New Jersey / Capital Health Medical Center - Hopewell
CMS certification 310044 · Pennington, NJ
Capital Health Medical Center - Hopewell: charges and Medicare payments
Capital Health Medical Center - Hopewell reported 1,447 Medicare inpatient stays across 49 DRGs in 2024. Across them it charged 22.68 times what it was paid — among the higher ratios in New Jersey, number 1 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: 135 stays at an average charge of $365,219, 548% above the national average. It also billed 2,969 outpatient services, charging 24.67 times what Medicare paid.
- 1Medicare inpatient stays 1,447
- 2Charge ÷ paid, inpatient 22.68×
- 3Rank in NJ (highest ratio = 1) 1 of 60
- 4CMS price-transparency actions 0
Inpatient stays
For the 49 DRGs that can be compared with the national average, Capital Health Medical Center - Hopewell charged more than the national average in 49 (100%). 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 | 135 | $365,219 | +548% | $13,287 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 128 | $486,656 | +439% | $19,792 |
| 177 Respiratory Infections and Inflammations with MCC | 111 | $383,342 | +443% | $15,987 |
| 193 Simple Pneumonia and Pleurisy with MCC | 90 | $300,760 | +403% | $14,212 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $243,425 | +374% | $11,164 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $209,371 | +454% | $8,208 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 36 | $394,980 | +438% | $16,961 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $193,109 | +381% | $8,964 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $1,054,388 | +361% | $49,304 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $455,479 | +691% | $13,529 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $323,681 | +472% | $11,773 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $321,584 | +562% | $10,313 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $276,311 | +446% | $11,249 |
| 603 Cellulitis without MCC | 29 | $184,638 | +395% | $8,853 |
| 682 Renal Failure with MCC | 28 | $422,504 | +541% | $14,841 |
| 178 Respiratory Infections and Inflammations with CC | 27 | $287,831 | +535% | $10,039 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $193,131 | +435% | $7,777 |
| 312 Syncope and Collapse | 27 | $281,886 | +519% | $8,861 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $227,071 | +513% | $8,215 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $319,764 | +552% | $10,199 |
| 683 Renal Failure with CC | 25 | $244,358 | +500% | $9,741 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $367,784 | +510% | $12,653 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 23 | $552,933 | +393% | $24,798 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $239,335 | +524% | $12,200 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $370,321 | +223% | $17,578 |
| 330 Major Small and Large Bowel Procedures with CC | 22 | $418,774 | +252% | $21,377 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 21 | $236,034 | +175% | $14,868 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $426,980 | +463% | $15,938 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $226,756 | +143% | $17,490 |
| 638 Diabetes with CC | 18 | $232,023 | +457% | $11,313 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $190,459 | +563% | $7,310 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $404,556 | +327% | $17,773 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $404,007 | +295% | $21,193 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $302,569 | +537% | $10,125 |
| 812 Red Blood Cell Disorders without MCC | 16 | $322,010 | +625% | $9,792 |
| 253 Other Vascular Procedures with CC | 15 | $503,581 | +282% | $76,838 |
| 300 Peripheral Vascular Disorders with CC | 15 | $268,955 | +444% | $10,356 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 15 | $254,209 | +105% | $22,550 |
| 552 Medical Back Problems without MCC | 15 | $247,855 | +407% | $9,566 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $352,572 | +253% | $17,281 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $468,359 | +186% | $27,717 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $461,340 | +440% | $15,609 |
| 039 Extracranial Procedures without CC/MCC | 12 | $188,564 | +195% | $11,091 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $335,490 | +502% | $10,212 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $1,007,261 | +369% | $44,379 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $388,493 | +496% | $13,627 |
| 394 Other Digestive System Diagnoses with CC | 11 | $273,633 | +481% | $9,807 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 11 | $487,805 | +140% | $45,916 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 11 | $359,973 | +185% | $23,022 |
Outpatient services
Against the New Jersey average
For Heart Failure and Shock with MCC (DRG 291), Capital Health Medical Center - Hopewell charged $365,219 on average, 275% more than the New Jersey average of $97,469, and was paid $13,287 against a state average of $12,811. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Capital Health Medical Center - Hopewell charged $486,656 on average, 270% more than the New Jersey average of $131,698, and was paid $19,792 against a state average of $19,296. For Respiratory Infections and Inflammations with MCC (DRG 177), Capital Health Medical Center - Hopewell charged $383,342 on average, 228% more than the New Jersey average of $117,022, and was paid $15,987 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Capital Health Medical Center - Hopewell charged $300,760 on average, 200% more than the New Jersey average of $100,241, and was paid $14,212 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $100,832 was 193% above the state average of $34,388. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $26,260 was 226% above the state average of $8,057. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $49,264 was 191% above the state average of $16,923. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $122,449 was 313% above the state average of $29,645.
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.