New Jersey / Jersey Shore University Medical Center
CMS certification 310073 · Neptune, NJ · 5 entries in CMS's price-transparency list
Jersey Shore University Medical Center: charges and Medicare payments
Jersey Shore University Medical Center reported 8,549 Medicare inpatient stays across 211 DRGs in 2024. Across them it charged 5.97 times what it was paid — mid-range in New Jersey, number 36 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: 435 stays at an average charge of $143,165, 59% above the national average. It also billed 6,619 outpatient services, charging 5.59 times what Medicare paid.
- 1Medicare inpatient stays 8,549
- 2Charge ÷ paid, inpatient 5.97×
- 3Rank in NJ (highest ratio = 1) 36 of 60
- 4CMS price-transparency actions 5
Inpatient stays
For the 211 DRGs that can be compared with the national average, Jersey Shore University Medical Center charged more than the national average in 168 (80%). 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 | 435 | $143,165 | +59% | $19,171 |
| 291 Heart Failure and Shock with MCC | 371 | $101,200 | +79% | $12,844 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 215 | $196,087 | -31% | $53,827 |
| 177 Respiratory Infections and Inflammations with MCC | 191 | $104,070 | +47% | $15,706 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 181 | $113,843 | +50% | $15,496 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 152 | $155,192 | +55% | $19,216 |
| 193 Simple Pneumonia and Pleurisy with MCC | 147 | $92,020 | +54% | $12,444 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 143 | $56,515 | +41% | $7,663 |
| 689 Kidney and Urinary Tract Infections with MCC | 127 | $83,636 | +63% | $10,766 |
| 683 Renal Failure with CC | 122 | $64,416 | +58% | $8,728 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 120 | $57,219 | +58% | $7,879 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 111 | $169,923 | -23% | $42,058 |
| 682 Renal Failure with MCC | 111 | $115,097 | +75% | $14,139 |
| 690 Kidney and Urinary Tract Infections without MCC | 102 | $63,797 | +69% | $7,763 |
| 378 Gastrointestinal Hemorrhage with CC | 98 | $83,139 | +71% | $9,308 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 97 | $102,855 | -34% | $29,831 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 95 | $172,659 | -18% | $43,272 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 95 | $166,690 | +48% | $24,587 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 94 | $108,912 | -5% | $17,903 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 90 | $79,646 | +32% | $11,998 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 89 | $172,722 | +6% | $29,120 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 88 | $118,480 | +61% | $16,099 |
| 377 Gastrointestinal Hemorrhage with MCC | 86 | $127,760 | +50% | $17,662 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 82 | $361,246 | +58% | $57,478 |
| 481 Hip and Femur Procedures except Major Joint with CC | 80 | $111,306 | +10% | $19,964 |
| 603 Cellulitis without MCC | 80 | $56,610 | +52% | $8,980 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 79 | $81,476 | +66% | $11,393 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 78 | $203,328 | -12% | $39,140 |
| 100 Seizures with MCC | 76 | $138,457 | +47% | $22,600 |
| 552 Medical Back Problems without MCC | 76 | $71,438 | +46% | $9,673 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 75 | $76,028 | +36% | $9,945 |
| 312 Syncope and Collapse | 73 | $68,987 | +51% | $9,827 |
| 101 Seizures without MCC | 72 | $64,085 | +31% | $10,004 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 67 | $73,354 | -21% | $16,775 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 63 | $46,047 | +60% | $5,941 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 63 | $109,743 | +80% | $13,604 |
| 812 Red Blood Cell Disorders without MCC | 63 | $75,104 | +69% | $8,919 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 62 | $107,070 | +89% | $14,337 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 59 | $66,650 | +32% | $10,165 |
| 329 Major Small and Large Bowel Procedures with MCC | 59 | $297,010 | +38% | $44,197 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 58 | $80,103 | +25% | $10,903 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $81,278 | +41% | $11,972 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 52 | $181,033 | +33% | $25,318 |
| 314 Other Circulatory System Diagnoses with MCC | 52 | $147,519 | +56% | $22,783 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 52 | $110,840 | +8% | $18,682 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $62,541 | +69% | $7,763 |
| 194 Simple Pneumonia and Pleurisy with CC | 51 | $68,344 | +78% | $8,582 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 51 | $137,017 | +23% | $19,909 |
| 330 Major Small and Large Bowel Procedures with CC | 51 | $162,407 | +36% | $25,494 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 50 | $178,742 | +11% | $33,414 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 49 | $255,587 | -9% | $54,676 |
| 039 Extracranial Procedures without CC/MCC | 48 | $42,809 | -33% | $10,777 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 46 | $199,778 | -28% | $52,221 |
| 305 Hypertension without MCC | 45 | $54,091 | +35% | $7,106 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 44 | $273,370 | -7% | $55,823 |
| 811 Red Blood Cell Disorders with MCC | 44 | $134,119 | +97% | $16,123 |
| 056 Degenerative Nervous System Disorders with MCC | 43 | $141,855 | +48% | $21,461 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 43 | $364,309 | -9% | $81,193 |
| 460 Spinal Fusion except Cervical without MCC | 41 | $135,258 | -21% | $37,948 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 41 | $76,474 | +61% | $9,583 |
Showing the 60 most frequent of 211 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jersey Shore University Medical Center charged $143,165 on average, 9% more than the New Jersey average of $131,698, and was paid $19,171 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Jersey Shore University Medical Center charged $101,200 on average, 4% more than the New Jersey average of $97,469, and was paid $12,844 against a state average of $12,811. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Jersey Shore University Medical Center charged $196,087 on average, 47% less than the New Jersey average of $366,899, and was paid $53,827 against a state average of $61,658. For Respiratory Infections and Inflammations with MCC (DRG 177), Jersey Shore University Medical Center charged $104,070 on average, 11% less than the New Jersey average of $117,022, and was paid $15,706 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,207 was 18% below the state average of $34,388. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,793 was 26% below the state average of $29,645. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $52,819 was 29% below the state average of $74,628. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $95,696 was 39% below the state average of $156,740.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jersey Shore University Medical Center in Neptune, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-07-20 (CMS case 413)
- CAP Request — 2022-01-12 (CMS case 413)
- Closure Notice — 2022-07-13 (CMS case 413)
- Met Requirements — 2023-12-18 (CMS case 1980)
- Met Requirements — 2025-03-21 (CMS case 3354)
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.