New Jersey / Jersey City Medical Center
CMS certification 310074 · Jersey City, NJ · 1 entry in CMS's price-transparency list
Jersey City Medical Center: charges and Medicare payments
Jersey City Medical Center reported 1,346 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 5.43 times what it was paid — among the lower ratios in New Jersey, number 44 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: 199 stays at an average charge of $133,515, 48% above the national average. It also billed 968 outpatient services, charging 6.48 times what Medicare paid.
- 1Medicare inpatient stays 1,346
- 2Charge ÷ paid, inpatient 5.43×
- 3Rank in NJ (highest ratio = 1) 44 of 60
- 4CMS price-transparency actions 1
Inpatient stays
For the 56 DRGs that can be compared with the national average, Jersey City Medical Center charged more than the national average in 50 (89%). 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 | 199 | $133,515 | +48% | $23,698 |
| 291 Heart Failure and Shock with MCC | 95 | $93,746 | +66% | $17,187 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $85,338 | +13% | $19,837 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $123,759 | +23% | $25,374 |
| 552 Medical Back Problems without MCC | 35 | $72,858 | +49% | $13,897 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $80,825 | +34% | $16,048 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $126,579 | +147% | $21,291 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $69,273 | +41% | $13,537 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $120,261 | +101% | $18,460 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 28 | $153,950 | +54% | $24,503 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $95,797 | +30% | $19,804 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $86,382 | +22% | $18,524 |
| 682 Renal Failure with MCC | 27 | $104,903 | +59% | $19,187 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $332,002 | +45% | $59,312 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $81,977 | +62% | $14,404 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $72,539 | +44% | $13,262 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $80,345 | +65% | $14,163 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $75,454 | +24% | $16,747 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $88,544 | +59% | $13,393 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $103,086 | +185% | $16,216 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $64,260 | +70% | $12,027 |
| 057 Degenerative Nervous System Disorders without MCC | 19 | $134,769 | +138% | $22,934 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $90,620 | +145% | $12,090 |
| 312 Syncope and Collapse | 18 | $85,591 | +88% | $11,353 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $58,504 | +46% | $11,242 |
| 603 Cellulitis without MCC | 18 | $84,970 | +128% | $12,559 |
| 683 Renal Failure with CC | 18 | $77,146 | +90% | $11,496 |
| 813 Coagulation Disorders | 18 | $77,403 | -3% | $19,549 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $86,773 | +2% | $23,777 |
| 638 Diabetes with CC | 17 | $57,625 | +38% | $12,913 |
| 811 Red Blood Cell Disorders with MCC | 17 | $102,558 | +50% | $18,122 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $143,627 | +149% | $16,949 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 16 | $82,884 | +109% | $11,732 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 16 | $133,185 | -15% | $36,203 |
| 300 Peripheral Vascular Disorders with CC | 16 | $63,878 | +29% | $14,578 |
| 313 Chest Pain | 16 | $66,368 | +66% | $8,980 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $119,993 | +5% | $23,475 |
| 884 Organic Disturbances and Intellectual Disability | 16 | $212,494 | +241% | $28,406 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $161,369 | +44% | $24,192 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $125,162 | -21% | $33,474 |
| 812 Red Blood Cell Disorders without MCC | 15 | $53,187 | +20% | $12,042 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $116,341 | +14% | $24,223 |
| 100 Seizures with MCC | 13 | $87,347 | -7% | $18,811 |
| 101 Seizures without MCC | 12 | $90,457 | +86% | $13,240 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $57,292 | +49% | $12,105 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $278,750 | +70% | $43,810 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 12 | $130,610 | +5% | $28,151 |
| 551 Medical Back Problems with MCC | 12 | $132,932 | +69% | $22,218 |
| 637 Diabetes with MCC | 12 | $130,138 | +96% | $21,956 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $70,359 | +90% | $12,577 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $102,289 | +60% | $14,856 |
| 299 Peripheral Vascular Disorders with MCC | 11 | $84,198 | +12% | $18,638 |
| 305 Hypertension without MCC | 11 | $69,286 | +73% | $10,752 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $229,395 | +7% | $54,681 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $128,916 | -7% | $29,675 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 11 | $74,380 | -1% | $20,600 |
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jersey City Medical Center charged $133,515 on average, 1% more than the New Jersey average of $131,698, and was paid $23,698 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Jersey City Medical Center charged $93,746 on average, 4% less than the New Jersey average of $97,469, and was paid $17,187 against a state average of $12,811. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Jersey City Medical Center charged $85,338 on average, 24% less than the New Jersey average of $111,703, and was paid $19,837 against a state average of $15,382. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Jersey City Medical Center charged $123,759 on average, 5% more than the New Jersey average of $117,921, and was paid $25,374 against a state average of $19,784. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,377 was 29% below the state average of $34,388. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,690 was 20% below the state average of $29,645. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,685 was 17% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,054 was 45% below the state average of $12,828.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jersey City Medical Center in Jersey City, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-30 (CMS case 6047)
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.