New Jersey / Robert Wood Johnson University Hospital at Rahway
CMS certification 310024 · Rahway, NJ · 1 entry in CMS's price-transparency list
Robert Wood Johnson University Hospital at Rahway: charges and Medicare payments
Robert Wood Johnson University Hospital at Rahway reported 794 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 7.2 times what it was paid — among the higher ratios in New Jersey, number 19 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: 280 stays at an average charge of $120,887, 34% above the national average. It also billed 533 outpatient services, charging 8.23 times what Medicare paid.
- 1Medicare inpatient stays 794
- 2Charge ÷ paid, inpatient 7.2×
- 3Rank in NJ (highest ratio = 1) 19 of 60
- 4CMS price-transparency actions 1
Inpatient stays
For the 26 DRGs that can be compared with the national average, Robert Wood Johnson University Hospital at Rahway charged more than the national average in 24 (92%). 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 | 280 | $120,887 | +34% | $16,607 |
| 291 Heart Failure and Shock with MCC | 65 | $88,592 | +57% | $10,872 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $100,420 | +32% | $13,711 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $212,387 | -7% | $39,796 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $98,343 | +34% | $13,518 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $74,585 | +52% | $9,316 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $280,594 | -13% | $50,470 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $90,231 | +50% | $10,972 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $83,687 | +63% | $9,677 |
| 682 Renal Failure with MCC | 21 | $110,947 | +68% | $12,072 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $81,493 | +42% | $13,004 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $101,748 | +2% | $15,342 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $88,447 | +59% | $9,146 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $141,376 | +100% | $13,814 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $58,823 | +63% | $8,621 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $60,215 | +62% | $6,627 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $119,007 | +99% | $11,085 |
| 884 Organic Disturbances and Intellectual Disability | 13 | $66,539 | +7% | $11,997 |
| 312 Syncope and Collapse | 12 | $75,156 | +65% | $7,456 |
| 552 Medical Back Problems without MCC | 12 | $60,688 | +24% | $7,852 |
| 638 Diabetes with CC | 12 | $48,317 | +16% | $6,978 |
| 683 Renal Failure with CC | 12 | $72,454 | +78% | $7,524 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $82,137 | +62% | $9,120 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $69,092 | +37% | $7,511 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $131,956 | +55% | $13,381 |
| 637 Diabetes with MCC | 11 | $70,997 | +7% | $11,472 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 145 | $32,360 | $2,804 |
| Level 3 Urology and Related Services | 67 | $14,556 | $2,107 |
| Level 5 Musculoskeletal Procedures | 63 | $69,696 | $13,564 |
| Level 1 Intraocular Procedures | 62 | $19,809 | $2,440 |
| Level 4 Urology and Related Services | 48 | $20,082 | $3,650 |
| Level 4 Musculoskeletal Procedures | 30 | $44,473 | $7,490 |
| Level 5 Urology and Related Services | 27 | $26,757 | $5,097 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $9,555 | $1,562 |
| Level 2 Upper GI Procedures | 20 | $13,252 | $1,992 |
| Level 3 Musculoskeletal Procedures | 19 | $22,541 | $3,247 |
| Level 1 Laparoscopy and Related Services | 18 | $36,811 | $6,041 |
| Level 3 Vascular Procedures | 14 | $18,830 | $3,147 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Robert Wood Johnson University Hospital at Rahway charged $120,887 on average, 8% less than the New Jersey average of $131,698, and was paid $16,607 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Robert Wood Johnson University Hospital at Rahway charged $88,592 on average, 9% less than the New Jersey average of $97,469, and was paid $10,872 against a state average of $12,811. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Robert Wood Johnson University Hospital at Rahway charged $100,420 on average, 10% less than the New Jersey average of $111,703, and was paid $13,711 against a state average of $15,382. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Robert Wood Johnson University Hospital at Rahway charged $212,387 on average, 29% less than the New Jersey average of $297,966, and was paid $39,796 against a state average of $49,388. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,360 was 6% below the state average of $34,388. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,556 was 14% below the state average of $16,966. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $69,696 was 9% above the state average of $63,772. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $19,809 was 1% below the state average of $20,104.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Robert Wood Johnson University Hospital at Rahway in Rahway, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-01 (CMS case 6076)
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.