New Jersey / Jfk University Medical Center

CMS certification 310108 · Edison, NJ · 2 entries in CMS's price-transparency list

Jfk University Medical Center: charges and Medicare payments

Jfk University Medical Center reported 4,281 Medicare inpatient stays across 107 DRGs in 2024. Across them it charged 6.36 times what it was paid — mid-range in New Jersey, number 26 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: 651 stays at an average charge of $123,997, 37% above the national average. It also billed 3,347 outpatient services, charging 7.11 times what Medicare paid.

1Medicare inpatient stays 4,281
2Charge ÷ paid, inpatient 6.36×
3Rank in NJ (highest ratio = 1) 26 of 60
4CMS price-transparency actions 2

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

Inpatient stays

For the 107 DRGs that can be compared with the national average, Jfk University Medical Center charged more than the national average in 90 (84%). 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	651	$123,997	+37%	$18,124
291 Heart Failure and Shock with MCC	252	$93,373	+66%	$12,410
177 Respiratory Infections and Inflammations with MCC	189	$109,384	+55%	$15,800
193 Simple Pneumonia and Pleurisy with MCC	136	$96,794	+62%	$12,350
689 Kidney and Urinary Tract Infections with MCC	110	$88,596	+73%	$11,371
698 Other Kidney and Urinary Tract Diagnoses with MCC	101	$99,470	+35%	$15,152
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	98	$73,805	+50%	$10,883
682 Renal Failure with MCC	85	$102,658	+56%	$14,306
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	83	$111,426	+12%	$16,694
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	79	$86,243	+43%	$12,170
690 Kidney and Urinary Tract Infections without MCC	74	$55,138	+46%	$7,811
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	71	$67,843	+22%	$9,921
603 Cellulitis without MCC	66	$57,055	+53%	$9,685
683 Renal Failure with CC	66	$56,565	+39%	$9,989
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	65	$59,220	+47%	$8,194
378 Gastrointestinal Hemorrhage with CC	63	$66,317	+37%	$9,332
853 Infectious and Parasitic Diseases with O.R. Procedures with...	61	$296,587	+30%	$46,862
377 Gastrointestinal Hemorrhage with MCC	59	$113,847	+33%	$16,236
309 Cardiac Arrhythmia and Conduction Disorders with CC	49	$49,577	+37%	$7,490
189 Pulmonary Edema and Respiratory Failure	45	$97,187	+69%	$12,736
164 Major Chest Procedures with CC	44	$80,718	-37%	$24,093
812 Red Blood Cell Disorders without MCC	44	$70,152	+58%	$9,908
870 Septicemia or Severe Sepsis with MV >96 Hours	44	$342,277	+6%	$58,621
101 Seizures without MCC	43	$52,859	+8%	$9,635
025 Craniotomy and Endovascular Intracranial Procedures with MCC	41	$255,957	+11%	$44,895
286 Circulatory Disorders except AMI, with Cardiac...	41	$139,509	+24%	$18,051
308 Cardiac Arrhythmia and Conduction Disorders with MCC	39	$100,562	+78%	$14,124
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$49,525	+34%	$7,851
637 Diabetes with MCC	36	$100,544	+51%	$12,958
314 Other Circulatory System Diagnoses with MCC	33	$132,565	+40%	$21,042
329 Major Small and Large Bowel Procedures with MCC	33	$225,229	+5%	$40,563
393 Other Digestive System Diagnoses with MCC	33	$102,036	+33%	$14,549
481 Hip and Femur Procedures except Major Joint with CC	32	$89,829	-11%	$20,656
312 Syncope and Collapse	31	$50,762	+11%	$8,515
057 Degenerative Nervous System Disorders without MCC	30	$61,078	+8%	$11,679
305 Hypertension without MCC	30	$51,926	+29%	$7,693
194 Simple Pneumonia and Pleurisy with CC	29	$66,519	+73%	$7,782
299 Peripheral Vascular Disorders with MCC	29	$87,826	+17%	$14,562
300 Peripheral Vascular Disorders with CC	29	$65,838	+33%	$9,996
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	29	$263,275	+22%	$48,420
023 Craniotomy with Major Device Implant or Acute Complex Cns...	28	$251,429	-11%	$46,528
163 Major Chest Procedures with MCC	28	$129,685	-38%	$40,178
190 Chronic Obstructive Pulmonary Disease with MCC	28	$77,256	+53%	$10,459
389 Gastrointestinal Obstruction with CC	28	$54,676	+40%	$8,379
552 Medical Back Problems without MCC	28	$70,002	+43%	$9,331
270 Other Major Cardiovascular Procedures with MCC	27	$308,202	+19%	$50,399
287 Circulatory Disorders except AMI, with Cardiac...	27	$75,959	+19%	$10,070
280 Acute Myocardial Infarction, Discharged Alive with MCC	26	$98,785	+30%	$15,548
699 Other Kidney and Urinary Tract Diagnoses with CC	26	$63,683	+34%	$9,595
811 Red Blood Cell Disorders with MCC	26	$91,880	+35%	$13,017
638 Diabetes with CC	25	$52,655	+26%	$8,266
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$87,765	+44%	$12,799
178 Respiratory Infections and Inflammations with CC	23	$59,494	+31%	$10,249
394 Other Digestive System Diagnoses with CC	23	$60,090	+28%	$9,013
602 Cellulitis with MCC	23	$81,456	+35%	$13,351
056 Degenerative Nervous System Disorders with MCC	22	$162,130	+69%	$26,628
100 Seizures with MCC	22	$110,858	+17%	$17,065
264 Other Circulatory System O.R. Procedures	22	$182,683	+22%	$31,144
271 Other Major Cardiovascular Procedures with CC	21	$202,733	+17%	$33,233
208 Respiratory System Diagnosis with Ventilator Support <=96...	20	$153,122	+13%	$22,819

Showing the 60 most frequent of 107 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	638	$28,625	$2,847
Level 1 Endovascular Procedures	413	$23,484	$3,405
Level 1 Intraocular Procedures	227	$12,420	$2,464
Level 3 Endovascular Procedures	181	$57,321	$11,603
Level 2 Excision/ Biopsy/ Incision and Drainage	177	$9,981	$1,675
Level 1 Laparoscopy and Related Services	125	$34,513	$6,043
Level 5 Musculoskeletal Procedures	109	$51,146	$13,811
Level 2 Upper GI Procedures	109	$12,791	$2,005
Level 3 Vascular Procedures	106	$16,433	$3,358
Level 2 Endovascular Procedures	89	$34,238	$6,044
Level 3 Excision/ Biopsy/ Incision and Drainage	87	$21,532	$2,987
Level 4 Urology and Related Services	87	$19,948	$3,699
Level 5 Urology and Related Services	86	$23,633	$5,439
Level 4 Musculoskeletal Procedures	66	$33,428	$7,475
Level 4 Airway Endoscopy	62	$32,606	$3,930
Level 3 Urology and Related Services	57	$12,719	$2,103
Level 1 Nerve Procedures	52	$14,207	$2,048
Level 3 Extraocular, Repair, and Plastic Eye Procedures	45	$20,980	$2,479
Level 3 Musculoskeletal Procedures	44	$16,906	$3,356
Level 2 Vascular Procedures	43	$8,932	$1,699
Level 4 Endovascular Procedures	42	$68,414	$18,202
Level 3 Lower GI Procedures	42	$17,264	$2,979
Level 3 Pacemaker and Similar Procedures	41	$44,306	$11,315
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	32	$19,947	$3,670
Level 4 Vascular Procedures	31	$41,087	$5,830

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jfk University Medical Center charged $123,997 on average, 6% less than the New Jersey average of $131,698, and was paid $18,124 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Jfk University Medical Center charged $93,373 on average, 4% less than the New Jersey average of $97,469, and was paid $12,410 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), Jfk University Medical Center charged $109,384 on average, 7% less than the New Jersey average of $117,022, and was paid $15,800 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Jfk University Medical Center charged $96,794 on average, 3% less than the New Jersey average of $100,241, and was paid $12,350 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,625 was 17% below the state average of $34,388. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,484 was 21% below the state average of $29,645. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,420 was 38% below the state average of $20,104. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $57,321 was 23% below the state average of $74,628.

Price-transparency record

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

Warning Notice — 2025-02-28 (CMS case 3143)
Closure Notice — 2025-03-20 (CMS case 3143)

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.