Newton Medical Center: charges and Medicare payments

Newton Medical Center reported 2,387 Medicare inpatient stays across 65 DRGs in 2024. Across them it charged 13.38 times what it was paid — among the higher ratios in New Jersey, number 5 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: 287 stays at an average charge of $198,099, 119% above the national average. It also billed 1,080 outpatient services, charging 14.3 times what Medicare paid.

1Medicare inpatient stays 2,387
2Charge ÷ paid, inpatient 13.38×
3Rank in NJ (highest ratio = 1) 5 of 60
4CMS price-transparency actions 0

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

Inpatient stays

For the 65 DRGs that can be compared with the national average, Newton Medical Center charged more than the national average in 65 (100%). 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	287	$198,099	+119%	$15,585
291 Heart Failure and Shock with MCC	189	$141,821	+152%	$10,227
603 Cellulitis without MCC	92	$86,940	+133%	$7,337
193 Simple Pneumonia and Pleurisy with MCC	89	$169,002	+183%	$10,878
689 Kidney and Urinary Tract Infections with MCC	81	$152,560	+197%	$9,550
177 Respiratory Infections and Inflammations with MCC	78	$179,568	+154%	$12,941
280 Acute Myocardial Infarction, Discharged Alive with MCC	76	$200,594	+165%	$12,538
690 Kidney and Urinary Tract Infections without MCC	74	$104,200	+176%	$6,687
698 Other Kidney and Urinary Tract Diagnoses with MCC	72	$174,179	+137%	$14,373
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	65	$124,460	+154%	$8,480
190 Chronic Obstructive Pulmonary Disease with MCC	56	$160,202	+217%	$9,418
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	55	$86,374	+115%	$6,216
378 Gastrointestinal Hemorrhage with CC	54	$127,834	+163%	$7,681
194 Simple Pneumonia and Pleurisy with CC	47	$101,728	+165%	$6,703
853 Infectious and Parasitic Diseases with O.R. Procedures with...	45	$440,617	+92%	$43,933
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	43	$128,726	+131%	$8,121
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$89,832	+142%	$6,438
309 Cardiac Arrhythmia and Conduction Disorders with CC	42	$84,384	+134%	$5,767
281 Acute Myocardial Infarction, Discharged Alive with CC	38	$108,503	+115%	$7,973
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$114,955	+91%	$10,262
682 Renal Failure with MCC	32	$163,549	+148%	$11,386
308 Cardiac Arrhythmia and Conduction Disorders with MCC	30	$169,745	+200%	$9,502
178 Respiratory Infections and Inflammations with CC	29	$130,670	+188%	$8,294
377 Gastrointestinal Hemorrhage with MCC	29	$190,873	+124%	$13,669
312 Syncope and Collapse	28	$105,724	+132%	$7,280
683 Renal Failure with CC	28	$106,606	+162%	$7,075
552 Medical Back Problems without MCC	26	$105,572	+116%	$7,424
602 Cellulitis with MCC	25	$167,941	+179%	$13,408
812 Red Blood Cell Disorders without MCC	23	$121,333	+173%	$7,168
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	21	$158,007	+58%	$14,201
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	21	$124,016	+90%	$10,923
287 Circulatory Disorders except AMI, with Cardiac...	21	$118,334	+85%	$9,250
286 Circulatory Disorders except AMI, with Cardiac...	20	$191,234	+70%	$16,378
372 Major Gastrointestinal Disorders and Peritoneal Infections...	20	$102,898	+117%	$8,212
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$132,487	+117%	$10,849
699 Other Kidney and Urinary Tract Diagnoses with CC	20	$271,606	+472%	$17,027
069 Transient Ischemia without Thrombolytic	19	$108,097	+114%	$6,332
191 Chronic Obstructive Pulmonary Disease with CC	19	$95,151	+140%	$7,378
202 Bronchitis and Asthma with CC/MCC	19	$109,008	+136%	$8,358
638 Diabetes with CC	19	$130,300	+213%	$7,681
481 Hip and Femur Procedures except Major Joint with CC	18	$157,408	+56%	$15,834
884 Organic Disturbances and Intellectual Disability	18	$129,574	+108%	$12,860
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	17	$71,551	+149%	$4,517
389 Gastrointestinal Obstruction with CC	17	$72,566	+86%	$6,804
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	17	$82,322	+93%	$7,038
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	16	$90,031	+108%	$6,592
394 Other Digestive System Diagnoses with CC	16	$114,035	+142%	$7,417
432 Cirrhosis and Alcoholic Hepatitis with MCC	16	$207,832	+117%	$14,792
536 Fractures of Hip and Pelvis without MCC	16	$85,239	+126%	$6,144
813 Coagulation Disorders	16	$148,287	+85%	$11,910
305 Hypertension without MCC	15	$85,343	+113%	$6,991
637 Diabetes with MCC	15	$123,699	+86%	$11,002
176 Pulmonary Embolism without MCC	14	$88,007	+112%	$6,364
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$155,425	+58%	$19,368
092 Other Disorders of Nervous System with CC	13	$105,693	+105%	$7,966
149 Dysequilibrium	13	$110,918	+150%	$5,915
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$186,065	+82%	$18,915
556 Signs and Symptoms of Musculoskeletal System and Connective...	13	$85,833	+113%	$6,505
543 Pathological Fractures and Musculoskeletal and Connective...	12	$117,190	+139%	$8,391
811 Red Blood Cell Disorders with MCC	12	$165,933	+143%	$10,618

Showing the 60 most frequent of 65 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	361	$42,530	$2,834
Level 5 Urology and Related Services	83	$35,981	$5,313
Level 2 Excision/ Biopsy/ Incision and Drainage	82	$22,542	$1,684
Level 3 Urology and Related Services	69	$34,970	$2,078
Level 4 Urology and Related Services	56	$34,137	$3,598
Level 1 Endovascular Procedures	49	$40,337	$3,367
Level 1 Laparoscopy and Related Services	49	$65,494	$6,041
Level 3 Vascular Procedures	43	$29,970	$3,337
Level 3 Musculoskeletal Procedures	39	$35,380	$3,319
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	37	$45,611	$3,622
Level 3 Excision/ Biopsy/ Incision and Drainage	34	$28,811	$2,975
Level 1 Nerve Procedures	32	$16,731	$1,971
Level 2 Upper GI Procedures	29	$11,564	$1,992
Level 2 Musculoskeletal Procedures	25	$25,430	$1,683
Level 4 Musculoskeletal Procedures	22	$74,346	$7,490
Level 5 Musculoskeletal Procedures	22	$111,435	$13,755
Level 2 Vascular Procedures	22	$13,258	$1,677
Level 4 Gynecologic Procedures	15	$31,921	$3,273
Level 1 Breast/Lymphatic Surgery and Related Procedures	11	$46,841	$3,991

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Newton Medical Center charged $198,099 on average, 50% more than the New Jersey average of $131,698, and was paid $15,585 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Newton Medical Center charged $141,821 on average, 46% more than the New Jersey average of $97,469, and was paid $10,227 against a state average of $12,811. For Cellulitis without MCC (DRG 603), Newton Medical Center charged $86,940 on average, 39% more than the New Jersey average of $62,724, and was paid $7,337 against a state average of $8,919. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Newton Medical Center charged $169,002 on average, 69% more than the New Jersey average of $100,241, and was paid $10,878 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,530 was 24% above the state average of $34,388. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $35,981 was 22% above the state average of $29,528. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $22,542 was 76% above the state average of $12,828. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $34,970 was 106% above the state average of $16,966.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.