Robert Wood Johnson University Hospital Hamilton: charges and Medicare payments

Robert Wood Johnson University Hospital Hamilton reported 1,783 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 8.57 times what it was paid — among the higher ratios in New Jersey, number 13 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: 255 stays at an average charge of $134,197, 49% above the national average. It also billed 1,322 outpatient services, charging 6.77 times what Medicare paid.

1Medicare inpatient stays 1,783
2Charge ÷ paid, inpatient 8.57×
3Rank in NJ (highest ratio = 1) 13 of 60
4CMS price-transparency actions 0

Average charge per stay at Robert Wood Johnson University Hospital Hamilton, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 55 DRGs that can be compared with the national average, Robert Wood Johnson University Hospital Hamilton charged more than the national average in 50 (91%). 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	255	$134,197	+49%	$15,478
291 Heart Failure and Shock with MCC	136	$103,305	+83%	$10,269
193 Simple Pneumonia and Pleurisy with MCC	64	$110,760	+85%	$10,110
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	60	$76,924	+57%	$8,260
698 Other Kidney and Urinary Tract Diagnoses with MCC	55	$108,051	+47%	$13,331
177 Respiratory Infections and Inflammations with MCC	53	$106,845	+51%	$14,698
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$60,901	+52%	$6,867
280 Acute Myocardial Infarction, Discharged Alive with MCC	52	$110,425	+46%	$11,282
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$94,430	+57%	$9,759
690 Kidney and Urinary Tract Infections without MCC	49	$57,592	+52%	$6,423
286 Circulatory Disorders except AMI, with Cardiac...	46	$165,363	+47%	$17,208
853 Infectious and Parasitic Diseases with O.R. Procedures with...	44	$225,799	-1%	$38,639
312 Syncope and Collapse	42	$65,667	+44%	$6,736
689 Kidney and Urinary Tract Infections with MCC	42	$64,189	+25%	$9,161
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$69,114	+91%	$6,322
603 Cellulitis without MCC	33	$57,377	+54%	$7,271
470 Major Hip and Knee Joint Replacement or Reattachment of...	32	$75,296	-19%	$15,092
377 Gastrointestinal Hemorrhage with MCC	31	$123,739	+45%	$13,076
683 Renal Failure with CC	30	$64,444	+58%	$7,293
378 Gastrointestinal Hemorrhage with CC	27	$78,744	+62%	$7,609
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$64,282	+73%	$6,649
190 Chronic Obstructive Pulmonary Disease with MCC	26	$109,096	+116%	$8,685
699 Other Kidney and Urinary Tract Diagnoses with CC	26	$61,676	+30%	$7,582
194 Simple Pneumonia and Pleurisy with CC	24	$74,274	+94%	$7,172
638 Diabetes with CC	24	$60,100	+44%	$7,615
281 Acute Myocardial Infarction, Discharged Alive with CC	23	$78,716	+56%	$7,932
322 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$112,097	-2%	$16,329
287 Circulatory Disorders except AMI, with Cardiac...	22	$83,620	+31%	$9,407
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$121,948	+100%	$10,514
481 Hip and Femur Procedures except Major Joint with CC	19	$124,584	+24%	$17,771
682 Renal Failure with MCC	19	$109,891	+67%	$10,816
813 Coagulation Disorders	19	$117,995	+47%	$12,778
313 Chest Pain	18	$58,744	+47%	$5,811
389 Gastrointestinal Obstruction with CC	18	$61,432	+58%	$6,424
552 Medical Back Problems without MCC	18	$65,875	+35%	$7,482
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	17	$75,459	+35%	$7,384
189 Pulmonary Edema and Respiratory Failure	17	$94,569	+64%	$10,760
330 Major Small and Large Bowel Procedures with CC	16	$169,646	+43%	$22,392
202 Bronchitis and Asthma with CC/MCC	15	$79,973	+73%	$7,860
321 Percutaneous Cardiovascular Procedures with Intraluminal...	15	$163,026	0%	$23,839
329 Major Small and Large Bowel Procedures with MCC	15	$238,391	+11%	$38,612
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	15	$67,343	+58%	$7,248
305 Hypertension without MCC	14	$64,109	+60%	$5,789
308 Cardiac Arrhythmia and Conduction Disorders with MCC	14	$110,738	+96%	$10,404
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	13	$52,730	+84%	$6,383
637 Diabetes with MCC	13	$104,552	+57%	$10,662
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	12	$140,457	+41%	$15,556
480 Hip and Femur Procedures except Major Joint with MCC	12	$155,732	+12%	$21,436
811 Red Blood Cell Disorders with MCC	12	$103,678	+52%	$10,772
854 Infectious and Parasitic Diseases with O.R. Procedures with...	12	$142,366	+45%	$15,653
191 Chronic Obstructive Pulmonary Disease with CC	11	$75,056	+89%	$7,845
314 Other Circulatory System Diagnoses with MCC	11	$85,046	-10%	$15,343
432 Cirrhosis and Alcoholic Hepatitis with MCC	11	$139,655	+46%	$16,606
554 Bone Diseases and Arthropathies without MCC	11	$51,805	+36%	$6,334
812 Red Blood Cell Disorders without MCC	11	$63,588	+43%	$6,968

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	300	$28,965	$2,835
Level 4 Urology and Related Services	154	$16,466	$3,631
Level 1 Endovascular Procedures	149	$23,415	$3,400
Level 5 Musculoskeletal Procedures	113	$55,252	$13,648
Level 2 Excision/ Biopsy/ Incision and Drainage	78	$9,646	$1,658
Level 3 Urology and Related Services	75	$13,498	$2,132
Level 3 Vascular Procedures	67	$16,696	$3,236
Level 3 Endovascular Procedures	63	$49,229	$11,346
Level 5 Urology and Related Services	59	$25,774	$5,417
Level 2 Upper GI Procedures	50	$14,930	$1,992
Level 2 Vascular Procedures	26	$7,048	$1,625
Level 2 Endovascular Procedures	24	$32,820	$5,785
Level 1 Laparoscopy and Related Services	19	$42,067	$6,041
Level 3 Pacemaker and Similar Procedures	18	$35,173	$11,166
Level 3 Excision/ Biopsy/ Incision and Drainage	17	$14,930	$2,975
Level 4 Musculoskeletal Procedures	16	$37,670	$7,490
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	16	$24,916	$3,622
Level 4 Endovascular Procedures	15	$68,684	$18,316
Level 1 Nerve Procedures	15	$11,522	$2,021
Level 1 Breast/Lymphatic Surgery and Related Procedures	13	$30,303	$3,991
Level 3 Musculoskeletal Procedures	12	$21,153	$3,389
Level 4 Gynecologic Procedures	12	$20,314	$3,273
Level 4 Vascular Procedures	11	$27,042	$5,753

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Robert Wood Johnson University Hospital Hamilton charged $134,197 on average, 2% more than the New Jersey average of $131,698, and was paid $15,478 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Robert Wood Johnson University Hospital Hamilton charged $103,305 on average, 6% more than the New Jersey average of $97,469, and was paid $10,269 against a state average of $12,811. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Robert Wood Johnson University Hospital Hamilton charged $110,760 on average, 10% more than the New Jersey average of $100,241, and was paid $10,110 against a state average of $13,150. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Robert Wood Johnson University Hospital Hamilton charged $76,924 on average, 2% less than the New Jersey average of $78,561, and was paid $8,260 against a state average of $10,720. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,965 was 16% below the state average of $34,388. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $16,466 was 22% below the state average of $21,241. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,415 was 21% below the state average of $29,645. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $55,252 was 13% below the state average of $63,772.

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.