New Jersey / Newark Beth Israel Medical Center
CMS certification 310002 · Newark, NJ · 4 entries in CMS's price-transparency list
Newark Beth Israel Medical Center: charges and Medicare payments
Newark Beth Israel Medical Center reported 860 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 6.09 times what it was paid — mid-range in New Jersey, number 34 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: 137 stays at an average charge of $172,078, 91% above the national average. It also billed 863 outpatient services, charging 6.14 times what Medicare paid.
- 1Medicare inpatient stays 860
- 2Charge ÷ paid, inpatient 6.09×
- 3Rank in NJ (highest ratio = 1) 34 of 60
- 4CMS price-transparency actions 4
Inpatient stays
For the 35 DRGs that can be compared with the national average, Newark Beth Israel Medical Center charged more than the national average in 32 (91%). 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 | 137 | $172,078 | +91% | $26,530 |
| 291 Heart Failure and Shock with MCC | 68 | $134,505 | +139% | $19,708 |
| 812 Red Blood Cell Disorders without MCC | 63 | $79,582 | +79% | $14,824 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 39 | $78,525 | -50% | $38,224 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $490,379 | +114% | $79,291 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $140,604 | +85% | $21,445 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 36 | $612,337 | +89% | $91,785 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 29 | $156,434 | -29% | $53,896 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $107,818 | +120% | $17,053 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $148,298 | +146% | $21,673 |
| 252 Other Vascular Procedures with MCC | 21 | $325,448 | +90% | $43,518 |
| 682 Renal Failure with MCC | 21 | $131,910 | +100% | $19,993 |
| 811 Red Blood Cell Disorders with MCC | 21 | $153,910 | +126% | $20,774 |
| 884 Organic Disturbances and Intellectual Disability | 18 | $137,230 | +120% | $22,063 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $136,845 | +129% | $20,108 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $210,462 | +87% | $31,250 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $296,102 | +247% | $28,438 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $150,159 | +193% | $18,047 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $200,559 | +111% | $35,505 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $124,850 | +120% | $20,431 |
| 638 Diabetes with CC | 14 | $128,738 | +209% | $14,229 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $73,278 | +94% | $13,081 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $109,880 | +126% | $16,537 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $78,481 | +112% | $12,061 |
| 683 Renal Failure with CC | 13 | $71,112 | +75% | $14,346 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $118,023 | +112% | $14,493 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $174,044 | +147% | $23,464 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 12 | $246,087 | -14% | $67,732 |
| 312 Syncope and Collapse | 12 | $100,841 | +121% | $13,976 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 11 | $1,027,835 | +68% | $137,789 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $369,890 | +43% | $71,074 |
| 300 Peripheral Vascular Disorders with CC | 11 | $104,047 | +111% | $15,117 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $123,189 | +8% | $27,648 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $132,639 | +117% | $20,772 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $218,918 | +185% | $26,543 |
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Newark Beth Israel Medical Center charged $172,078 on average, 31% more than the New Jersey average of $131,698, and was paid $26,530 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Newark Beth Israel Medical Center charged $134,505 on average, 38% more than the New Jersey average of $97,469, and was paid $19,708 against a state average of $12,811. For Red Blood Cell Disorders without MCC (DRG 812), Newark Beth Israel Medical Center charged $79,582 on average, 9% more than the New Jersey average of $72,919, and was paid $14,824 against a state average of $9,519. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Newark Beth Israel Medical Center charged $78,525 on average, 58% less than the New Jersey average of $186,120, and was paid $38,224 against a state average of $32,070. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,374 was 29% below the state average of $34,388. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,394 was 18% below the state average of $29,645. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $58,155 was 22% below the state average of $74,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,029 was 22% below the state average of $12,828.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Newark Beth Israel Medical Center in Newark, 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 80)
- CAP Request — 2021-10-27 (CMS case 80)
- Closure Notice — 2022-07-18 (CMS case 80)
- Met Requirements — 2025-03-25 (CMS case 3393)
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.