Level 5 ENT Procedures in New Jersey
What 47 hospitals in New Jersey charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$32,193
Hospital list price billed
Average allowed
$6,327
Medicare's payment + patient's share
Medicare paid
$5,030
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $32,193 for level 5 ent procedures, about 5.1 times the average medicare-allowed amount of $6,327. That payment is 13% above the U.S. average of $5,586.
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 $6,327Billed $32,193
About 20¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 5 ent 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 | $6,001 |
|---|---|
| Virtua West Jersey HospitalVoorhees, NJ | $6,131 |
| Jefferson Stratford HospitalCherry Hill, NJ | $6,131 |
| Saint Barnabas Medical CenterLivingston, NJ | $6,188 |
| Jersey Shore University Medical CenterNeptune City, NJ | $6,208 |
Highest
| Valley HospitalRidgewood, NJ | $6,664 |
|---|---|
| Englewood Hospital and Medical CenterEnglewood, NJ | $6,664 |
| Overlook HospitalSummit, NJ | $6,590 |
| Umdnj University HospitalNewark, NJ | $6,590 |
| Morristown Memorial HospitalMorristown, NJ | $6,522 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in New Jersey?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 47 hospitals in New Jersey was billed at $32,193 on average, while the average medicare-allowed amount was $6,327, of which Medicare paid $5,030. 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 5.1 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.