facebook tracking Level 5 Urology and Related Services cost in New Jersey: 57 hospitals compared (APC 5375)

Level 5 Urology and Related Services in New Jersey

What 57 hospitals in New Jersey charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.

APC 5375 Outpatient 2024 Medicare data
Average charge $29,472 Hospital list price billed
Average allowed $5,525 Medicare's payment + patient's share
Medicare paid $4,388 Average per service
State rank #42 of 49 1 = lowest average payment

Hospitals in New Jersey billed an average of $29,472 for level 5 urology and related services, about 5.3 times the average medicare-allowed amount of $5,525. That payment is 12% above the U.S. average of $4,934.

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 $5,525Billed $29,472

About 19¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 5 urology and related services

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
Hackensack University Medical CenterHackensack 254 $25,283 $5,796 $4,596
Valley HospitalRidgewood 206 $25,345 $5,888 $4,691
Morristown Memorial HospitalMorristown 192 $26,567 $5,724 $4,547
Jefferson Stratford HospitalCherry Hill 177 $34,220 $5,368 $4,264
Saint Barnabas Medical CenterLivingston 163 $24,451 $5,432 $4,302
Riverview Medical CenterRed Bank 158 $22,045 $5,402 $4,286
Virtua West Jersey HospitalVoorhees 151 $44,049 $5,342 $4,243
Raritan Bay Medical CenterPerth Amboy 151 $20,288 $5,447 $4,334
Englewood Hospital and Medical CenterEnglewood 134 $44,807 $5,888 $4,689
Overlook HospitalSummit 132 $26,352 $5,753 $4,568
University Medical Center at PrincetonPrinceton 128 $38,897 $5,490 $4,374
Chilton HospitalPompton Plains 121 $24,906 $5,785 $4,601
Robert Wood Johnson University HospitalNew Brunswick 117 $34,196 $5,704 $4,520
Ocean Medical CenterBrick 114 $20,565 $5,310 $4,208
Holy Name Medical CenterTeaneck 111 $22,197 $5,888 $4,691
Somerset Medical CenterSomerville 110 $26,810 $5,339 $4,234
Centrastate Medical CenterFreehold 110 $16,123 $5,445 $4,330
Cooper University HospitalCamden 103 $26,598 $5,417 $4,314
Virtua Memorial Hospital of Burlington CountyMt Holly 96 $51,410 $5,417 $4,316
Saint Clare's HospitalDenville 95 $40,312 $5,774 $4,591
Saint Peter's University HospitalNew Brunswick 95 $29,091 $5,404 $4,289
Community Medical CenterToms River 94 $16,108 $5,371 $4,270
Inspira Medical Center Mullica HillElmer 94 $27,104 $5,417 $4,310
Bayshore Community HospitalHolmdel 93 $25,463 $5,485 $4,368
Jfk Medical CenterEdison 86 $23,633 $5,439 $4,321
Newton Memorial HospitalNewton 83 $35,981 $5,313 $4,207
Inspira Medical Center VinelandVineland 80 $27,394 $5,417 $4,315
Capital Health System-Mercer CampusTrenton 79 $90,924 $5,362 $4,260
Mountainside HospitalGlen Ridge 74 $19,546 $5,499 $4,368
Monmouth Medical CenterLong Branch 73 $22,217 $4,886 $3,771
Clara Maass Medical CenterBelleville 71 $18,509 $5,246 $4,114
Hunterdon Medical CenterFlemington 70 $22,754 $5,417 $4,313
Robert Wood Johnson University Hospital HamiltonHamilton 59 $25,774 $5,417 $4,313
Southern Ocean Medical CenterManahawkin 54 $21,515 $5,417 $4,316
Our Lady of Lourdes Medical CenterCamden 51 $43,833 $5,332 $4,231
Atlanticare Regional Medical Center - City DivAtlantic City 50 $36,292 $5,331 $4,230
Warren HospitalPhillipsburg 47 $50,764 $5,417 $4,316
Hackettstown Regional Medical CenterHackettstown 46 $25,276 $5,417 $4,311
St Joseph's Regional Medical CenterPaterson 44 $38,631 $5,888 $4,690
Shore Memorial HospitalSomers Point 41 $33,549 $5,417 $4,316
Hackensack Meridian Health Pascack Valley MedicalWestwood 40 $27,320 $5,697 $4,515
Monmouth Medical Center-Southern CampusLakewood 37 $17,523 $5,417 $4,312
Cape Regional Medical Center INCCape May Court House 32 $19,512 $5,417 $4,316
Robert Wood Johnson University Hospital at RahwayRahway 27 $26,757 $5,097 $3,996
Newark Beth Israel Medical CenterNewark 24 $20,805 $5,558 $4,420
Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen 17 $21,322 $5,888 $4,676
Trinitas HospitalElizabeth 14 $32,848 $5,417 $4,303
Jersey Shore University Medical CenterNeptune City 13 $22,117 $5,485 $4,370
Jersey City Medical CenterJersey City 11 $19,496 $5,888 $4,691
St Mary's HospitalPassaic – – – –
Heights University HospitalJersey City – – – –
Bayonne Hospital CenterBayonne – – – –
Hoboken University Medical CenterHoboken – – – –
Bergen Regional Medical CenterParamus – – – –
Virtua Willingboro HospitalWillingboro – – – –
Capital Health System-Fuld CampusTrenton – – – –
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.

Level 5 Urology and Related Services in other states

Questions

How much does level 5 urology and related services cost in New Jersey?

In 2024 Medicare data, level 5 urology and related services (APC 5375) at 57 hospitals in New Jersey was billed at $29,472 on average, while the average medicare-allowed amount was $5,525, of which Medicare paid $4,388. 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 5.3 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.