8,119 |
| Valley HospitalRidgewood, NJ | $8,108 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in New Jersey?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 57 hospitals in New Jersey was billed at $44,520 on average, while the average medicare-allowed amount was $7,592, of which Medicare paid $6,037. 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 5.9 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.