New Jersey / Hunterdon Medical Center

CMS certification 310005 · Flemington, NJ · 3 entries in CMS's price-transparency list

Hunterdon Medical Center: charges and Medicare payments

Hunterdon Medical Center reported 2,343 Medicare inpatient stays across 63 DRGs in 2024. Across them it charged 4.92 times what it was paid — among the lower ratios in New Jersey, number 48 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: 347 stays at an average charge of $81,106, 10% below the national average. It also billed 1,741 outpatient services, charging 6.14 times what Medicare paid.

1Medicare inpatient stays 2,343
2Charge ÷ paid, inpatient 4.92×
3Rank in NJ (highest ratio = 1) 48 of 60
4CMS price-transparency actions 3

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

Inpatient stays

For the 63 DRGs that can be compared with the national average, Hunterdon Medical Center charged more than the national average in 31 (49%). 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	347	$81,106	-10%	$17,165
291 Heart Failure and Shock with MCC	153	$56,151	0%	$11,514
470 Major Hip and Knee Joint Replacement or Reattachment of...	121	$54,973	-41%	$15,945
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	71	$35,833	-3%	$7,189
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	68	$38,559	-4%	$7,097
603 Cellulitis without MCC	68	$41,180	+10%	$8,317
885 Psychoses	68	$62,134	+41%	$12,520
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	64	$68,334	+13%	$11,778
177 Respiratory Infections and Inflammations with MCC	62	$89,369	+27%	$16,143
690 Kidney and Urinary Tract Infections without MCC	61	$39,024	+3%	$7,322
689 Kidney and Urinary Tract Infections with MCC	60	$57,998	+13%	$10,719
193 Simple Pneumonia and Pleurisy with MCC	58	$48,905	-18%	$11,251
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	57	$46,176	-6%	$9,272
698 Other Kidney and Urinary Tract Diagnoses with MCC	55	$69,527	-5%	$14,710
190 Chronic Obstructive Pulmonary Disease with MCC	52	$50,495	0%	$9,847
853 Infectious and Parasitic Diseases with O.R. Procedures with...	42	$159,505	-30%	$41,204
378 Gastrointestinal Hemorrhage with CC	41	$53,264	+10%	$8,833
638 Diabetes with CC	37	$49,247	+18%	$8,411
189 Pulmonary Edema and Respiratory Failure	36	$69,446	+21%	$10,960
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$42,938	+19%	$6,733
552 Medical Back Problems without MCC	32	$37,294	-24%	$8,825
194 Simple Pneumonia and Pleurisy with CC	30	$34,422	-10%	$7,432
683 Renal Failure with CC	30	$40,132	-1%	$8,090
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	28	$84,366	-16%	$16,557
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	28	$51,407	-8%	$9,045
280 Acute Myocardial Infarction, Discharged Alive with MCC	28	$90,961	+20%	$13,733
202 Bronchitis and Asthma with CC/MCC	26	$49,259	+7%	$8,660
813 Coagulation Disorders	24	$88,214	+10%	$14,965
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$71,041	+25%	$11,005
312 Syncope and Collapse	23	$47,339	+4%	$7,834
377 Gastrointestinal Hemorrhage with MCC	23	$80,805	-5%	$16,056
389 Gastrointestinal Obstruction with CC	23	$52,173	+34%	$9,098
948 Signs and Symptoms without MCC	23	$41,928	+10%	$7,330
066 Intracranial Hemorrhage or Cerebral Infarction without...	21	$49,819	+18%	$6,292
481 Hip and Femur Procedures except Major Joint with CC	21	$76,245	-24%	$17,234
101 Seizures without MCC	20	$42,832	-12%	$8,190
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$123,858	+8%	$15,543
870 Septicemia or Severe Sepsis with MV >96 Hours	20	$216,460	-33%	$57,565
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$77,897	-24%	$17,839
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	17	$38,523	-10%	$7,943
602 Cellulitis with MCC	17	$68,473	+14%	$13,081
394 Other Digestive System Diagnoses with CC	16	$30,594	-35%	$8,326
069 Transient Ischemia without Thrombolytic	15	$51,958	+3%	$7,257
329 Major Small and Large Bowel Procedures with MCC	15	$130,128	-39%	$43,069
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$50,119	-18%	$11,263
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	15	$36,430	-2%	$7,853
149 Dysequilibrium	14	$45,085	+2%	$6,805
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	14	$38,532	+34%	$5,227
372 Major Gastrointestinal Disorders and Peritoneal Infections...	14	$44,953	-5%	$9,175
393 Other Digestive System Diagnoses with MCC	14	$74,045	-4%	$13,934
637 Diabetes with MCC	14	$73,184	+10%	$13,580
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	13	$75,151	+15%	$12,383
286 Circulatory Disorders except AMI, with Cardiac...	13	$132,128	+18%	$24,718
536 Fractures of Hip and Pelvis without MCC	13	$45,403	+20%	$7,309
699 Other Kidney and Urinary Tract Diagnoses with CC	13	$31,927	-33%	$8,357
287 Circulatory Disorders except AMI, with Cardiac...	12	$60,698	-5%	$9,482
321 Percutaneous Cardiovascular Procedures with Intraluminal...	12	$174,017	+6%	$24,719
330 Major Small and Large Bowel Procedures with CC	12	$134,729	+13%	$21,567
617 Amputation of Lower Limb for Endocrine, Nutritional and...	12	$76,842	-12%	$17,102
643 Endocrine Disorders with MCC	12	$47,258	-36%	$14,007

Showing the 60 most frequent of 63 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	512	$21,993	$2,861
Level 1 Laparoscopy and Related Services	108	$24,742	$5,929
Level 1 Endovascular Procedures	102	$25,834	$3,393
Level 2 Excision/ Biopsy/ Incision and Drainage	99	$7,059	$1,697
Level 5 Musculoskeletal Procedures	84	$43,333	$12,494
Level 4 Musculoskeletal Procedures	77	$29,339	$7,490
Level 4 Urology and Related Services	72	$18,304	$3,561
Level 5 Urology and Related Services	70	$22,754	$5,417
Level 3 Vascular Procedures	65	$14,111	$3,337
Level 3 Musculoskeletal Procedures	41	$16,161	$3,265
Level 6 Musculoskeletal Procedures	41	$59,615	$19,086
Level 2 Upper GI Procedures	41	$9,296	$1,992
Level 3 Pacemaker and Similar Procedures	40	$48,587	$10,928
Level 3 Endovascular Procedures	36	$76,206	$11,503
Level 1 Nerve Procedures	36	$12,017	$1,976
Level 3 Urology and Related Services	34	$13,145	$2,132
Level 2 Vascular Procedures	32	$6,120	$1,624
Level 2 Breast/Lymphatic Surgery and Related Procedures	23	$38,419	$6,827
Level 2 Pacemaker and Similar Procedures	23	$36,188	$8,891
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	23	$13,892	$3,543
Level 3 Airway Endoscopy	22	$11,413	$1,777
Level 1 Breast/Lymphatic Surgery and Related Procedures	21	$19,730	$3,991
Level 4 Gynecologic Procedures	21	$18,814	$3,273
Level 4 Endovascular Procedures	20	$87,466	$18,316
Level 2 Musculoskeletal Procedures	19	$9,654	$1,638

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hunterdon Medical Center charged $81,106 on average, 38% less than the New Jersey average of $131,698, and was paid $17,165 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Hunterdon Medical Center charged $56,151 on average, 42% less than the New Jersey average of $97,469, and was paid $11,514 against a state average of $12,811. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Hunterdon Medical Center charged $54,973 on average, 40% less than the New Jersey average of $92,200, and was paid $15,945 against a state average of $17,543. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Hunterdon Medical Center charged $35,833 on average, 42% less than the New Jersey average of $62,001, and was paid $7,189 against a state average of $7,913. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,993 was 36% below the state average of $34,388. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $24,742 was 38% below the state average of $39,976. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,834 was 13% below the state average of $29,645. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,059 was 45% below the state average of $12,828.

Price-transparency record

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

Warning Notice — 2023-01-23 (CMS case 251)
Closure Notice — 2023-10-12 (CMS case 251)
Met Requirements — 2026-07-27 (CMS case 8373)

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.