New Jersey / Ocean University Medical Center

CMS certification 310052 · Brick, NJ · 3 entries in CMS's price-transparency list

Ocean University Medical Center: charges and Medicare payments

Ocean University Medical Center reported 5,568 Medicare inpatient stays across 131 DRGs in 2024. Across them it charged 6.31 times what it was paid — mid-range in New Jersey, number 28 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: 498 stays at an average charge of $122,354, 36% above the national average. It also billed 4,477 outpatient services, charging 6.57 times what Medicare paid.

1Medicare inpatient stays 5,568
2Charge ÷ paid, inpatient 6.31×
3Rank in NJ (highest ratio = 1) 28 of 60
4CMS price-transparency actions 3

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

Inpatient stays

For the 131 DRGs that can be compared with the national average, Ocean University Medical Center charged more than the national average in 117 (89%). 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	498	$122,354	+36%	$19,389
291 Heart Failure and Shock with MCC	357	$91,479	+62%	$12,618
193 Simple Pneumonia and Pleurisy with MCC	198	$78,382	+31%	$12,684
177 Respiratory Infections and Inflammations with MCC	188	$97,299	+38%	$16,384
698 Other Kidney and Urinary Tract Diagnoses with MCC	144	$91,296	+24%	$15,123
378 Gastrointestinal Hemorrhage with CC	140	$69,785	+44%	$9,479
690 Kidney and Urinary Tract Infections without MCC	137	$53,888	+42%	$8,196
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	126	$59,467	+48%	$8,341
689 Kidney and Urinary Tract Infections with MCC	124	$72,750	+42%	$10,936
683 Renal Failure with CC	121	$67,067	+65%	$9,344
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	121	$65,606	+34%	$10,080
603 Cellulitis without MCC	116	$51,817	+39%	$9,634
682 Renal Failure with MCC	98	$101,740	+54%	$14,404
481 Hip and Femur Procedures except Major Joint with CC	94	$99,927	-1%	$19,295
377 Gastrointestinal Hemorrhage with MCC	90	$102,220	+20%	$17,352
280 Acute Myocardial Infarction, Discharged Alive with MCC	88	$112,698	+49%	$14,833
189 Pulmonary Edema and Respiratory Failure	87	$78,016	+36%	$12,492
853 Infectious and Parasitic Diseases with O.R. Procedures with...	85	$272,003	+19%	$48,107
309 Cardiac Arrhythmia and Conduction Disorders with CC	59	$58,335	+62%	$7,261
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	56	$77,057	+38%	$10,029
194 Simple Pneumonia and Pleurisy with CC	56	$54,937	+43%	$7,693
329 Major Small and Large Bowel Procedures with MCC	55	$250,936	+17%	$43,382
812 Red Blood Cell Disorders without MCC	55	$76,882	+73%	$9,057
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$85,812	+42%	$12,843
190 Chronic Obstructive Pulmonary Disease with MCC	53	$69,123	+37%	$11,052
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	52	$116,381	+17%	$17,266
312 Syncope and Collapse	51	$73,064	+60%	$8,912
330 Major Small and Large Bowel Procedures with CC	51	$148,074	+24%	$25,127
480 Hip and Femur Procedures except Major Joint with MCC	45	$148,021	+7%	$26,542
308 Cardiac Arrhythmia and Conduction Disorders with MCC	44	$99,701	+76%	$12,216
322 Percutaneous Cardiovascular Procedures with Intraluminal...	44	$104,852	-8%	$21,176
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	43	$103,397	+1%	$19,861
286 Circulatory Disorders except AMI, with Cardiac...	41	$152,727	+36%	$21,929
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	41	$90,076	+48%	$12,340
699 Other Kidney and Urinary Tract Diagnoses with CC	41	$66,817	+41%	$10,729
811 Red Blood Cell Disorders with MCC	41	$117,311	+72%	$14,487
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	40	$66,958	+81%	$9,099
178 Respiratory Infections and Inflammations with CC	39	$73,330	+62%	$10,405
638 Diabetes with CC	38	$66,609	+60%	$8,945
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$58,523	+58%	$7,742
281 Acute Myocardial Infarction, Discharged Alive with CC	37	$57,201	+13%	$8,253
321 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$182,147	+11%	$29,132
418 Laparoscopic Cholecystectomy without C.D.E. with CC	35	$100,213	+8%	$16,336
389 Gastrointestinal Obstruction with CC	34	$57,420	+48%	$8,175
208 Respiratory System Diagnosis with Ventilator Support <=96...	32	$156,682	+15%	$23,814
394 Other Digestive System Diagnoses with CC	32	$62,201	+32%	$9,337
467 Revision of Hip or Knee Replacement with CC	32	$120,411	-24%	$31,330
314 Other Circulatory System Diagnoses with MCC	31	$140,341	+48%	$19,455
602 Cellulitis with MCC	30	$74,117	+23%	$13,628
813 Coagulation Disorders	29	$98,916	+24%	$15,545
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	29	$228,614	+6%	$42,249
393 Other Digestive System Diagnoses with MCC	28	$127,508	+66%	$16,784
287 Circulatory Disorders except AMI, with Cardiac...	27	$92,096	+44%	$10,724
432 Cirrhosis and Alcoholic Hepatitis with MCC	27	$104,756	+9%	$18,183
552 Medical Back Problems without MCC	27	$64,525	+32%	$8,943
305 Hypertension without MCC	26	$72,105	+80%	$7,358
056 Degenerative Nervous System Disorders with MCC	25	$131,487	+37%	$21,694
202 Bronchitis and Asthma with CC/MCC	25	$74,838	+62%	$9,415
870 Septicemia or Severe Sepsis with MV >96 Hours	25	$359,074	+11%	$59,768
180 Respiratory Neoplasms with MCC	24	$107,451	+22%	$17,480

Showing the 60 most frequent of 131 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,687	$30,408	$2,846
Level 5 Musculoskeletal Procedures	540	$38,151	$13,755
Level 2 Excision/ Biopsy/ Incision and Drainage	294	$10,221	$1,685
Level 1 Endovascular Procedures	264	$21,607	$3,408
Level 3 Urology and Related Services	167	$11,130	$2,116
Level 3 Vascular Procedures	128	$17,101	$3,298
Level 1 Laparoscopy and Related Services	127	$34,871	$6,004
Level 5 Urology and Related Services	114	$20,565	$5,310
Level 2 Endovascular Procedures	109	$25,487	$5,897
Level 3 Endovascular Procedures	107	$50,345	$11,461
Level 6 Musculoskeletal Procedures	86	$82,353	$19,273
Level 2 Upper GI Procedures	85	$12,655	$1,943
Level 4 Musculoskeletal Procedures	82	$39,573	$7,216
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	81	$19,950	$3,622
Level 1 Breast/Lymphatic Surgery and Related Procedures	65	$17,645	$3,991
Level 4 Urology and Related Services	61	$16,481	$3,650
Level 2 Musculoskeletal Procedures	50	$9,649	$1,683
Level 3 Excision/ Biopsy/ Incision and Drainage	48	$16,314	$2,975
Level 2 Vascular Procedures	45	$9,102	$1,677
Level 2 Breast/Lymphatic Surgery and Related Procedures	43	$50,874	$6,827
Level 3 Lower GI Procedures	43	$15,326	$2,939
Level 4 Vascular Procedures	41	$29,125	$5,613
Level 2 Laparoscopy and Related Services	40	$50,843	$10,765
Level 3 Musculoskeletal Procedures	32	$21,561	$3,177
Level 2 Urology and Related Services	28	$6,191	$695

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ocean University Medical Center charged $122,354 on average, 7% less than the New Jersey average of $131,698, and was paid $19,389 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Ocean University Medical Center charged $91,479 on average, 6% less than the New Jersey average of $97,469, and was paid $12,618 against a state average of $12,811. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ocean University Medical Center charged $78,382 on average, 22% less than the New Jersey average of $100,241, and was paid $12,684 against a state average of $13,150. For Respiratory Infections and Inflammations with MCC (DRG 177), Ocean University Medical Center charged $97,299 on average, 17% less than the New Jersey average of $117,022, and was paid $16,384 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,408 was 12% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,151 was 40% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,221 was 20% below the state average of $12,828. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,607 was 27% below the state average of $29,645.

Price-transparency record

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

Warning Notice — 2022-08-31 (CMS case 1490)
Closure Notice — 2023-02-17 (CMS case 1490)
Met Requirements — 2025-08-01 (CMS case 6081)

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.