New Jersey / Hackensack University Medical Center
CMS certification 310001 · Hackensack, NJ · 6 entries in CMS's price-transparency list
Hackensack University Medical Center: charges and Medicare payments
Hackensack University Medical Center reported 7,843 Medicare inpatient stays across 192 DRGs in 2024. Across them it charged 4.98 times what it was paid — among the lower ratios in New Jersey, number 47 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: 812 stays at an average charge of $140,083, 55% above the national average. It also billed 8,178 outpatient services, charging 5.62 times what Medicare paid.
- 1Medicare inpatient stays 7,843
- 2Charge ÷ paid, inpatient 4.98×
- 3Rank in NJ (highest ratio = 1) 47 of 60
- 4CMS price-transparency actions 6
Inpatient stays
For the 192 DRGs that can be compared with the national average, Hackensack University Medical Center charged more than the national average in 159 (83%). 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 | 812 | $140,083 | +55% | $24,781 |
| 291 Heart Failure and Shock with MCC | 331 | $109,355 | +94% | $17,105 |
| 177 Respiratory Infections and Inflammations with MCC | 193 | $110,648 | +57% | $21,397 |
| 193 Simple Pneumonia and Pleurisy with MCC | 182 | $119,987 | +101% | $18,820 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 140 | $115,071 | +57% | $21,585 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 135 | $66,731 | +41% | $12,595 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 135 | $263,694 | +15% | $59,721 |
| 682 Renal Failure with MCC | 129 | $117,681 | +78% | $20,340 |
| 689 Kidney and Urinary Tract Infections with MCC | 128 | $81,632 | +59% | $14,613 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 117 | $169,949 | +70% | $26,118 |
| 683 Renal Failure with CC | 117 | $73,611 | +81% | $11,608 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 110 | $72,220 | +47% | $13,503 |
| 652 Kidney Transplant | 100 | $256,419 | -24% | $40,104 |
| 481 Hip and Femur Procedures except Major Joint with CC | 98 | $113,348 | +12% | $24,464 |
| 690 Kidney and Urinary Tract Infections without MCC | 96 | $60,657 | +60% | $11,360 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 92 | $152,454 | -31% | $48,740 |
| 378 Gastrointestinal Hemorrhage with CC | 84 | $73,845 | +52% | $12,601 |
| 377 Gastrointestinal Hemorrhage with MCC | 79 | $131,183 | +54% | $23,581 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 77 | $103,137 | +52% | $18,323 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 75 | $91,778 | +65% | $13,361 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 72 | $426,857 | +32% | $89,931 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 67 | $125,117 | +65% | $21,378 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 66 | $57,779 | +44% | $10,078 |
| 314 Other Circulatory System Diagnoses with MCC | 65 | $199,339 | +110% | $31,985 |
| 189 Pulmonary Edema and Respiratory Failure | 63 | $90,136 | +57% | $16,350 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 61 | $277,907 | +20% | $55,268 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $90,891 | +51% | $17,271 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 59 | $187,288 | +67% | $28,712 |
| 330 Major Small and Large Bowel Procedures with CC | 59 | $108,172 | -9% | $26,247 |
| 552 Medical Back Problems without MCC | 59 | $77,360 | +58% | $16,985 |
| 603 Cellulitis without MCC | 59 | $60,283 | +62% | $11,835 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 57 | $85,347 | +51% | $15,776 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 55 | $381,440 | -4% | $91,910 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 52 | $287,722 | +1% | $65,332 |
| 180 Respiratory Neoplasms with MCC | 50 | $120,380 | +37% | $22,728 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 49 | $109,494 | -4% | $26,472 |
| 164 Major Chest Procedures with CC | 48 | $115,662 | -9% | $33,290 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 48 | $53,062 | +47% | $11,871 |
| 919 Complications of Treatment with MCC | 48 | $166,616 | +88% | $27,309 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 46 | $185,603 | +34% | $34,362 |
| 056 Degenerative Nervous System Disorders with MCC | 45 | $153,634 | +60% | $27,763 |
| 101 Seizures without MCC | 45 | $61,840 | +27% | $11,055 |
| 329 Major Small and Large Bowel Procedures with MCC | 45 | $248,924 | +16% | $59,835 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 45 | $99,764 | -3% | $22,781 |
| 811 Red Blood Cell Disorders with MCC | 45 | $112,693 | +65% | $18,914 |
| 018 Chimeric Antigen Receptor (Car) T-Cell and Other... | 44 | $1,890,365 | -14% | $417,128 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 44 | $293,237 | 0% | $81,346 |
| 374 Digestive Malignancy with MCC | 43 | $146,072 | +45% | $26,879 |
| 840 Lymphoma and Non-Acute Leukemia with MCC | 43 | $267,824 | +72% | $43,392 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 42 | $118,316 | +25% | $23,996 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 42 | $340,437 | +57% | $61,150 |
| 016 Autologous Bone Marrow Transplant with CC/MCC | 41 | $217,024 | -21% | $68,657 |
| 100 Seizures with MCC | 40 | $125,393 | +33% | $25,975 |
| 809 Major Hematological and Immunological Diagnoses except... | 40 | $99,639 | +59% | $17,339 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 39 | $204,960 | +25% | $37,969 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 38 | $70,864 | +40% | $11,776 |
| 394 Other Digestive System Diagnoses with CC | 38 | $79,892 | +70% | $14,357 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 38 | $260,710 | +51% | $52,554 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 37 | $264,899 | -4% | $66,367 |
| 264 Other Circulatory System O.R. Procedures | 37 | $299,026 | +100% | $48,308 |
Showing the 60 most frequent of 192 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hackensack University Medical Center charged $140,083 on average, 6% more than the New Jersey average of $131,698, and was paid $24,781 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Hackensack University Medical Center charged $109,355 on average, 12% more than the New Jersey average of $97,469, and was paid $17,105 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), Hackensack University Medical Center charged $110,648 on average, 5% less than the New Jersey average of $117,022, and was paid $21,397 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hackensack University Medical Center charged $119,987 on average, 20% more than the New Jersey average of $100,241, and was paid $18,820 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,548 was 6% above the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,675 was 25% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,499 was 10% below the state average of $12,828. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $17,209 was 19% below the state average of $21,241.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hackensack University Medical Center in Hackensack, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 148)
- CAP Request — 2021-10-27 (CMS case 148)
- Closure Notice — 2022-10-06 (CMS case 148)
- Warning Notice — 2024-02-21 (CMS case 1947)
- Closure Notice — 2024-05-24 (CMS case 1947)
- Met Requirements — 2025-03-19 (CMS case 3284)
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.