New Jersey / Monmouth Medical Center

CMS certification 310075 · Long Branch, NJ · 4 entries in CMS's price-transparency list

Monmouth Medical Center: charges and Medicare payments

Monmouth Medical Center reported 1,896 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 5.27 times what it was paid — among the lower ratios in New Jersey, number 45 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: 190 stays at an average charge of $113,599, 26% above the national average. It also billed 2,484 outpatient services, charging 5.54 times what Medicare paid.

1Medicare inpatient stays 1,896
2Charge ÷ paid, inpatient 5.27×
3Rank in NJ (highest ratio = 1) 45 of 60
4CMS price-transparency actions 4

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

Inpatient stays

For the 72 DRGs that can be compared with the national average, Monmouth Medical Center charged more than the national average in 57 (79%). 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	190	$113,599	+26%	$21,274
291 Heart Failure and Shock with MCC	113	$92,225	+64%	$14,223
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	67	$55,683	+39%	$9,721
470 Major Hip and Knee Joint Replacement or Reattachment of...	60	$67,374	-28%	$20,447
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	58	$73,476	+50%	$11,931
690 Kidney and Urinary Tract Infections without MCC	54	$57,212	+51%	$9,524
603 Cellulitis without MCC	46	$55,079	+48%	$11,457
177 Respiratory Infections and Inflammations with MCC	45	$85,931	+22%	$17,778
698 Other Kidney and Urinary Tract Diagnoses with MCC	44	$101,313	+38%	$16,727
193 Simple Pneumonia and Pleurisy with MCC	43	$89,863	+50%	$15,095
689 Kidney and Urinary Tract Infections with MCC	39	$85,047	+66%	$13,729
312 Syncope and Collapse	38	$59,104	+30%	$10,097
378 Gastrointestinal Hemorrhage with CC	36	$79,003	+63%	$12,009
552 Medical Back Problems without MCC	33	$47,879	-2%	$11,199
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$102,535	+70%	$14,589
682 Renal Failure with MCC	28	$95,726	+45%	$17,026
853 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$274,089	+20%	$55,300
330 Major Small and Large Bowel Procedures with CC	27	$129,389	+9%	$26,755
460 Spinal Fusion except Cervical without MCC	27	$144,356	-15%	$41,417
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	25	$100,708	-2%	$22,664
699 Other Kidney and Urinary Tract Diagnoses with CC	25	$73,761	+55%	$11,341
164 Major Chest Procedures with CC	24	$128,263	+1%	$27,631
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	24	$47,484	+65%	$6,702
377 Gastrointestinal Hemorrhage with MCC	23	$97,738	+14%	$20,126
683 Renal Failure with CC	23	$69,995	+72%	$11,222
194 Simple Pneumonia and Pleurisy with CC	22	$63,600	+66%	$10,285
389 Gastrointestinal Obstruction with CC	22	$69,127	+78%	$9,971
394 Other Digestive System Diagnoses with CC	22	$65,941	+40%	$10,630
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	22	$161,575	-20%	$47,519
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$57,121	+54%	$8,989
812 Red Blood Cell Disorders without MCC	22	$57,928	+31%	$10,733
178 Respiratory Infections and Inflammations with CC	21	$56,501	+25%	$12,025
309 Cardiac Arrhythmia and Conduction Disorders with CC	21	$66,776	+85%	$9,592
287 Circulatory Disorders except AMI, with Cardiac...	20	$74,561	+17%	$13,880
328 Stomach, Esophageal and Duodenal Procedures without CC/MCC	20	$71,756	-17%	$18,044
331 Major Small and Large Bowel Procedures without CC/MCC	20	$74,740	-13%	$17,993
481 Hip and Femur Procedures except Major Joint with CC	19	$104,192	+3%	$19,634
638 Diabetes with CC	19	$67,323	+62%	$9,883
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	18	$206,221	+107%	$31,974
191 Chronic Obstructive Pulmonary Disease with CC	18	$73,328	+85%	$9,946
322 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$103,530	-10%	$19,792
329 Major Small and Large Bowel Procedures with MCC	18	$240,414	+12%	$41,849
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$78,405	+28%	$14,830
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	17	$86,309	+55%	$12,036
454 Combined Anterior and Posterior Spinal Fusion with CC	17	$194,916	-30%	$62,109
165 Major Chest Procedures without CC/MCC	16	$99,587	-4%	$21,997
149 Dysequilibrium	15	$55,586	+25%	$9,208
280 Acute Myocardial Infarction, Discharged Alive with MCC	15	$103,587	+37%	$13,417
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$89,802	+59%	$12,226
313 Chest Pain	15	$57,166	+43%	$8,687
813 Coagulation Disorders	15	$85,740	+7%	$16,066
321 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$153,738	-6%	$32,700
472 Cervical Spinal Fusion with CC	14	$91,988	-36%	$36,746
811 Red Blood Cell Disorders with MCC	14	$109,820	+61%	$16,487
948 Signs and Symptoms without MCC	14	$56,349	+48%	$9,599
057 Degenerative Nervous System Disorders without MCC	13	$58,322	+3%	$14,332
190 Chronic Obstructive Pulmonary Disease with MCC	13	$103,377	+104%	$13,530
372 Major Gastrointestinal Disorders and Peritoneal Infections...	13	$67,756	+43%	$11,682
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	13	$50,790	+19%	$9,434
884 Organic Disturbances and Intellectual Disability	13	$66,311	+6%	$15,516

Showing the 60 most frequent of 72 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	404	$25,386	$2,684
Level 5 Musculoskeletal Procedures	302	$47,064	$13,479
Level 2 Excision/ Biopsy/ Incision and Drainage	236	$7,082	$1,558
Level 3 Urology and Related Services	146	$9,749	$2,013
Level 4 Musculoskeletal Procedures	122	$34,102	$7,145
Level 4 Urology and Related Services	110	$12,662	$3,461
Level 1 Endovascular Procedures	95	$23,572	$3,381
Level 4 Airway Endoscopy	90	$23,483	$3,724
Level 2 Upper GI Procedures	88	$9,215	$1,782
Level 1 Laparoscopy and Related Services	88	$24,294	$5,673
Level 6 Musculoskeletal Procedures	78	$61,896	$19,243
Level 5 Urology and Related Services	73	$22,217	$4,886
Level 3 Vascular Procedures	64	$14,381	$3,168
Level 3 Excision/ Biopsy/ Incision and Drainage	56	$15,829	$2,926
Level 4 Gynecologic Procedures	56	$13,354	$3,125
Level 3 Endovascular Procedures	52	$55,169	$11,262
Level 2 Laparoscopy and Related Services	49	$48,044	$10,522
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	47	$19,502	$3,543
Level 3 Lower GI Procedures	38	$11,415	$2,812
Level 1 Breast/Lymphatic Surgery and Related Procedures	35	$17,036	$3,581
Level 3 Musculoskeletal Procedures	33	$19,571	$3,348
Level 2 Breast/Lymphatic Surgery and Related Procedures	32	$32,260	$6,740
Level 3 Airway Endoscopy	30	$9,128	$1,799
Level 2 Urology and Related Services	27	$7,028	$703
Level 5 Airway Endoscopy	24	$25,134	$7,255

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Monmouth Medical Center charged $113,599 on average, 14% less than the New Jersey average of $131,698, and was paid $21,274 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Monmouth Medical Center charged $92,225 on average, 5% less than the New Jersey average of $97,469, and was paid $14,223 against a state average of $12,811. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Monmouth Medical Center charged $55,683 on average, 7% less than the New Jersey average of $59,791, and was paid $9,721 against a state average of $7,933. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Monmouth Medical Center charged $67,374 on average, 27% less than the New Jersey average of $92,200, and was paid $20,447 against a state average of $17,543. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,386 was 26% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,064 was 26% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,082 was 45% below the state average of $12,828. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,749 was 43% below the state average of $16,966.

Price-transparency record

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

Warning Notice — 2021-05-18 (CMS case 104)
CAP Request — 2021-10-27 (CMS case 104)
Closure Notice — 2022-07-20 (CMS case 104)
Met Requirements — 2025-03-26 (CMS case 3420)

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.