facebook tracking Level 5 Neurostimulator and Related Procedures cost in New Jersey: 37 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in New Jersey

What 37 hospitals in New Jersey charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.

APC 5465 Outpatient 2024 Medicare data
Average charge $143,176 Hospital list price billed
Average allowed $33,456 Medicare's payment + patient's share
Medicare paid $31,821 Average per service
State rank #42 of 47 1 = lowest average payment

Hospitals in New Jersey billed an average of $143,176 for level 5 neurostimulator and related procedures, about 4.3 times the average medicare-allowed amount of $33,456. That payment is 18% above the U.S. average of $28,354.

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 $33,456Billed $143,176

About 23¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 5 neurostimulator and related 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 42 $132,037 $32,158 $30,526
Hackensack University Medical CenterHackensack 33 $120,382 $35,224 $33,592
Overlook HospitalSummit 31 $140,991 $34,836 $33,195
Morristown Memorial HospitalMorristown 25 $153,654 $34,836 $33,197
Jefferson Stratford HospitalCherry Hill 22 $109,161 $31,010 $29,378
Virtua West Jersey HospitalVoorhees 15 $304,151 $32,409 $30,771
Inspira Medical Center Mullica HillElmer 11 $84,949 $32,409 $30,777
Hunterdon Medical CenterFlemington – – – –
Holy Name Medical CenterTeaneck – – – –
University Medical Center at PrincetonPrinceton – – – –
Valley HospitalRidgewood – – – –
Cooper University HospitalCamden – – – –
St Joseph's Regional Medical CenterPaterson – – – –
Bayonne Hospital CenterBayonne – – – –
Trinitas HospitalElizabeth – – – –
Newton Memorial HospitalNewton – – – –
Riverview Medical CenterRed Bank – – – –
Robert Wood Johnson University HospitalNew Brunswick – – – –
Community Medical CenterToms River – – – –
Capital Health System-Mercer CampusTrenton – – – –
Englewood Hospital and Medical CenterEnglewood – – – –
Somerset Medical CenterSomerville – – – –
Ocean Medical CenterBrick – – – –
Virtua Memorial Hospital of Burlington CountyMt Holly – – – –
Atlanticare Regional Medical Center - City DivAtlantic City – – – –
Saint Peter's University HospitalNew Brunswick – – – –
Jersey City Medical CenterJersey City – – – –
Monmouth Medical CenterLong Branch – – – –
Saint Barnabas Medical CenterLivingston – – – –
Monmouth Medical Center-Southern CampusLakewood – – – –
Capital Health System-Fuld CampusTrenton – – – –
Jfk Medical CenterEdison – – – –
Centrastate Medical CenterFreehold – – – –
Bayshore Community HospitalHolmdel – – – –
Hackettstown Regional Medical CenterHackettstown – – – –
Hudson Regional HospitalSecaucus – – – –
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

Highest

Hackensack University Medical CenterHackensack, NJ$35,224
Overlook HospitalSummit, NJ$34,836
Morristown Memorial HospitalMorristown, NJ$34,836
Virtua West Jersey HospitalVoorhees, NJ$32,409
Inspira Medical Center Mullica HillElmer, NJ$32,409

Level 5 Neurostimulator and Related Procedures in other states

Questions

How much does level 5 neurostimulator and related procedures cost in New Jersey?

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 37 hospitals in New Jersey was billed at $143,176 on average, while the average medicare-allowed amount was $33,456, of which Medicare paid $31,821. 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 4.3 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.