Level 5 Musculoskeletal Procedures in New Jersey
What 57 hospitals in New Jersey charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$63,534
Hospital list price billed
Average allowed
$14,069
Medicare's payment + patient's share
Medicare paid
$12,438
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $63,534 for level 5 musculoskeletal procedures, about 4.5 times the average medicare-allowed amount of $14,069. That payment is 13% above the U.S. average of $12,402.
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 $14,069Billed $63,534
About 22¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 5 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 | 1,233 | $57,254 | $14,577 | $12,945 |
| Hackensack University Medical CenterHackensack | 965 | $47,675 | $14,810 | $13,178 |
| University Medical Center at PrincetonPrinceton | 778 | $58,538 | $13,909 | $12,277 |
| Virtua West Jersey HospitalVoorhees | 574 | $119,648 | $13,611 | $11,978 |
| Ocean Medical CenterBrick | 540 | $38,151 | $13,755 | $12,123 |
| Valley HospitalRidgewood | 522 | $53,351 | $14,848 | $13,211 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 492 | $66,333 | $13,657 | $12,027 |
| Riverview Medical CenterRed Bank | 458 | $40,685 | $13,878 | $12,244 |
| Jefferson Stratford HospitalCherry Hill | 410 | $66,121 | $13,617 | $11,985 |
| Overlook HospitalSummit | 386 | $67,050 | $14,716 | $13,083 |
| Monmouth Medical CenterLong Branch | 302 | $47,064 | $13,479 | $11,846 |
| Jersey Shore University Medical CenterNeptune City | 239 | $44,973 | $13,825 | $12,192 |
| Inspira Medical Center Mullica HillElmer | 199 | $75,289 | $13,694 | $12,061 |
| Shore Memorial HospitalSomers Point | 196 | $67,889 | $13,631 | $11,999 |
| Saint Barnabas Medical CenterLivingston | 179 | $45,783 | $13,642 | $12,009 |
| Somerset Medical CenterSomerville | 168 | $51,946 | $13,250 | $11,615 |
| Cooper University HospitalCamden | 165 | $50,898 | $12,856 | $11,280 |
| Holy Name Medical CenterTeaneck | 159 | $47,704 | $14,948 | $13,316 |
| Capital Health System-Mercer CampusTrenton | 142 | $144,999 | $13,755 | $12,123 |
| Centrastate Medical CenterFreehold | 142 | $30,372 | $13,754 | $12,122 |
| St Joseph's Regional Medical CenterPaterson | 140 | $101,692 | $14,568 | $12,934 |
| Community Medical CenterToms River | 138 | $37,908 | $13,667 | $12,034 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 121 | $128,477 | $13,655 | $12,023 |
| Saint Peter's University HospitalNew Brunswick | 117 | $72,251 | $13,834 | $12,199 |
| Englewood Hospital and Medical CenterEnglewood | 116 | $209,783 | $14,833 | $13,199 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 113 | $55,252 | $13,648 | $12,014 |
| Jfk Medical CenterEdison | 109 | $51,146 | $13,811 | $12,194 |
| Bayshore Community HospitalHolmdel | 107 | $43,826 | $13,700 | $12,066 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 103 | $52,433 | $14,825 | $13,193 |
| Warren HospitalPhillipsburg | 101 | $109,201 | $13,635 | $12,003 |
| Hudson Regional HospitalSecaucus | 96 | $80,228 | $14,792 | $13,177 |
| Hunterdon Medical CenterFlemington | 84 | $43,333 | $12,494 | $10,928 |
| Chilton HospitalPompton Plains | 81 | $79,657 | $14,766 | $13,131 |
| Robert Wood Johnson University Hospital at RahwayRahway | 63 | $69,696 | $13,564 | $11,931 |
| Raritan Bay Medical CenterPerth Amboy | 63 | $46,231 | $13,548 | $11,916 |
| Jersey City Medical CenterJersey City | 60 | $52,685 | $14,504 | $12,868 |
| Saint Clare's HospitalDenville | 53 | $136,178 | $14,784 | $13,152 |
| Mountainside HospitalGlen Ridge | 50 | $52,382 | $13,153 | $11,539 |
| Clara Maass Medical CenterBelleville | 48 | $41,652 | $13,592 | $11,955 |
| Inspira Medical Center VinelandVineland | 47 | $70,584 | $13,239 | $11,607 |
| Cape Regional Medical Center INCCape May Court House | 40 | $51,613 | $13,453 | $11,820 |
| Newton Memorial HospitalNewton | 22 | $111,435 | $13,755 | $12,112 |
| Southern Ocean Medical CenterManahawkin | 16 | $49,156 | $13,755 | $12,123 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Our Lady of Lourdes Medical CenterCamden | – | – | – | – |
| Robert Wood Johnson University HospitalNew Brunswick | – | – | – | – |
| Virtua Willingboro HospitalWillingboro | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Monmouth Medical Center-Southern CampusLakewood | – | – | – | – |
| Capital Health System-Fuld CampusTrenton | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Hackettstown Regional Medical CenterHackettstown | – | – | – | – |
| 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
| Hunterdon Medical CenterFlemington, NJ | $12,494 |
|---|---|
| Cooper University HospitalCamden, NJ | $12,856 |
| Mountainside HospitalGlen Ridge, NJ | $13,153 |
| Inspira Medical Center VinelandVineland, NJ | $13,239 |
| Somerset Medical CenterSomerville, NJ | $13,250 |
Highest
| Holy Name Medical CenterTeaneck, NJ | $14,948 |
|---|---|
| Valley HospitalRidgewood, NJ | $14,848 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $14,833 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ | $14,825 |
| Hackensack University Medical CenterHackensack, NJ | $14,810 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in New Jersey?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 57 hospitals in New Jersey was billed at $63,534 on average, while the average medicare-allowed amount was $14,069, of which Medicare paid $12,438. 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 4.5 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.