New Jersey / Capital Health Regional Medical Center
CMS certification 310092 · Trenton, NJ · 4 entries in CMS's price-transparency list
Capital Health Regional Medical Center: charges and Medicare payments
Capital Health Regional Medical Center reported 1,109 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 21.37 times what it was paid — among the higher ratios in New Jersey, number 2 of 60 hospitals with at least 100 stays (state median 6.25×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 106 stays at an average charge of $591,962, 556% above the national average. It also billed 643 outpatient services, charging 23.76 times what Medicare paid.
- 1Medicare inpatient stays 1,109
- 2Charge ÷ paid, inpatient 21.37×
- 3Rank in NJ (highest ratio = 1) 2 of 60
- 4CMS price-transparency actions 4
Inpatient stays
For the 47 DRGs that can be compared with the national average, Capital Health Regional Medical Center charged more than the national average in 47 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 106 | $591,962 | +556% | $22,807 |
| 291 Heart Failure and Shock with MCC | 63 | $437,712 | +676% | $15,888 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 55 | $519,927 | +421% | $22,715 |
| 177 Respiratory Infections and Inflammations with MCC | 55 | $487,216 | +590% | $18,345 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 47 | $363,815 | +553% | $13,097 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $323,357 | +530% | $14,345 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 43 | $189,350 | +21% | $32,789 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $360,911 | +499% | $15,028 |
| 690 Kidney and Urinary Tract Infections without MCC | 29 | $241,509 | +539% | $10,063 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $514,378 | +411% | $22,141 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $306,039 | +505% | $13,782 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $375,925 | +529% | $15,412 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 26 | $424,200 | +92% | $50,273 |
| 683 Renal Failure with CC | 24 | $282,993 | +595% | $10,759 |
| 682 Renal Failure with MCC | 22 | $422,531 | +541% | $17,969 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 21 | $799,186 | +245% | $43,654 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 21 | $438,264 | +542% | $15,383 |
| 101 Seizures without MCC | 21 | $308,353 | +532% | $14,428 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $256,485 | +592% | $10,609 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $561,008 | +874% | $16,468 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $395,405 | +706% | $13,640 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $275,618 | +508% | $12,490 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $280,726 | +677% | $10,360 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $852,364 | +528% | $32,153 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $448,234 | +491% | $18,001 |
| 312 Syncope and Collapse | 16 | $248,471 | +446% | $13,137 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $457,648 | +523% | $18,763 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $1,076,278 | +370% | $49,441 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 15 | $409,391 | +458% | $17,700 |
| 603 Cellulitis without MCC | 15 | $296,961 | +696% | $10,863 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $1,781,977 | +451% | $70,980 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $554,876 | +188% | $38,669 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $349,880 | +518% | $20,338 |
| 062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 14 | $369,798 | +265% | $20,320 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $231,751 | +504% | $9,474 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $304,371 | +437% | $14,047 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $366,688 | +655% | $12,709 |
| 638 Diabetes with CC | 14 | $247,534 | +494% | $11,878 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 13 | $798,472 | +184% | $59,019 |
| 552 Medical Back Problems without MCC | 13 | $268,182 | +449% | $11,401 |
| 637 Diabetes with MCC | 13 | $367,270 | +452% | $15,126 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 13 | $1,394,860 | +545% | $61,439 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $826,128 | +495% | $36,472 |
| 087 Traumatic Stupor and Coma <1 Hour without CC/MCC | 11 | $253,411 | +391% | $11,549 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $821,153 | +766% | $28,749 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 11 | $705,736 | +493% | $60,665 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $232,260 | +272% | $18,808 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 423 | $106,318 | $2,855 |
| Level 3 Electrophysiologic Procedures | 44 | $229,266 | $24,796 |
| Level 3 Pacemaker and Similar Procedures | 30 | $190,958 | $11,166 |
| Level 2 Endovascular Procedures | 26 | $70,085 | $5,984 |
| Level 3 Vascular Procedures | 23 | $64,817 | $3,106 |
| Level 1 Endovascular Procedures | 22 | $114,469 | $3,417 |
| Level 3 Endovascular Procedures | 18 | $173,661 | $11,503 |
| Level 2 ICD and Similar Procedures | 17 | $407,106 | $34,335 |
| Level 4 Musculoskeletal Procedures | 14 | $129,769 | $7,490 |
| Level 4 Vascular Procedures | 13 | $104,195 | $5,753 |
| Level 2 Upper GI Procedures | 13 | $66,107 | $1,870 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Capital Health Regional Medical Center charged $591,962 on average, 349% more than the New Jersey average of $131,698, and was paid $22,807 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Capital Health Regional Medical Center charged $437,712 on average, 349% more than the New Jersey average of $97,469, and was paid $15,888 against a state average of $12,811. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Capital Health Regional Medical Center charged $519,927 on average, 250% more than the New Jersey average of $148,512, and was paid $22,715 against a state average of $19,990. For Respiratory Infections and Inflammations with MCC (DRG 177), Capital Health Regional Medical Center charged $487,216 on average, 316% more than the New Jersey average of $117,022, and was paid $18,345 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $106,318 was 209% above the state average of $34,388. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $229,266 was 46% above the state average of $156,740. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $190,958 was 188% above the state average of $66,411. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $70,085 was 76% above the state average of $39,711.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Capital Health Regional Medical Center in Trenton, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-11 (CMS case 3011)
- CAP Request — 2025-05-14 (CMS case 3011)
- Closure Notice — 2025-06-26 (CMS case 3011)
- Met Requirements — 2026-04-09 (CMS case 7435)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.