NJ CMS Medicare PUF 2023 Avg payment #8 of 56

New Jersey procedure costs

79 hospitals · 6,266 Medicare providers · 5,065 procedure codes with New Jersey locality adjustments.

The short answer

New Jersey has 79 hospitals and 6,266 Medicare-billing providers across 5,065 procedure codes. The average Medicare payment per procedure is $283.16; the average submitted (billed) charge is $2,388.67.

Procedure codes
5,065
Providers per hospital
79.3
Billed-to-Medicare ratio
8.4x
Markup rank
#5 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

79
Hospitals
6,266
Providers
$283.16
Avg Medicare Payment
$2,388.67
Avg Billed Charge

New Jersey against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$283 higher than 86% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). Below this entry. $275–$300: 4 states (7%). This entry sits in this band. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in New Jersey

Highest average Medicare payment per procedure billed in New Jersey. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - New Jersey

Sipuleucel-T, Minimum Of 50 …41141Removal Of Plaque And Insert…9809Removal Of Plaque And Insert…8462Fusion Of Sacroiliac Joint B…7851Insertion Of Spinal Neurosti…6939Implantable Neurostimulator,…6722Removal Of Plaque In Artery …6407Cystourethroscopy, With Inse…6003
Top procedures by Medicare payment - New Jersey-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $19.60 4.8M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.90 4.1M
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 4.0M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $93.85 3.5M
Injection, Ferric Carboxymaltose, 1 Mg $0.87 3.4M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 3.4M
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.43 3.0M
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.23 3.0M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $66.95 2.8M
Blood Test, Comprehensive Group Of Blood Chemicals $10.33 2.8M
Ground Mileage, Per Statute Mile $6.34 2.5M
Therapy Procedure Using Functional Activities $28.40 2.5M
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.60 2.4M
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.09 2.3M
Injection, Denosumab, 1 Mg $18.11 2.1M
Therapy Procedure Using Manual Technique, Each 15 Minutes $17.52 2.1M
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $23.73 2.1M
Injection, Tocilizumab, 1 Mg $4.60 1.9M
Blood Test, Lipids (cholesterol And Triglycerides) $13.11 1.8M
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $65.57 1.8M
Injection, Daptomycin, 1 Mg $0.04 1.6M
Blood Test, Thyroid Stimulating Hormone (tsh) $16.45 1.5M
Hemoglobin A1c Level $9.51 1.4M
Injection, Onabotulinumtoxina, 1 Unit $4.82 1.4M
Injection, Iron Sucrose, 1 Mg $0.16 1.2M
Injection, Pembrolizumab, 1 Mg $42.94 1.0M
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $98.73 989.2K
Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise Specified $1.14 908.6K
Injection, Testosterone Cypionate, 1 Mg $0.02 866.4K
Manual Urinalysis Test With Examination Using Microscope, Automated $3.11 791.3K

New Jersey Healthcare Cost Landscape

CMS lists 79 hospitals in New Jersey across 66 cities. NEWARK holds 4 (5%). The three densest cities together hold 11% of the state roster. Statewide that is 6,266 Medicare-billing providers, 79.3 per listed hospital.

61 hospitals carry a CMS overall star rating (3 five-star, 13 four-star, 25 three-star, 15 two-star, 5 one-star) ; five-star share among rated facilities is 5%. 18 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 61 (77%); Psychiatric 14 (18%); Childrens 2 (3%); Acute Care - Veterans Administration 1 (1%).

Among the 30 highest-volume procedure codes billed in New Jersey, Drugs (Administered) leads with 18.5M services (27% of this top-volume slice) across 10 codes. Next is Medicine at 17%.

Submitted charges average $2,388.67 against $283.16 Medicare payment (8.4x billed-to-Medicare). That ratio ranks #5 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #8 of 56.

Volume leaders are not the high-payment codes. Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for New Jersey, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where New Jersey hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 66 distinct cities appear on 79 listed facilities.

City Hospitals Share of state roster
NEWARK 4 5%
NEW BRUNSWICK 3 4%
CAMDEN 2 3%
EAST ORANGE 2 3%
JERSEY CITY 2 3%
PARAMUS 2 3%
SECAUCUS 2 3%
SUMMIT 2 3%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for New Jersey: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (79 here).

Similar average Medicare payment

Nearest states with published averages ($283.16 here).

Hospitals in New Jersey

AHS HOSPITAL CORP
HACKETTSTOWN · ★★★☆☆
ANCORA PSYCH HOSP
HAMMONTON · -
ASPEN HILLS HEALTHCARE CENTER
PEMBERTON · -
ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS
ATLANTIC CITY · ★★★☆☆
BAYSHORE MEDICAL CENTER
HOLMDEL · ★★★☆☆
BERGEN NEW BRIDGE MEDICAL CENTER
PARAMUS · -
CAPE REGIONAL MEDICAL CENTER INC
CAPE MAY COURT HOUSE · ★★★☆☆
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
PENNINGTON · ★★★☆☆
CAPITAL HEALTH REGIONAL MEDICAL CENTER
TRENTON · ★★☆☆☆
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER
BAYONNE · ★★☆☆☆
CAREPOINT HEALTH-CHRIST HOSPITAL
JERSEY CITY · ★★☆☆☆
CAREPOINT HEALTH-HOBOKEN UNIVERSITY MEDICAL CENTER
HOBOKEN · ★☆☆☆☆
CAREWELL HEALTH MEDICAL CENTER
EAST ORANGE · ★☆☆☆☆
CENTRASTATE MEDICAL CENTER
FREEHOLD · ★★☆☆☆
CHILDREN'S SPECIALIZED HOSPITAL
NEW BRUNSWICK · -
CHILTON MEDICAL CENTER
POMPTON PLAINS · ★★★★☆
CLARA MAASS MEDICAL CENTER
BELLEVILLE · ★★☆☆☆
COMMUNITY MEDICAL CENTER
TOMS RIVER · ★☆☆☆☆
COOPER UNIVERSITY HOSPITAL
CAMDEN · ★★☆☆☆
COOPERMAN BARNABAS MEDICAL CENTER
LIVINGSTON · ★★★☆☆
DEBORAH HEART AND LUNG CENTER
BROWNS MILLS · ★★★★☆
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
ENGLEWOOD · ★★★★☆
ESSEX COUNTY HOSPITAL CENTER
CEDAR GROVE · -
GREYSTONE PARK PSYCHIATRIC HOSPITAL
MORRIS PLAINS · -
HACKENSACK MERIDIAN HEALTH CARRIER CLINIC
BELLE MEAD · -
HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL
WESTWOOD · ★★★★☆
HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL
MONTCLAIR · ★★★☆☆
HACKENSACK UNIVERSITY MEDICAL CENTER
HACKENSACK · ★★★★★
HAMPTON BEHAVIORAL HEALTH CENTER
WESTAMPTON · -
HOLY NAME MEDICAL CENTER
TEANECK · ★★★★☆

View all 79 hospitals in New Jersey →

How New Jersey Compares Nationally

New Jersey's average Medicare payment is #8 of 56 in this extract. Submitted-over-Medicare markup ranks #5 of 56 (8.4x). Hospital-count peers (nearest CMS roster size to 79): Massachusetts 84, Arkansas 90, South Carolina 66, Nebraska 93. Payment peers (nearest average Medicare payment to $283.16): Pennsylvania $284.85, Illinois $281.39, Arizona $286.66, Colorado $268.29.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for New Jersey, not an out-of-pocket quote.

Related registry pages

New Jersey averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are New Jersey CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.