New Jersey / Cape Regional Medical Center, Inc
CMS certification 310011 · Cape May Court House, NJ
Cape Regional Medical Center, Inc: charges and Medicare payments
Cape Regional Medical Center, Inc reported 1,843 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 5.88 times what it was paid — mid-range in New Jersey, number 38 of 60 hospitals with at least 100 stays (state median 6.25×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 156 stays at an average charge of $59,228, 5% above the national average. It also billed 1,949 outpatient services, charging 8.08 times what Medicare paid.
- 1Medicare inpatient stays 1,843
- 2Charge ÷ paid, inpatient 5.88×
- 3Rank in NJ (highest ratio = 1) 38 of 60
- 4CMS price-transparency actions 0
Inpatient stays
For the 60 DRGs that can be compared with the national average, Cape Regional Medical Center, Inc charged more than the national average in 28 (47%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 156 | $59,228 | +5% | $10,052 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 141 | $89,540 | -1% | $15,243 |
| 177 Respiratory Infections and Inflammations with MCC | 91 | $72,070 | +2% | $13,124 |
| 193 Simple Pneumonia and Pleurisy with MCC | 73 | $66,641 | +12% | $10,496 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 71 | $54,607 | -28% | $11,012 |
| 189 Pulmonary Edema and Respiratory Failure | 61 | $64,424 | +12% | $9,716 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 58 | $49,586 | -2% | $8,620 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $48,019 | +25% | $6,643 |
| 682 Renal Failure with MCC | 50 | $78,097 | +18% | $11,923 |
| 378 Gastrointestinal Hemorrhage with CC | 47 | $45,646 | -6% | $7,870 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $45,038 | +12% | $6,293 |
| 683 Renal Failure with CC | 43 | $41,952 | +3% | $7,246 |
| 312 Syncope and Collapse | 41 | $48,382 | +6% | $7,005 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $84,287 | -16% | $16,214 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 40 | $41,932 | +16% | $6,017 |
| 603 Cellulitis without MCC | 40 | $38,436 | +3% | $7,293 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $38,817 | +3% | $6,493 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $46,985 | -4% | $8,201 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $55,354 | +8% | $9,331 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $62,621 | +11% | $9,601 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $51,556 | -7% | $8,100 |
| 389 Gastrointestinal Obstruction with CC | 29 | $39,613 | +2% | $6,506 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $39,704 | +7% | $6,451 |
| 202 Bronchitis and Asthma with CC/MCC | 23 | $42,042 | -9% | $7,968 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 22 | $49,044 | +24% | $6,905 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $56,691 | -9% | $13,167 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $103,646 | +21% | $14,609 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $102,782 | 0% | $16,563 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 20 | $48,392 | +14% | $5,954 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $38,619 | -24% | $7,065 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 20 | $46,150 | -3% | $8,202 |
| 812 Red Blood Cell Disorders without MCC | 20 | $53,049 | +20% | $7,354 |
| 552 Medical Back Problems without MCC | 19 | $52,416 | +7% | $7,772 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $62,174 | -15% | $12,757 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $121,820 | -47% | $34,849 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $53,711 | +19% | $7,835 |
| 390 Gastrointestinal Obstruction without CC/MCC | 17 | $25,044 | -10% | $4,559 |
| 638 Diabetes with CC | 17 | $41,586 | 0% | $7,155 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $150,605 | +11% | $19,522 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $30,749 | +7% | $4,596 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $85,975 | -14% | $15,143 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 15 | $114,821 | -4% | $18,557 |
| 176 Pulmonary Embolism without MCC | 14 | $51,166 | +23% | $6,615 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $66,895 | +41% | $8,358 |
| 180 Respiratory Neoplasms with MCC | 13 | $80,258 | -9% | $13,714 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 13 | $23,220 | -46% | $6,203 |
| 394 Other Digestive System Diagnoses with CC | 13 | $41,127 | -13% | $7,377 |
| 536 Fractures of Hip and Pelvis without MCC | 13 | $31,661 | -16% | $5,876 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $51,844 | +22% | $7,245 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 13 | $161,164 | -7% | $29,670 |
| 195 Simple Pneumonia and Pleurisy without CC/MCC | 12 | $30,595 | +1% | $5,166 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $45,898 | -25% | $10,140 |
| 811 Red Blood Cell Disorders with MCC | 12 | $53,343 | -22% | $10,357 |
| 039 Extracranial Procedures without CC/MCC | 11 | $36,634 | -43% | $9,093 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $64,234 | -1% | $10,196 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $65,835 | -4% | $10,358 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $81,476 | -13% | $14,815 |
| 602 Cellulitis with MCC | 11 | $42,654 | -29% | $12,066 |
| 637 Diabetes with MCC | 11 | $52,278 | -21% | $11,227 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $55,968 | -7% | $9,643 |
Outpatient services
Against the New Jersey average
For Heart Failure and Shock with MCC (DRG 291), Cape Regional Medical Center, Inc charged $59,228 on average, 39% less than the New Jersey average of $97,469, and was paid $10,052 against a state average of $12,811. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cape Regional Medical Center, Inc charged $89,540 on average, 32% less than the New Jersey average of $131,698, and was paid $15,243 against a state average of $19,296. For Respiratory Infections and Inflammations with MCC (DRG 177), Cape Regional Medical Center, Inc charged $72,070 on average, 38% less than the New Jersey average of $117,022, and was paid $13,124 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cape Regional Medical Center, Inc charged $66,641 on average, 34% less than the New Jersey average of $100,241, and was paid $10,496 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,811 was 1% above the state average of $34,388. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,092 was 62% below the state average of $8,057. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,267 was 51% below the state average of $16,966. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,037 was 23% below the state average of $14,367.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.