New Jersey / Centrastate Medical Center

CMS certification 310111 · Freehold, NJ · 2 entries in CMS's price-transparency list

Centrastate Medical Center: charges and Medicare payments

Centrastate Medical Center reported 4,044 Medicare inpatient stays across 103 DRGs in 2024. Across them it charged 5.54 times what it was paid — among the lower ratios in New Jersey, number 41 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: 448 stays at an average charge of $100,503, 11% above the national average. It also billed 2,669 outpatient services, charging 5.62 times what Medicare paid.

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  1. 1Medicare inpatient stays 4,044
  2. 2Charge ÷ paid, inpatient 5.54×
  3. 3Rank in NJ (highest ratio = 1) 41 of 60
  4. 4CMS price-transparency actions 2
DRG 871$100,503DRG 291$74,313DRG 193$75,854DRG 690$46,346DRG 177$77,356DRG 689$66,220DRG 885$55,575DRG 392$42,401DRG 190$60,610DRG 698$80,936
Average charge per stay at Centrastate Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 103 DRGs that can be compared with the national average, Centrastate Medical Center charged more than the national average in 58 (56%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC448$100,503+11%$17,251
291 Heart Failure and Shock with MCC289$74,313+32%$11,124
193 Simple Pneumonia and Pleurisy with MCC154$75,854+27%$11,762
690 Kidney and Urinary Tract Infections without MCC152$46,346+23%$6,995
177 Respiratory Infections and Inflammations with MCC150$77,356+10%$14,011
689 Kidney and Urinary Tract Infections with MCC123$66,220+29%$10,047
885 Psychoses103$55,575+26%$11,936
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...91$42,401+6%$6,882
190 Chronic Obstructive Pulmonary Disease with MCC84$60,610+20%$10,164
698 Other Kidney and Urinary Tract Diagnoses with MCC84$80,936+10%$13,819
194 Simple Pneumonia and Pleurisy with CC77$52,379+36%$7,098
603 Cellulitis without MCC74$40,303+8%$8,097
312 Syncope and Collapse71$48,666+7%$7,421
853 Infectious and Parasitic Diseases with O.R. Procedures with...67$178,785-22%$42,523
178 Respiratory Infections and Inflammations with CC66$46,525+3%$8,353
481 Hip and Femur Procedures except Major Joint with CC65$67,300-33%$16,942
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC60$58,530+19%$9,300
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...55$57,674+3%$8,675
682 Renal Failure with MCC53$79,739+21%$12,545
683 Renal Failure with CC51$47,472+17%$7,653
309 Cardiac Arrhythmia and Conduction Disorders with CC49$40,107+11%$6,916
064 Intracranial Hemorrhage or Cerebral Infarction with MCC44$87,498-12%$16,417
377 Gastrointestinal Hemorrhage with MCC43$92,502+8%$14,439
378 Gastrointestinal Hemorrhage with CC42$51,568+6%$8,780
812 Red Blood Cell Disorders without MCC41$54,099+22%$7,917
522 Hip Replacement with Principal Diagnosis of Hip Fracture...40$66,746-35%$17,310
699 Other Kidney and Urinary Tract Diagnoses with CC38$51,552+9%$8,681
280 Acute Myocardial Infarction, Discharged Alive with MCC37$82,197+8%$12,639
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...37$65,765+9%$11,083
286 Circulatory Disorders except AMI, with Cardiac...36$85,340-24%$18,014
308 Cardiac Arrhythmia and Conduction Disorders with MCC36$71,597+26%$10,747
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...34$39,828+7%$6,766
552 Medical Back Problems without MCC33$43,756-10%$8,095
638 Diabetes with CC33$47,979+15%$8,266
389 Gastrointestinal Obstruction with CC32$49,782+28%$7,298
202 Bronchitis and Asthma with CC/MCC31$45,438-2%$8,623
322 Percutaneous Cardiovascular Procedures with Intraluminal...30$90,388-21%$17,895
305 Hypertension without MCC27$42,536+6%$6,493
101 Seizures without MCC26$48,5270%$7,729
287 Circulatory Disorders except AMI, with Cardiac...26$52,084-18%$14,015
329 Major Small and Large Bowel Procedures with MCC26$157,332-27%$45,353
394 Other Digestive System Diagnoses with CC26$51,065+9%$7,974
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...26$165,238-24%$38,811
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC25$32,121+12%$4,976
321 Percutaneous Cardiovascular Procedures with Intraluminal...25$151,997-7%$23,144
602 Cellulitis with MCC25$96,828+61%$13,436
637 Diabetes with MCC24$73,391+10%$12,024
189 Pulmonary Edema and Respiratory Failure23$74,775+30%$13,432
191 Chronic Obstructive Pulmonary Disease with CC23$46,757+18%$7,298
314 Other Circulatory System Diagnoses with MCC23$86,218-9%$16,956
300 Peripheral Vascular Disorders with CC22$51,011+3%$8,918
418 Laparoscopic Cholecystectomy without C.D.E. with CC22$67,270-28%$15,095
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...20$75,641+24%$11,031
281 Acute Myocardial Infarction, Discharged Alive with CC19$50,864+1%$7,750
390 Gastrointestinal Obstruction without CC/MCC19$31,659+13%$4,860
057 Degenerative Nervous System Disorders without MCC18$57,213+1%$10,404
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale18$84,320+29%$12,638
854 Infectious and Parasitic Diseases with O.R. Procedures with...18$78,172-20%$18,258
884 Organic Disturbances and Intellectual Disability18$52,444-16%$12,219
270 Other Major Cardiovascular Procedures with MCC17$210,558-19%$43,420

Showing the 60 most frequent of 103 DRGs.

Outpatient services

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Centrastate Medical Center charged $100,503 on average, 24% less than the New Jersey average of $131,698, and was paid $17,251 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Centrastate Medical Center charged $74,313 on average, 24% less than the New Jersey average of $97,469, and was paid $11,124 against a state average of $12,811. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Centrastate Medical Center charged $75,854 on average, 24% less than the New Jersey average of $100,241, and was paid $11,762 against a state average of $13,150. For Kidney and Urinary Tract Infections without MCC (DRG 690), Centrastate Medical Center charged $46,346 on average, 27% less than the New Jersey average of $63,137, and was paid $6,995 against a state average of $8,142. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,046 was 33% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $30,372 was 52% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,378 was 35% below the state average of $12,828. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $18,652 was 53% below the state average of $39,976.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Centrastate Medical Center in Freehold, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.