New Jersey / Raritan Bay Medical Center
CMS certification 310039 · Perth Amboy, NJ
Raritan Bay Medical Center: charges and Medicare payments
Raritan Bay Medical Center reported 2,447 Medicare inpatient stays across 70 DRGs in 2024. Across them it charged 6.36 times what it was paid — mid-range in New Jersey, number 27 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: 353 stays at an average charge of $123,277, 37% above the national average. It also billed 1,384 outpatient services, charging 7.59 times what Medicare paid.
- 1Medicare inpatient stays 2,447
- 2Charge ÷ paid, inpatient 6.36×
- 3Rank in NJ (highest ratio = 1) 27 of 60
- 4CMS price-transparency actions 0
Inpatient stays
For the 70 DRGs that can be compared with the national average, Raritan Bay Medical Center charged more than the national average in 60 (86%). 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 | 353 | $123,277 | +37% | $18,619 |
| 291 Heart Failure and Shock with MCC | 196 | $93,769 | +66% | $12,856 |
| 885 Psychoses | 183 | $111,851 | +154% | $14,688 |
| 193 Simple Pneumonia and Pleurisy with MCC | 116 | $88,741 | +49% | $13,322 |
| 177 Respiratory Infections and Inflammations with MCC | 92 | $100,317 | +42% | $16,507 |
| 682 Renal Failure with MCC | 66 | $93,372 | +42% | $14,310 |
| 690 Kidney and Urinary Tract Infections without MCC | 62 | $51,236 | +35% | $8,430 |
| 683 Renal Failure with CC | 59 | $57,036 | +40% | $9,227 |
| 689 Kidney and Urinary Tract Infections with MCC | 57 | $72,074 | +40% | $11,288 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 53 | $66,412 | +35% | $10,255 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 52 | $55,360 | +38% | $8,146 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 40 | $91,616 | +21% | $15,324 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $93,729 | +28% | $17,168 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $244,126 | +7% | $47,048 |
| 603 Cellulitis without MCC | 37 | $51,925 | +39% | $8,991 |
| 312 Syncope and Collapse | 35 | $64,218 | +41% | $8,491 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 31 | $82,749 | +46% | $12,757 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $76,625 | +51% | $11,317 |
| 377 Gastrointestinal Hemorrhage with MCC | 29 | $83,614 | -2% | $16,032 |
| 602 Cellulitis with MCC | 27 | $108,997 | +81% | $14,230 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $53,963 | +46% | $8,241 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $72,698 | +30% | $9,655 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $51,485 | +34% | $9,595 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $95,804 | -16% | $19,927 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $66,427 | +37% | $10,223 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $94,603 | +64% | $12,133 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $57,892 | +60% | $7,798 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $88,243 | +46% | $12,679 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $106,243 | +6% | $18,066 |
| 057 Degenerative Nervous System Disorders without MCC | 20 | $100,506 | +77% | $14,060 |
| 178 Respiratory Infections and Inflammations with CC | 20 | $63,692 | +41% | $10,850 |
| 202 Bronchitis and Asthma with CC/MCC | 20 | $100,910 | +119% | $11,648 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $97,432 | -5% | $20,751 |
| 812 Red Blood Cell Disorders without MCC | 20 | $67,737 | +53% | $8,945 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 20 | $317,120 | -2% | $53,797 |
| 305 Hypertension without MCC | 19 | $46,635 | +16% | $8,109 |
| 536 Fractures of Hip and Pelvis without MCC | 19 | $45,247 | +20% | $7,732 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 18 | $168,239 | +5% | $32,648 |
| 313 Chest Pain | 18 | $52,220 | +31% | $7,230 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $97,433 | -3% | $18,715 |
| 638 Diabetes with CC | 18 | $56,720 | +36% | $8,320 |
| 884 Organic Disturbances and Intellectual Disability | 18 | $104,179 | +67% | $17,380 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $140,725 | +4% | $25,739 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $45,962 | +60% | $5,505 |
| 552 Medical Back Problems without MCC | 17 | $59,664 | +22% | $9,985 |
| 637 Diabetes with MCC | 17 | $82,189 | +24% | $14,671 |
| 811 Red Blood Cell Disorders with MCC | 17 | $92,675 | +36% | $13,422 |
| 101 Seizures without MCC | 16 | $49,514 | +2% | $8,907 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $54,564 | +8% | $10,595 |
| 393 Other Digestive System Diagnoses with MCC | 16 | $101,263 | +32% | $16,119 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 15 | $55,680 | +41% | $8,366 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $196,218 | -9% | $44,532 |
| 389 Gastrointestinal Obstruction with CC | 15 | $55,242 | +42% | $7,970 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $91,580 | +50% | $12,333 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $167,910 | +21% | $27,597 |
| 069 Transient Ischemia without Thrombolytic | 14 | $51,865 | +3% | $9,946 |
| 881 Depressive Neuroses | 14 | $95,785 | +200% | $10,737 |
| 439 Disorders of Pancreas except Malignancy with CC | 13 | $45,725 | +5% | $10,425 |
| 149 Dysequilibrium | 12 | $57,704 | +30% | $7,462 |
| 300 Peripheral Vascular Disorders with CC | 12 | $67,321 | +36% | $12,278 |
Showing the 60 most frequent of 70 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Raritan Bay Medical Center charged $123,277 on average, 6% less than the New Jersey average of $131,698, and was paid $18,619 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Raritan Bay Medical Center charged $93,769 on average, 4% less than the New Jersey average of $97,469, and was paid $12,856 against a state average of $12,811. For Psychoses (DRG 885), Raritan Bay Medical Center charged $111,851 on average, 22% more than the New Jersey average of $91,986, and was paid $14,688 against a state average of $15,005. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Raritan Bay Medical Center charged $88,741 on average, 11% less than the New Jersey average of $100,241, and was paid $13,322 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,178 was 6% below the state average of $34,388. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $20,288 was 31% below the state average of $29,528. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $16,211 was 24% below the state average of $21,241. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $11,608 was 32% below 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.