New Jersey / Monmouth Medical Center-Southern Campus
CMS certification 310084 · Lakewood, NJ · 1 entry in CMS's price-transparency list
Monmouth Medical Center-Southern Campus: charges and Medicare payments
Monmouth Medical Center-Southern Campus reported 1,298 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 6.77 times what it was paid — mid-range in New Jersey, number 22 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: 314 stays at an average charge of $111,058, 23% above the national average. It also billed 595 outpatient services, charging 6.27 times what Medicare paid.
- 1Medicare inpatient stays 1,298
- 2Charge ÷ paid, inpatient 6.77×
- 3Rank in NJ (highest ratio = 1) 22 of 60
- 4CMS price-transparency actions 1
Inpatient stays
For the 34 DRGs that can be compared with the national average, Monmouth Medical Center-Southern Campus charged more than the national average in 33 (97%). 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 | 314 | $111,058 | +23% | $17,329 |
| 885 Psychoses | 209 | $70,309 | +60% | $12,183 |
| 291 Heart Failure and Shock with MCC | 92 | $100,316 | +78% | $11,278 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $107,282 | +80% | $11,776 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 50 | $78,566 | +60% | $9,172 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $78,985 | +54% | $11,949 |
| 690 Kidney and Urinary Tract Infections without MCC | 39 | $54,875 | +45% | $7,255 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $98,874 | +40% | $14,055 |
| 312 Syncope and Collapse | 34 | $62,064 | +36% | $8,152 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $74,989 | +2% | $13,418 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $58,725 | +46% | $7,135 |
| 683 Renal Failure with CC | 29 | $81,561 | +100% | $8,293 |
| 603 Cellulitis without MCC | 24 | $56,775 | +52% | $7,854 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 24 | $393,087 | +22% | $65,552 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $73,665 | +92% | $7,037 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $87,841 | +46% | $11,095 |
| 682 Renal Failure with MCC | 21 | $99,550 | +51% | $12,734 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $91,542 | +81% | $9,880 |
| 389 Gastrointestinal Obstruction with CC | 17 | $61,920 | +59% | $6,576 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $112,109 | +11% | $18,979 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $54,818 | +48% | $7,205 |
| 069 Transient Ischemia without Thrombolytic | 15 | $61,834 | +23% | $7,360 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $115,236 | +15% | $15,611 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $247,636 | +8% | $47,805 |
| 313 Chest Pain | 13 | $52,895 | +32% | $6,700 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $60,669 | +42% | $15,395 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 12 | $485,394 | -21% | $82,725 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $98,364 | +77% | $11,772 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $81,546 | +80% | $10,065 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $61,354 | +55% | $10,218 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $81,664 | +8% | $12,677 |
| 101 Seizures without MCC | 11 | $59,768 | +23% | $7,743 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $84,597 | +39% | $8,996 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $75,304 | +59% | $10,100 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Intraocular Procedures | 171 | $17,477 | $4,158 |
| Comprehensive Observation Services | 97 | $25,320 | $2,819 |
| Level 3 Urology and Related Services | 61 | $9,776 | $2,104 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 58 | $8,155 | $1,615 |
| Level 5 Urology and Related Services | 37 | $17,523 | $5,417 |
| Level 4 Urology and Related Services | 35 | $14,059 | $3,567 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 22 | $14,876 | $2,867 |
| Level 3 Musculoskeletal Procedures | 22 | $18,411 | $3,266 |
| Level 3 Vascular Procedures | 22 | $15,615 | $3,216 |
| Level 1 Laparoscopy and Related Services | 16 | $20,922 | $6,041 |
| Level 4 Musculoskeletal Procedures | 15 | $35,062 | $7,092 |
| Level 2 Urology and Related Services | 15 | $6,214 | $715 |
| Level 2 Vascular Procedures | 12 | $11,304 | $1,677 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $15,022 | $3,622 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Monmouth Medical Center-Southern Campus charged $111,058 on average, 16% less than the New Jersey average of $131,698, and was paid $17,329 against a state average of $19,296. For Psychoses (DRG 885), Monmouth Medical Center-Southern Campus charged $70,309 on average, 24% less than the New Jersey average of $91,986, and was paid $12,183 against a state average of $15,005. For Heart Failure and Shock with MCC (DRG 291), Monmouth Medical Center-Southern Campus charged $100,316 on average, 3% more than the New Jersey average of $97,469, and was paid $11,278 against a state average of $12,811. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Monmouth Medical Center-Southern Campus charged $107,282 on average, 7% more than the New Jersey average of $100,241, and was paid $11,776 against a state average of $13,150. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $17,477 was 28% below the state average of $24,302. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,320 was 26% below the state average of $34,388. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,776 was 42% below the state average of $16,966. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,155 was 36% below the state average of $12,828.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Monmouth Medical Center-Southern Campus in Lakewood, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-01 (CMS case 6071)
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.