New Jersey / Penn Medicine Princeton Medical Center
CMS certification 310010 · Plainsboro, NJ · 2 entries in CMS's price-transparency list
Penn Medicine Princeton Medical Center: charges and Medicare payments
Penn Medicine Princeton Medical Center reported 3,574 Medicare inpatient stays across 104 DRGs in 2024. Across them it charged 6.53 times what it was paid — mid-range in New Jersey, number 25 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: 531 stays at an average charge of $101,333, 12% above the national average. It also billed 4,449 outpatient services, charging 6.65 times what Medicare paid.
- 1Medicare inpatient stays 3,574
- 2Charge ÷ paid, inpatient 6.53×
- 3Rank in NJ (highest ratio = 1) 25 of 60
- 4CMS price-transparency actions 2
Inpatient stays
For the 104 DRGs that can be compared with the national average, Penn Medicine Princeton Medical Center charged more than the national average in 90 (87%). 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 | 531 | $101,333 | +12% | $16,888 |
| 291 Heart Failure and Shock with MCC | 261 | $86,507 | +53% | $11,629 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 115 | $60,592 | +51% | $6,945 |
| 312 Syncope and Collapse | 75 | $60,817 | +34% | $7,577 |
| 177 Respiratory Infections and Inflammations with MCC | 72 | $71,962 | +2% | $13,639 |
| 690 Kidney and Urinary Tract Infections without MCC | 70 | $47,810 | +26% | $7,180 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 69 | $80,886 | +45% | $8,828 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 67 | $65,720 | +34% | $8,942 |
| 378 Gastrointestinal Hemorrhage with CC | 63 | $58,659 | +21% | $8,560 |
| 552 Medical Back Problems without MCC | 60 | $54,706 | +12% | $8,224 |
| 193 Simple Pneumonia and Pleurisy with MCC | 59 | $79,099 | +32% | $11,596 |
| 194 Simple Pneumonia and Pleurisy with CC | 59 | $51,778 | +35% | $7,228 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 57 | $93,527 | +85% | $9,883 |
| 603 Cellulitis without MCC | 56 | $38,916 | +4% | $7,769 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 55 | $52,389 | +41% | $6,817 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $101,717 | +34% | $13,046 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 49 | $76,984 | -17% | $15,970 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 48 | $93,826 | -8% | $17,879 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 46 | $225,420 | -2% | $45,118 |
| 481 Hip and Femur Procedures except Major Joint with CC | 44 | $98,004 | -3% | $17,517 |
| 683 Renal Failure with CC | 42 | $62,233 | +53% | $7,848 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $89,891 | +22% | $14,974 |
| 178 Respiratory Infections and Inflammations with CC | 38 | $55,234 | +22% | $8,281 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $90,828 | +60% | $10,950 |
| 689 Kidney and Urinary Tract Infections with MCC | 37 | $60,015 | +17% | $9,545 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $67,793 | +12% | $11,259 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 35 | $97,815 | -2% | $16,728 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 35 | $42,749 | +18% | $6,442 |
| 394 Other Digestive System Diagnoses with CC | 34 | $51,818 | +10% | $7,950 |
| 202 Bronchitis and Asthma with CC/MCC | 33 | $81,734 | +77% | $8,752 |
| 330 Major Small and Large Bowel Procedures with CC | 32 | $125,164 | +5% | $20,487 |
| 377 Gastrointestinal Hemorrhage with MCC | 31 | $95,594 | +12% | $15,624 |
| 057 Degenerative Nervous System Disorders without MCC | 30 | $71,096 | +26% | $11,560 |
| 682 Renal Failure with MCC | 30 | $84,059 | +27% | $12,558 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 29 | $61,252 | +21% | $7,846 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 28 | $79,474 | -7% | $14,722 |
| 389 Gastrointestinal Obstruction with CC | 28 | $58,497 | +50% | $7,020 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $101,608 | +66% | $12,283 |
| 101 Seizures without MCC | 25 | $65,194 | +34% | $11,002 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 25 | $42,526 | +48% | $4,926 |
| 390 Gastrointestinal Obstruction without CC/MCC | 24 | $46,456 | +66% | $4,913 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $97,898 | +70% | $10,995 |
| 536 Fractures of Hip and Pelvis without MCC | 23 | $45,446 | +21% | $6,672 |
| 069 Transient Ischemia without Thrombolytic | 22 | $56,167 | +11% | $6,945 |
| 292 Heart Failure and Shock with CC | 22 | $60,582 | +56% | $7,019 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $132,402 | +16% | $15,396 |
| 467 Revision of Hip or Knee Replacement with CC | 22 | $116,227 | -26% | $26,383 |
| 948 Signs and Symptoms without MCC | 22 | $53,692 | +41% | $6,838 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 21 | $425,202 | +32% | $67,018 |
| 445 Disorders of The Biliary Tract with CC | 20 | $87,733 | +51% | $9,511 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 20 | $56,950 | +20% | $8,983 |
| 813 Coagulation Disorders | 20 | $85,057 | +6% | $13,591 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $265,967 | +24% | $40,632 |
| 393 Other Digestive System Diagnoses with MCC | 19 | $127,888 | +67% | $19,761 |
| 554 Bone Diseases and Arthropathies without MCC | 19 | $50,773 | +34% | $6,897 |
| 811 Red Blood Cell Disorders with MCC | 19 | $86,638 | +27% | $12,263 |
| 884 Organic Disturbances and Intellectual Disability | 18 | $71,811 | +15% | $14,065 |
| 092 Other Disorders of Nervous System with CC | 17 | $60,058 | +16% | $8,794 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 17 | $69,547 | +76% | $7,393 |
| 300 Peripheral Vascular Disorders with CC | 17 | $41,722 | -16% | $8,626 |
Showing the 60 most frequent of 104 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Penn Medicine Princeton Medical Center charged $101,333 on average, 23% less than the New Jersey average of $131,698, and was paid $16,888 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Penn Medicine Princeton Medical Center charged $86,507 on average, 11% less than the New Jersey average of $97,469, and was paid $11,629 against a state average of $12,811. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Penn Medicine Princeton Medical Center charged $60,592 on average, 1% more than the New Jersey average of $59,791, and was paid $6,945 against a state average of $7,933. For Syncope and Collapse (DRG 312), Penn Medicine Princeton Medical Center charged $60,817 on average, 13% less than the New Jersey average of $69,667, and was paid $7,577 against a state average of $8,725. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,304 was 6% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $58,538 was 8% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,767 was 23% above the state average of $12,828. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $37,400 was 16% below the state average of $44,614.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Penn Medicine Princeton Medical Center in Plainsboro, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-12-05 (CMS case 2977)
- Closure Notice — 2025-03-11 (CMS case 2977)
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.