Level 6 Musculoskeletal Procedures in New Jersey
What 50 hospitals in New Jersey charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$99,621
Hospital list price billed
Average allowed
$19,847
Medicare's payment + patient's share
Medicare paid
$18,215
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $99,621 for level 6 musculoskeletal procedures, about 5.0 times the average medicare-allowed amount of $19,847. That payment is 14% above the U.S. average of $17,392.
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 $19,847Billed $99,621
About 20¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 6 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 |
|---|---|---|---|---|
| Hackensack University Medical CenterHackensack | 184 | $85,781 | $20,941 | $19,307 |
| University Medical Center at PrincetonPrinceton | 177 | $72,400 | $19,723 | $18,091 |
| Morristown Memorial HospitalMorristown | 162 | $89,805 | $20,647 | $19,010 |
| Jefferson Stratford HospitalCherry Hill | 110 | $89,448 | $19,463 | $17,831 |
| Overlook HospitalSummit | 92 | $104,754 | $20,710 | $19,077 |
| Ocean Medical CenterBrick | 86 | $82,353 | $19,273 | $17,641 |
| Monmouth Medical CenterLong Branch | 78 | $61,896 | $19,243 | $17,605 |
| Virtua West Jersey HospitalVoorhees | 75 | $181,471 | $19,264 | $17,632 |
| Jersey Shore University Medical CenterNeptune City | 71 | $84,999 | $18,967 | $17,334 |
| Valley HospitalRidgewood | 68 | $72,433 | $20,866 | $19,228 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 59 | $117,908 | $19,463 | $17,831 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 52 | $191,104 | $19,159 | $17,527 |
| Somerset Medical CenterSomerville | 46 | $107,117 | $18,688 | $17,052 |
| Hunterdon Medical CenterFlemington | 41 | $59,615 | $19,086 | $17,474 |
| Southern Ocean Medical CenterManahawkin | 39 | $73,237 | $18,554 | $16,922 |
| Capital Health System-Mercer CampusTrenton | 38 | $253,494 | $19,463 | $17,831 |
| Cooper University HospitalCamden | 37 | $88,413 | $18,518 | $16,890 |
| Community Medical CenterToms River | 32 | $53,946 | $19,463 | $17,831 |
| Riverview Medical CenterRed Bank | 31 | $68,244 | $18,766 | $17,183 |
| Shore Memorial HospitalSomers Point | 27 | $102,652 | $19,463 | $17,831 |
| Holy Name Medical CenterTeaneck | 25 | $78,755 | $20,372 | $18,740 |
| Centrastate Medical CenterFreehold | 22 | $52,494 | $19,707 | $18,075 |
| Englewood Hospital and Medical CenterEnglewood | 21 | $327,118 | $21,153 | $19,521 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 21 | $67,568 | $21,153 | $19,521 |
| Hudson Regional HospitalSecaucus | 19 | $163,733 | $21,153 | $19,521 |
| Saint Clare's HospitalDenville | 18 | $145,925 | $20,920 | $19,276 |
| Cape Regional Medical Center INCCape May Court House | 11 | $71,747 | $19,463 | $17,831 |
| Inspira Medical Center Mullica HillElmer | 11 | $90,130 | $19,463 | $17,831 |
| Newark Beth Israel Medical CenterNewark | – | – | – | – |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| Clara Maass Medical CenterBelleville | – | – | – | – |
| Chilton HospitalPompton Plains | – | – | – | – |
| St Joseph's Regional Medical CenterPaterson | – | – | – | – |
| Robert Wood Johnson University Hospital at RahwayRahway | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Our Lady of Lourdes Medical CenterCamden | – | – | – | – |
| Inspira Medical Center VinelandVineland | – | – | – | – |
| Robert Wood Johnson University HospitalNew Brunswick | – | – | – | – |
| Raritan Bay Medical CenterPerth Amboy | – | – | – | – |
| Hoboken University Medical CenterHoboken | – | – | – | – |
| Mountainside HospitalGlen Ridge | – | – | – | – |
| Warren HospitalPhillipsburg | – | – | – | – |
| Saint Peter's University HospitalNew Brunswick | – | – | – | – |
| Jersey City Medical CenterJersey City | – | – | – | – |
| Saint Barnabas Medical CenterLivingston | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Jfk Medical CenterEdison | – | – | – | – |
| Robert Wood Johnson University Hospital HamiltonHamilton | – | – | – | – |
| Bayshore Community HospitalHolmdel | – | – | – | – |
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 | $18,518 |
|---|---|
| Southern Ocean Medical CenterManahawkin, NJ | $18,554 |
| Somerset Medical CenterSomerville, NJ | $18,688 |
| Riverview Medical CenterRed Bank, NJ | $18,766 |
| Jersey Shore University Medical CenterNeptune City, NJ | $18,967 |
Highest
| Englewood Hospital and Medical CenterEnglewood, NJ | $21,153 |
|---|---|
| Hudson Regional HospitalSecaucus, NJ | $21,153 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ | $21,153 |
| Hackensack University Medical CenterHackensack, NJ | $20,941 |
| Saint Clare's HospitalDenville, NJ | $20,920 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in New Jersey?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 50 hospitals in New Jersey was billed at $99,621 on average, while the average medicare-allowed amount was $19,847, of which Medicare paid $18,215. 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 5.0 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.