New Jersey / Robert Wood Johnson University Hospital
CMS certification 310038 · New Brunswick, NJ · 4 entries in CMS's price-transparency list
Robert Wood Johnson University Hospital: charges and Medicare payments
Robert Wood Johnson University Hospital reported 6,402 Medicare inpatient stays across 186 DRGs in 2024. Across them it charged 6.28 times what it was paid — mid-range in New Jersey, number 29 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: 588 stays at an average charge of $186,460, 106% above the national average. It also billed 4,496 outpatient services, charging 6.37 times what Medicare paid.
- 1Medicare inpatient stays 6,402
- 2Charge ÷ paid, inpatient 6.28×
- 3Rank in NJ (highest ratio = 1) 29 of 60
- 4CMS price-transparency actions 4
Inpatient stays
For the 186 DRGs that can be compared with the national average, Robert Wood Johnson University Hospital charged more than the national average in 175 (94%). 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 | 588 | $186,460 | +106% | $24,890 |
| 291 Heart Failure and Shock with MCC | 278 | $134,840 | +139% | $16,395 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 185 | $190,546 | -14% | $50,268 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 108 | $103,418 | +111% | $13,212 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 105 | $185,378 | +144% | $21,167 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 101 | $379,532 | +66% | $63,122 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 99 | $206,609 | +107% | $24,978 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 96 | $124,048 | -21% | $33,930 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 95 | $140,078 | +91% | $20,391 |
| 193 Simple Pneumonia and Pleurisy with MCC | 80 | $146,078 | +144% | $19,498 |
| 683 Renal Failure with CC | 75 | $93,126 | +129% | $11,944 |
| 689 Kidney and Urinary Tract Infections with MCC | 75 | $115,920 | +126% | $13,674 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 73 | $95,780 | +138% | $10,374 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 71 | $167,708 | +178% | $16,516 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 67 | $143,915 | +158% | $14,000 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 66 | $143,451 | +25% | $22,090 |
| 177 Respiratory Infections and Inflammations with MCC | 65 | $159,089 | +125% | $21,510 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 65 | $385,248 | +32% | $74,267 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 63 | $343,441 | +48% | $61,075 |
| 481 Hip and Femur Procedures except Major Joint with CC | 62 | $159,591 | +58% | $25,228 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 61 | $389,493 | +39% | $61,694 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 60 | $241,561 | +15% | $51,238 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 60 | $245,226 | +50% | $38,593 |
| 378 Gastrointestinal Hemorrhage with CC | 60 | $115,224 | +137% | $13,390 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 59 | $90,602 | +151% | $10,860 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $88,424 | +139% | $9,778 |
| 690 Kidney and Urinary Tract Infections without MCC | 57 | $89,967 | +138% | $9,747 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 56 | $94,272 | +48% | $13,613 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 54 | $477,772 | +20% | $96,046 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 54 | $351,945 | +24% | $71,487 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 53 | $251,461 | +124% | $29,959 |
| 312 Syncope and Collapse | 49 | $120,176 | +164% | $12,569 |
| 377 Gastrointestinal Hemorrhage with MCC | 48 | $173,833 | +104% | $22,781 |
| 057 Degenerative Nervous System Disorders without MCC | 46 | $99,822 | +76% | $17,629 |
| 682 Renal Failure with MCC | 45 | $139,122 | +111% | $18,977 |
| 194 Simple Pneumonia and Pleurisy with CC | 44 | $84,700 | +121% | $10,825 |
| 330 Major Small and Large Bowel Procedures with CC | 44 | $186,575 | +57% | $31,687 |
| 314 Other Circulatory System Diagnoses with MCC | 43 | $208,429 | +120% | $26,515 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 43 | $94,340 | +99% | $13,122 |
| 101 Seizures without MCC | 42 | $80,098 | +64% | $12,201 |
| 164 Major Chest Procedures with CC | 42 | $163,731 | +29% | $29,276 |
| 552 Medical Back Problems without MCC | 42 | $90,320 | +85% | $11,732 |
| 189 Pulmonary Edema and Respiratory Failure | 41 | $105,723 | +84% | $14,845 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 41 | $404,639 | +87% | $58,475 |
| 603 Cellulitis without MCC | 40 | $83,140 | +123% | $10,839 |
| 812 Red Blood Cell Disorders without MCC | 40 | $101,458 | +129% | $11,493 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 39 | $114,469 | +127% | $13,264 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 39 | $55,136 | -19% | $14,679 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $198,321 | +250% | $17,802 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 37 | $195,242 | +69% | $33,567 |
| 394 Other Digestive System Diagnoses with CC | 37 | $91,427 | +94% | $11,570 |
| 056 Degenerative Nervous System Disorders with MCC | 35 | $172,217 | +79% | $31,633 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $129,927 | +113% | $16,653 |
| 884 Organic Disturbances and Intellectual Disability | 34 | $136,852 | +119% | $18,832 |
| 813 Coagulation Disorders | 33 | $133,532 | +67% | $19,975 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 32 | $279,231 | +1% | $59,309 |
| 299 Peripheral Vascular Disorders with MCC | 32 | $163,676 | +118% | $17,859 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 32 | $200,137 | +44% | $32,198 |
| 100 Seizures with MCC | 30 | $198,361 | +110% | $21,701 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 30 | $278,488 | +105% | $39,748 |
Showing the 60 most frequent of 186 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Robert Wood Johnson University Hospital charged $186,460 on average, 42% more than the New Jersey average of $131,698, and was paid $24,890 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Robert Wood Johnson University Hospital charged $134,840 on average, 38% more than the New Jersey average of $97,469, and was paid $16,395 against a state average of $12,811. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Robert Wood Johnson University Hospital charged $190,546 on average, 27% less than the New Jersey average of $262,746, and was paid $50,268 against a state average of $48,040. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Robert Wood Johnson University Hospital charged $103,418 on average, 32% more than the New Jersey average of $78,561, and was paid $13,212 against a state average of $10,720. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,908 was 25% below the state average of $34,388. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,179 was 73% below the state average of $8,057. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,155 was 15% below the state average of $29,645. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,564 was 44% below the state average of $16,966.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Robert Wood Johnson University Hospital in New Brunswick, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-04-19 (CMS case 69)
- CAP Request — 2021-09-30 (CMS case 69)
- Closure Notice — 2022-02-11 (CMS case 69)
- Met Requirements — 2025-03-24 (CMS case 3352)
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.