New Jersey / Clara Maass Medical Center
CMS certification 310009 · Belleville, NJ · 1 entry in CMS's price-transparency list
Clara Maass Medical Center: charges and Medicare payments
Clara Maass Medical Center reported 1,450 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 7.59 times what it was paid — among the higher ratios in New Jersey, number 16 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: 112 stays at an average charge of $117,087, 108% above the national average. It also billed 1,728 outpatient services, charging 6.04 times what Medicare paid.
- 1Medicare inpatient stays 1,450
- 2Charge ÷ paid, inpatient 7.59×
- 3Rank in NJ (highest ratio = 1) 16 of 60
- 4CMS price-transparency actions 1
Inpatient stays
For the 54 DRGs that can be compared with the national average, Clara Maass Medical Center charged more than the national average in 49 (91%). 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 | 112 | $117,087 | +108% | $12,247 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 93 | $128,636 | +42% | $18,359 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 83 | $113,536 | +50% | $14,811 |
| 193 Simple Pneumonia and Pleurisy with MCC | 64 | $105,418 | +76% | $11,586 |
| 689 Kidney and Urinary Tract Infections with MCC | 50 | $119,989 | +134% | $12,412 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $145,877 | +107% | $17,212 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $59,395 | +57% | $8,845 |
| 682 Renal Failure with MCC | 40 | $100,598 | +53% | $14,220 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $112,911 | +87% | $12,098 |
| 683 Renal Failure with CC | 34 | $78,099 | +92% | $8,355 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $96,682 | +91% | $11,515 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $72,288 | +80% | $8,376 |
| 603 Cellulitis without MCC | 31 | $68,171 | +83% | $8,798 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $70,401 | +45% | $11,099 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $64,406 | +78% | $7,910 |
| 194 Simple Pneumonia and Pleurisy with CC | 27 | $77,063 | +101% | $8,735 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $97,568 | -15% | $17,173 |
| 637 Diabetes with MCC | 26 | $84,256 | +27% | $14,613 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $80,568 | +117% | $8,646 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $151,102 | +51% | $18,463 |
| 377 Gastrointestinal Hemorrhage with MCC | 25 | $131,750 | +54% | $17,636 |
| 101 Seizures without MCC | 24 | $73,405 | +51% | $10,716 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $98,125 | +34% | $14,321 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $320,523 | +40% | $43,739 |
| 638 Diabetes with CC | 22 | $84,243 | +102% | $8,902 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $78,566 | +56% | $9,725 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 21 | $69,003 | +8% | $11,649 |
| 312 Syncope and Collapse | 21 | $69,952 | +54% | $8,766 |
| 884 Organic Disturbances and Intellectual Disability | 20 | $101,230 | +62% | $15,375 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $91,364 | +64% | $9,494 |
| 811 Red Blood Cell Disorders with MCC | 19 | $135,209 | +98% | $13,380 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $101,175 | +79% | $12,391 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 18 | $39,916 | -41% | $12,456 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 18 | $243,165 | +12% | $37,412 |
| 552 Medical Back Problems without MCC | 17 | $78,484 | +61% | $10,031 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $72,081 | +52% | $10,504 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $72,347 | +47% | $9,944 |
| 252 Other Vascular Procedures with MCC | 15 | $142,321 | -17% | $30,312 |
| 394 Other Digestive System Diagnoses with CC | 15 | $58,227 | +24% | $9,411 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $110,997 | +10% | $19,016 |
| 300 Peripheral Vascular Disorders with CC | 14 | $67,702 | +37% | $8,988 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $127,384 | +34% | $20,295 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 14 | $127,557 | +89% | $11,671 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $168,759 | +198% | $21,169 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $193,387 | +43% | $22,827 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $230,758 | +41% | $26,839 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $160,715 | +35% | $23,817 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $56,250 | +32% | $8,853 |
| 305 Hypertension without MCC | 12 | $53,495 | +33% | $9,022 |
| 313 Chest Pain | 12 | $55,404 | +39% | $8,102 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $194,260 | -10% | $39,252 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $87,911 | -14% | $18,075 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $75,330 | +23% | $12,179 |
| 602 Cellulitis with MCC | 11 | $130,875 | +118% | $14,865 |
Outpatient services
Against the New Jersey average
For Heart Failure and Shock with MCC (DRG 291), Clara Maass Medical Center charged $117,087 on average, 20% more than the New Jersey average of $97,469, and was paid $12,247 against a state average of $12,811. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Clara Maass Medical Center charged $128,636 on average, 2% less than the New Jersey average of $131,698, and was paid $18,359 against a state average of $19,296. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Clara Maass Medical Center charged $113,536 on average, 2% more than the New Jersey average of $111,703, and was paid $14,811 against a state average of $15,382. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Clara Maass Medical Center charged $105,418 on average, 5% more than the New Jersey average of $100,241, and was paid $11,586 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,886 was 28% below the state average of $34,388. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $15,410 was 37% below the state average of $24,302. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,394 was 38% below the state average of $20,104. For Level 3 Intraocular Procedures (outpatient APC 5493), its average charge of $20,025 was 41% below the state average of $33,969.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Clara Maass Medical Center in Belleville, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-29 (CMS case 6053)
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.