Hackensack Meridian Mountainside Medical: charges and Medicare payments

Hackensack Meridian Mountainside Medical reported 2,150 Medicare inpatient stays across 67 DRGs in 2024. Across them it charged 4.63 times what it was paid — among the lower ratios in New Jersey, number 51 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: 316 stays at an average charge of $92,243, 2% above the national average. It also billed 1,230 outpatient services, charging 7.14 times what Medicare paid.

1Medicare inpatient stays 2,150
2Charge ÷ paid, inpatient 4.63×
3Rank in NJ (highest ratio = 1) 51 of 60
4CMS price-transparency actions 0

Average charge per stay at Hackensack Meridian Mountainside Medical, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 67 DRGs that can be compared with the national average, Hackensack Meridian Mountainside Medical charged more than the national average in 40 (60%). 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	316	$92,243	+2%	$20,235
291 Heart Failure and Shock with MCC	161	$62,231	+10%	$13,034
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	66	$38,384	-4%	$8,048
193 Simple Pneumonia and Pleurisy with MCC	65	$66,861	+12%	$13,841
177 Respiratory Infections and Inflammations with MCC	62	$66,567	-6%	$15,759
690 Kidney and Urinary Tract Infections without MCC	60	$40,016	+6%	$8,792
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	60	$55,604	+13%	$10,984
698 Other Kidney and Urinary Tract Diagnoses with MCC	55	$74,040	+1%	$16,956
853 Infectious and Parasitic Diseases with O.R. Procedures with...	45	$193,797	-15%	$44,610
603 Cellulitis without MCC	42	$38,975	+5%	$9,203
683 Renal Failure with CC	42	$47,905	+18%	$9,622
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$42,707	+15%	$8,733
682 Renal Failure with MCC	39	$74,617	+13%	$15,267
812 Red Blood Cell Disorders without MCC	39	$48,911	+10%	$10,434
190 Chronic Obstructive Pulmonary Disease with MCC	37	$57,735	+14%	$13,119
280 Acute Myocardial Infarction, Discharged Alive with MCC	35	$136,299	+80%	$20,010
378 Gastrointestinal Hemorrhage with CC	33	$58,130	+20%	$10,267
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$71,188	+28%	$10,492
481 Hip and Femur Procedures except Major Joint with CC	32	$82,056	-19%	$20,217
309 Cardiac Arrhythmia and Conduction Disorders with CC	31	$43,599	+21%	$7,874
470 Major Hip and Knee Joint Replacement or Reattachment of...	31	$67,569	-27%	$18,197
552 Medical Back Problems without MCC	31	$54,099	+11%	$10,225
870 Septicemia or Severe Sepsis with MV >96 Hours	31	$295,934	-8%	$72,501
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$85,111	+41%	$15,493
194 Simple Pneumonia and Pleurisy with CC	29	$40,192	+5%	$8,113
689 Kidney and Urinary Tract Infections with MCC	28	$58,074	+13%	$11,423
312 Syncope and Collapse	27	$35,456	-22%	$9,358
305 Hypertension without MCC	26	$34,877	-13%	$7,774
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	25	$111,178	+11%	$19,486
638 Diabetes with CC	25	$48,221	+16%	$9,583
189 Pulmonary Edema and Respiratory Failure	22	$75,400	+31%	$13,705
202 Bronchitis and Asthma with CC/MCC	21	$42,947	-7%	$10,291
389 Gastrointestinal Obstruction with CC	21	$42,979	+10%	$8,983
313 Chest Pain	20	$39,549	-1%	$7,476
377 Gastrointestinal Hemorrhage with MCC	20	$94,961	+11%	$18,142
393 Other Digestive System Diagnoses with MCC	20	$67,654	-12%	$16,563
854 Infectious and Parasitic Diseases with O.R. Procedures with...	20	$89,114	-9%	$20,448
322 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$114,747	0%	$17,722
178 Respiratory Infections and Inflammations with CC	18	$53,951	+19%	$10,519
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$71,068	+9%	$13,586
536 Fractures of Hip and Pelvis without MCC	17	$38,826	+3%	$8,290
025 Craniotomy and Endovascular Intracranial Procedures with MCC	16	$147,326	-36%	$51,626
286 Circulatory Disorders except AMI, with Cardiac...	16	$100,138	-11%	$21,940
287 Circulatory Disorders except AMI, with Cardiac...	16	$74,830	+17%	$14,695
308 Cardiac Arrhythmia and Conduction Disorders with MCC	16	$74,353	+31%	$13,115
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	16	$28,923	+1%	$6,746
057 Degenerative Nervous System Disorders without MCC	15	$57,752	+2%	$12,858
069 Transient Ischemia without Thrombolytic	15	$54,328	+8%	$8,328
101 Seizures without MCC	15	$40,396	-17%	$9,304
314 Other Circulatory System Diagnoses with MCC	15	$71,333	-25%	$20,316
554 Bone Diseases and Arthropathies without MCC	15	$42,997	+13%	$8,794
191 Chronic Obstructive Pulmonary Disease with CC	14	$48,961	+24%	$8,513
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$69,105	+37%	$9,928
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$88,475	-14%	$20,694
699 Other Kidney and Urinary Tract Diagnoses with CC	14	$44,489	-6%	$10,262
811 Red Blood Cell Disorders with MCC	14	$90,862	+33%	$17,115
330 Major Small and Large Bowel Procedures with CC	13	$109,677	-8%	$23,426
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$46,803	-23%	$14,881
394 Other Digestive System Diagnoses with CC	13	$44,379	-6%	$10,522
565 Other Musculoskeletal System and Connective Tissue Diagnoses...	13	$68,277	+43%	$11,327

Showing the 60 most frequent of 67 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	263	$23,112	$2,898
Level 2 Upper GI Procedures	148	$18,306	$2,022
Level 3 Lower GI Procedures	110	$22,779	$2,967
Level 4 Urology and Related Services	74	$15,665	$3,704
Level 5 Urology and Related Services	74	$19,546	$5,499
Level 2 Excision/ Biopsy/ Incision and Drainage	72	$9,016	$1,698
Level 1 Laparoscopy and Related Services	60	$26,405	$6,041
Level 2 Musculoskeletal Procedures	52	$8,265	$1,700
Level 5 Musculoskeletal Procedures	50	$52,382	$13,153
Level 1 Nerve Procedures	49	$6,759	$1,925
Level 3 Musculoskeletal Procedures	34	$14,299	$3,477
Level 4 Musculoskeletal Procedures	33	$36,087	$7,684
Level 3 Endovascular Procedures	25	$83,972	$11,565
Level 1 Endovascular Procedures	24	$31,968	$3,506
Level 3 Vascular Procedures	21	$20,656	$3,424
Level 2 Endovascular Procedures	21	$43,569	$5,916
Level 1 Breast/Lymphatic Surgery and Related Procedures	19	$14,624	$3,923
Level 2 Vascular Procedures	19	$8,003	$1,720
Level 4 Gynecologic Procedures	16	$16,671	$3,191
Level 3 Urology and Related Services	15	$14,936	$2,188
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	14	$21,980	$3,716
Level 4 Airway Endoscopy	13	$36,241	$4,022
Level 2 Laparoscopy and Related Services	13	$37,694	$11,045
Level 4 Vascular Procedures	11	$41,383	$5,903

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hackensack Meridian Mountainside Medical charged $92,243 on average, 30% less than the New Jersey average of $131,698, and was paid $20,235 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Hackensack Meridian Mountainside Medical charged $62,231 on average, 36% less than the New Jersey average of $97,469, and was paid $13,034 against a state average of $12,811. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Hackensack Meridian Mountainside Medical charged $38,384 on average, 36% less than the New Jersey average of $59,791, and was paid $8,048 against a state average of $7,933. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hackensack Meridian Mountainside Medical charged $66,861 on average, 33% less than the New Jersey average of $100,241, and was paid $13,841 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,112 was 33% below the state average of $34,388. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,306 was 8% above the state average of $16,923. For Level 3 Lower GI Procedures (outpatient APC 5313), its average charge of $22,779 was 10% above the state average of $20,698. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $15,665 was 26% below the state average of $21,241.

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.