facebook tracking Level 5 Gynecologic Procedures cost in New Jersey: 48 hospitals compared (APC 5415)

Level 5 Gynecologic Procedures in New Jersey

What 48 hospitals in New Jersey charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.

APC 5415 Outpatient 2024 Medicare data
Average charge $30,596 Hospital list price billed
Average allowed $5,221 Medicare's payment + patient's share
Medicare paid $4,151 Average per service
State rank #40 of 48 1 = lowest average payment

Hospitals in New Jersey billed an average of $30,596 for level 5 gynecologic procedures, about 5.9 times the average medicare-allowed amount of $5,221. That payment is 9% above the U.S. average of $4,779.

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 $5,221Billed $30,596

About 17¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 5 gynecologic 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
Jersey Shore University Medical CenterNeptune City 78 $24,755 $5,232 $4,160
University Medical Center at PrincetonPrinceton 48 $25,389 $5,277 $4,204
Cooper University HospitalCamden 29 $25,913 $4,561 $3,634
Saint Barnabas Medical CenterLivingston 26 $30,600 $5,180 $4,086
Valley HospitalRidgewood 25 $23,592 $5,660 $4,510
Virtua West Jersey HospitalVoorhees 25 $52,694 $5,207 $4,149
Southern Ocean Medical CenterManahawkin 25 $25,592 $5,207 $4,149
Morristown Memorial HospitalMorristown 24 $26,844 $5,341 $4,255
Hackensack University Medical CenterHackensack 22 $25,966 $5,455 $4,304
Cape Regional Medical Center INCCape May Court House 21 $28,034 $5,045 $3,987
Jefferson Stratford HospitalCherry Hill 20 $47,591 $5,207 $4,149
Riverview Medical CenterRed Bank 19 $19,061 $5,272 $4,201
Capital Health System-Mercer CampusTrenton 17 $92,180 $5,207 $4,148
Jfk Medical CenterEdison 16 $24,062 $5,277 $4,204
Raritan Bay Medical CenterPerth Amboy 12 $23,295 $5,277 $4,204
Community Medical CenterToms River 12 $18,865 $5,207 $4,149
Newark Beth Israel Medical CenterNewark – – – –
Hunterdon Medical CenterFlemington – – – –
St Mary's HospitalPassaic – – – –
Holy Name Medical CenterTeaneck – – – –
Clara Maass Medical CenterBelleville – – – –
Heights University HospitalJersey City – – – –
Chilton HospitalPompton Plains – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Trinitas HospitalElizabeth – – – –
Newton Memorial HospitalNewton – – – –
Inspira Medical Center VinelandVineland – – – –
Robert Wood Johnson University HospitalNew Brunswick – – – –
Hoboken University Medical CenterHoboken – – – –
Englewood Hospital and Medical CenterEnglewood – – – –
Shore Memorial HospitalSomers Point – – – –
Somerset Medical CenterSomerville – – – –
Saint Clare's HospitalDenville – – – –
Overlook HospitalSummit – – – –
Ocean Medical CenterBrick – – – –
Mountainside HospitalGlen Ridge – – – –
Virtua Memorial Hospital of Burlington CountyMt Holly – – – –
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 Michael's Medical CenterNewark – – – –
Centrastate Medical CenterFreehold – – – –
Bayshore Community HospitalHolmdel – – – –
Hudson Regional HospitalSecaucus – – – –
Umdnj University HospitalNewark – – – –
Hackensack Meridian Health Pascack Valley MedicalWestwood – – – –
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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

Cooper University HospitalCamden, NJ$4,561
Cape Regional Medical Center INCCape May Court House, NJ$5,045
Saint Barnabas Medical CenterLivingston, NJ$5,180
Virtua West Jersey HospitalVoorhees, NJ$5,207
Community Medical CenterToms River, NJ$5,207

Highest

Valley HospitalRidgewood, NJ$5,660
Hackensack University Medical CenterHackensack, NJ$5,455
Morristown Memorial HospitalMorristown, NJ$5,341
University Medical Center at PrincetonPrinceton, NJ$5,277
Raritan Bay Medical CenterPerth Amboy, NJ$5,277

Level 5 Gynecologic Procedures in other states

Questions

How much does level 5 gynecologic procedures cost in New Jersey?

In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 48 hospitals in New Jersey was billed at $30,596 on average, while the average medicare-allowed amount was $5,221, of which Medicare paid $4,151. 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.