The Price of Medicare Procedures in New Jersey



This table shows the 100 most frequently charged procedures/diagnosis in New Jersey to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 New-Jersey 1316 $39371 $5688 $33683
Acute Myocardial Infarction Discharged Alive With Complications
 New-Jersey 1848 $57616 $8393 $49223
Acute Myocardial Infarction Discharged Alive With Major Complications
 New-Jersey 3190 $88086 $13269 $74817
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 New-Jersey 1008 $33450 $5495 $27955
Atherosclerosis No Major Complications
 New-Jersey 1893 $31551 $4331 $27220
Back And Neck Proc Exc Spinal Fusion No Complications
 New-Jersey 482 $38141 $7334 $30807
Bronchitis And Asthma No Complications
 New-Jersey 922 $33151 $4692 $28459
Bronchitis And Asthma With Complications
 New-Jersey 1489 $44543 $6394 $38149
Cardiac Arrhythmia And Conduction Disorders No Complications
 New-Jersey 4606 $31596 $4298 $27298
Cardiac Arrhythmia And Conduction Disorders With Complications
 New-Jersey 3918 $45839 $6359 $39480
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 New-Jersey 2467 $62994 $9317 $53677
Cellulitis No Major Complications
 New-Jersey 6035 $40596 $6234 $34362
Cellulitis With Major Complications
 New-Jersey 943 $68317 $11105 $57212
Cervical Spinal Fusion No Complications
 New-Jersey 146 $69125 $16461 $52664
Chest Pain
 New-Jersey 4583 $32970 $4276 $28694
Chronic Obstructive Pulmonary Disease No Complications
 New-Jersey 3927 $39596 $5361 $34235
Chronic Obstructive Pulmonary Disease With Complications
 New-Jersey 5746 $50790 $7184 $43606
Chronic Obstructive Pulmonary Disease With Major Complications
 New-Jersey 5210 $62346 $8879 $53467
Circulatory Disorders Except Ami With Card Cath No Major Complications
 New-Jersey 4007 $59352 $8362 $50990
Circulatory Disorders Except Ami With Card Cath With Major Complications
 New-Jersey 891 $103649 $16624 $87025
Cranial And Peripheral Nerve Disorders No Major Complications
 New-Jersey 922 $42421 $6579 $35842
Degenerative Nervous System Disorders No Major Complications
 New-Jersey 1636 $45211 $6989 $38222
Diabetes With Complications
 New-Jersey 1981 $45234 $6470 $38764
Disorders Of Pancreas Except Malignancy With Complications
 New-Jersey 673 $50661 $7646 $43015
Dysequilibrium
 New-Jersey 1290 $34475 $4750 $29725
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 New-Jersey 8759 $37750 $5392 $32358
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 New-Jersey 1627 $58121 $8866 $49255
Extracranial Procedures No Complications
 New-Jersey 819 $34441 $7363 $27078
Fractures Of Hip And Pelvis No Major Complications
 New-Jersey 1021 $30989 $5087 $25902
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 New-Jersey 968 $35022 $5787 $29235
Gi Hemorrhage No Complications
 New-Jersey 1784 $35279 $5265 $30014
Gi Hemorrhage With Complications
 New-Jersey 5105 $51281 $7633 $43648
Gi Hemorrhage With Major Complications
 New-Jersey 1976 $82647 $13270 $69377
Gi Obstruction No Complications
 New-Jersey 1089 $34339 $4836 $29503
Gi Obstruction With Complications
 New-Jersey 1622 $47680 $6887 $40793
Heart Failure And Shock No Complications
 New-Jersey 3881 $36852 $5135 $31717
Heart Failure And Shock With Complications
 New-Jersey 9314 $52684 $7674 $45010
Heart Failure And Shock With Major Complications
 New-Jersey 7447 $75197 $11417 $63780
Hip And Femur Procedures Except Major Joint No Complications
 New-Jersey 829 $55694 $11055 $44639
Hip And Femur Procedures Except Major Joint With Complications
 New-Jersey 2498 $69604 $13532 $56072
Hip And Femur Procedures Except Major Joint With Major Complications
 New-Jersey 627 $114165 $22918 $91247
Hypertension No Major Complications
 New-Jersey 1161 $33332 $4745 $28587
Infectious And Parasitic Diseases Or Procedure With Major Complications
 New-Jersey 1629 $199694 $42087 $157607
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 New-Jersey 1907 $45063 $6173 $38890
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 New-Jersey 3639 $58890 $8702 $50188
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 New-Jersey 2146 $92373 $14490 $77883
Kidney And Urinary Tract Infections No Major Complications
 New-Jersey 7468 $40335 $5798 $34537
Kidney And Urinary Tract Infections With Major Complications
 New-Jersey 2731 $58211 $8845 $49366
Laparoscopic Cholecystectomy No Cde No Complications
 New-Jersey 738 $46851 $8461 $38390
Laparoscopic Cholecystectomy No Cde With Complications
 New-Jersey 768 $72055 $11993 $60062
Major Cardiovasc Procedures No Major Complications
 New-Jersey 1033 $99278 $23083 $76195
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 New-Jersey 1486 $62242 $9526 $52716
Major Joint Replacement Of Lower Extremity No Major Complications
 New-Jersey 10018 $66640 $15059 $51581
Major Joint Replacement Of Lower Extremity With Major Complications
 New-Jersey 443 $120784 $22687 $98097
Major Small And Large Bowel Procedures With Complications
 New-Jersey 1732 $104704 $18725 $85979
Major Small And Large Bowel Procedures With Major Complications
 New-Jersey 1554 $207154 $38016 $169138
Medical Back Problems No Major Complications
 New-Jersey 2673 $41590 $6442 $35148
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 New-Jersey 5341 $37551 $5216 $32335
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 New-Jersey 1884 $57544 $9024 $48520
Other Circulatory System Diagnoses With Complications
 New-Jersey 685 $48732 $7241 $41491
Other Circulatory System Diagnoses With Major Complications
 New-Jersey 1824 $85725 $14450 $71275
Other Digestive System Diagnoses With Complications
 New-Jersey 1811 $46769 $7398 $39371
Other Kidney And Urinary Tract Diagnoses With Complications
 New-Jersey 1007 $48056 $7558 $40498
Other Kidney And Urinary Tract Diagnoses With Major Complications
 New-Jersey 862 $75684 $12573 $63111
Other Vascular Procedures No Complications
 New-Jersey 770 $65187 $12306 $52881
Other Vascular Procedures With Complications
 New-Jersey 1510 $104820 $18263 $86557
Other Vascular Procedures With Major Complications
 New-Jersey 1333 $132915 $23760 $109155
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 New-Jersey 858 $84329 $14637 $69692
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 New-Jersey 2599 $90312 $15594 $74718
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 New-Jersey 820 $130168 $26000 $104168
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 New-Jersey 967 $82892 $13697 $69195
Peripheral Vascular Disorders No Complications
 New-Jersey 822 $35880 $5016 $30864
Peripheral Vascular Disorders With Complications
 New-Jersey 1698 $48224 $7309 $40915
Permanent Cardiac Pacemaker Implant No Complications
 New-Jersey 1081 $79303 $14613 $64690
Permanent Cardiac Pacemaker Implant With Complications
 New-Jersey 1302 $102205 $19049 $83156
Poisoning And Toxic Effects Of Drugs No Major Complications
 New-Jersey 716 $39732 $4888 $34844
Poisoning And Toxic Effects Of Drugs With Major Complications
 New-Jersey 289 $80043 $11120 $68923
Psychoses
 New-Jersey 2530 $51612 $8143 $43469
Pulmonary Edema And Respiratory Failure
 New-Jersey 2031 $70978 $9692 $61286
Pulmonary Embolism No Major Complications
 New-Jersey 912 $56518 $7789 $48729
Red Blood Cell Disorders No Major Complications
 New-Jersey 3727 $41991 $6196 $35795
Red Blood Cell Disorders With Major Complications
 New-Jersey 1081 $67734 $9908 $57826
Renal Failure No Complications
 New-Jersey 874 $34490 $4989 $29501
Renal Failure With Complications
 New-Jersey 5211 $52443 $7686 $44757
Renal Failure With Major Complications
 New-Jersey 3474 $80919 $12608 $68311
Respiratory Infections And Inflammations With Complications
 New-Jersey 1964 $63749 $10364 $53385
Respiratory Infections And Inflammations With Major Complications
 New-Jersey 2296 $90014 $14786 $75228
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 New-Jersey 1193 $230625 $39086 $191539
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 New-Jersey 2406 $106179 $17343 $88836
Seizures No Major Complications
 New-Jersey 2311 $44017 $6078 $37939
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 New-Jersey 3571 $56844 $8721 $48123
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 New-Jersey 10961 $88530 $14676 $73854
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 New-Jersey 1069 $230224 $44203 $186021
Signs And Symptoms No Major Complications
 New-Jersey 1571 $36661 $5269 $31392
Simple Pneumonia And Pleurisy No Complications
 New-Jersey 2209 $37623 $5339 $32284
Simple Pneumonia And Pleurisy With Complications
 New-Jersey 6281 $51726 $7544 $44182
Simple Pneumonia And Pleurisy With Major Complications
 New-Jersey 3735 $72085 $10984 $61101
Spinal Fusion Except Cervical No Major Complications
 New-Jersey 832 $115949 $29230 $86719
Syncope And Collapse
 New-Jersey 7088 $40180 $5402 $34778
Transient Ischemia
 New-Jersey 4080 $40888 $5447 $35441


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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