New Jersey / Hackettstown Medical Center
CMS certification 310115 · Hackettstown, NJ
Hackettstown Medical Center: charges and Medicare payments
Hackettstown Medical Center reported 1,105 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 10.11 times what it was paid — among the higher ratios in New Jersey, number 7 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: 192 stays at an average charge of $148,109, 64% above the national average. It also billed 590 outpatient services, charging 10.39 times what Medicare paid.
- 1Medicare inpatient stays 1,105
- 2Charge ÷ paid, inpatient 10.11×
- 3Rank in NJ (highest ratio = 1) 7 of 60
- 4CMS price-transparency actions 0
Inpatient stays
For the 34 DRGs that can be compared with the national average, Hackettstown Medical Center charged more than the national average in 33 (97%). 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 | 192 | $148,109 | +64% | $15,098 |
| 291 Heart Failure and Shock with MCC | 115 | $119,888 | +113% | $10,013 |
| 193 Simple Pneumonia and Pleurisy with MCC | 67 | $127,794 | +114% | $10,660 |
| 177 Respiratory Infections and Inflammations with MCC | 57 | $134,450 | +90% | $13,017 |
| 689 Kidney and Urinary Tract Infections with MCC | 50 | $110,039 | +114% | $9,414 |
| 603 Cellulitis without MCC | 48 | $78,367 | +110% | $6,829 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $89,153 | +136% | $9,504 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $78,361 | +95% | $6,668 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $69,557 | +54% | $7,485 |
| 552 Medical Back Problems without MCC | 28 | $100,801 | +106% | $12,012 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $113,201 | +124% | $8,952 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $97,143 | +28% | $11,706 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $81,091 | +67% | $8,277 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $68,090 | +84% | $5,927 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $114,113 | +55% | $12,740 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $96,398 | +97% | $9,034 |
| 312 Syncope and Collapse | 24 | $90,358 | +98% | $6,668 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $80,004 | +108% | $7,424 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $90,455 | +150% | $5,625 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $208,900 | -9% | $37,130 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $103,835 | +83% | $9,047 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $128,521 | +51% | $13,679 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $146,643 | +47% | $14,110 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $111,778 | +101% | $7,728 |
| 683 Renal Failure with CC | 17 | $95,891 | +136% | $8,167 |
| 638 Diabetes with CC | 14 | $79,100 | +90% | $7,908 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $105,730 | +75% | $9,959 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $108,245 | +7% | $15,601 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 12 | $89,518 | +83% | $8,061 |
| 637 Diabetes with MCC | 12 | $109,923 | +65% | $13,126 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $67,440 | +42% | $9,036 |
| 303 Atherosclerosis without MCC | 11 | $59,939 | +70% | $5,079 |
| 682 Renal Failure with MCC | 11 | $117,126 | +78% | $12,436 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $432,014 | +34% | $52,779 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 180 | $40,397 | $2,837 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 62 | $9,151 | $1,580 |
| Level 3 Vascular Procedures | 47 | $25,240 | $3,280 |
| Level 5 Urology and Related Services | 46 | $25,276 | $5,417 |
| Level 1 Nerve Procedures | 42 | $13,731 | $1,790 |
| Level 2 Musculoskeletal Procedures | 35 | $16,877 | $1,683 |
| Level 3 Musculoskeletal Procedures | 29 | $16,966 | $3,389 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 29 | $18,622 | $3,529 |
| Level 3 Urology and Related Services | 27 | $19,247 | $2,132 |
| Level 4 Musculoskeletal Procedures | 22 | $27,651 | $7,490 |
| Level 1 Laparoscopy and Related Services | 21 | $32,483 | $5,360 |
| Level 2 Upper GI Procedures | 19 | $9,203 | $1,992 |
| Level 4 Urology and Related Services | 17 | $22,906 | $3,650 |
| Level 2 Vascular Procedures | 14 | $7,905 | $1,677 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hackettstown Medical Center charged $148,109 on average, 12% more than the New Jersey average of $131,698, and was paid $15,098 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Hackettstown Medical Center charged $119,888 on average, 23% more than the New Jersey average of $97,469, and was paid $10,013 against a state average of $12,811. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hackettstown Medical Center charged $127,794 on average, 27% more than the New Jersey average of $100,241, and was paid $10,660 against a state average of $13,150. For Respiratory Infections and Inflammations with MCC (DRG 177), Hackettstown Medical Center charged $134,450 on average, 15% more than the New Jersey average of $117,022, and was paid $13,017 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $40,397 was 17% above the state average of $34,388. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,151 was 29% below the state average of $12,828. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $25,240 was 17% above the state average of $21,558. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $25,276 was 14% below the state average of $29,528.
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.