facebook tracking Level 4 Pacemaker and Similar Procedures cost in New Jersey: 31 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in New Jersey

What 31 hospitals in New Jersey charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.

APC 5224 Outpatient 2024 Medicare data
Average charge $114,962 Hospital list price billed
Average allowed $20,757 Medicare's payment + patient's share
Medicare paid $19,126 Average per service
State rank #41 of 47 1 = lowest average payment

Hospitals in New Jersey billed an average of $114,962 for level 4 pacemaker and similar procedures, about 5.5 times the average medicare-allowed amount of $20,757. That payment is 11% above the U.S. average of $18,685.

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 $20,757Billed $114,962

About 18¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 4 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
Deborah Heart and Lung CenterBrowns Mills 66 $107,544 $20,349 $18,717
Jersey Shore University Medical CenterNeptune City 62 $71,089 $20,312 $18,678
Cooper University HospitalCamden 53 $140,073 $20,349 $18,715
Morristown Memorial HospitalMorristown 44 $88,836 $21,470 $19,857
Our Lady of Lourdes Medical CenterCamden 43 $188,959 $20,349 $18,710
Valley HospitalRidgewood 36 $64,012 $22,115 $20,483
Saint Barnabas Medical CenterLivingston 20 $76,991 $20,877 $19,245
Englewood Hospital and Medical CenterEnglewood 19 $278,760 $22,115 $20,483
Community Medical CenterToms River 18 $54,850 $20,349 $18,717
Atlanticare Regional Medical Center - City DivAtlantic City 18 $137,727 $20,349 $18,717
Hackensack University Medical CenterHackensack – – – –
Newark Beth Israel Medical CenterNewark – – – –
Hunterdon Medical CenterFlemington – – – –
St Mary's HospitalPassaic – – – –
Clara Maass Medical CenterBelleville – – – –
University Medical Center at PrincetonPrinceton – – – –
Chilton HospitalPompton Plains – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Newton Memorial HospitalNewton – – – –
Riverview Medical CenterRed Bank – – – –
Robert Wood Johnson University HospitalNew Brunswick – – – –
Somerset Medical CenterSomerville – – – –
Ocean Medical CenterBrick – – – –
Virtua Memorial Hospital of Burlington CountyMt Holly – – – –
Warren HospitalPhillipsburg – – – –
Saint Peter's University HospitalNew Brunswick – – – –
Jersey City Medical CenterJersey City – – – –
Capital Health System-Fuld CampusTrenton – – – –
Jfk Medical CenterEdison – – – –
Bayshore Community HospitalHolmdel – – – –
Umdnj University HospitalNewark – – – –
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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$20,312
Deborah Heart and Lung CenterBrowns Mills, NJ$20,349
Community Medical CenterToms River, NJ$20,349
Atlanticare Regional Medical Center - City DivAtlantic City, NJ$20,349
Cooper University HospitalCamden, NJ$20,349

Highest

Valley HospitalRidgewood, NJ$22,115
Englewood Hospital and Medical CenterEnglewood, NJ$22,115
Morristown Memorial HospitalMorristown, NJ$21,470
Saint Barnabas Medical CenterLivingston, NJ$20,877
Our Lady of Lourdes Medical CenterCamden, NJ$20,349

Level 4 Pacemaker and Similar Procedures in other states

Questions

How much does level 4 pacemaker and similar procedures cost in New Jersey?

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 31 hospitals in New Jersey was billed at $114,962 on average, while the average medicare-allowed amount was $20,757, of which Medicare paid $19,126. 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 5.5 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.