New Jersey / Saint Peter's University Hospital

CMS certification 310070 · New Brunswick, NJ · 4 entries in CMS's price-transparency list

Saint Peter's University Hospital: charges and Medicare payments

Saint Peter's University Hospital reported 1,397 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 10.47 times what it was paid — among the higher ratios in New Jersey, number 6 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: 164 stays at an average charge of $214,318, 137% above the national average. It also billed 1,857 outpatient services, charging 14.12 times what Medicare paid.

1Medicare inpatient stays 1,397
2Charge ÷ paid, inpatient 10.47×
3Rank in NJ (highest ratio = 1) 6 of 60
4CMS price-transparency actions 4

Average charge per stay at Saint Peter's University Hospital, 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, Saint Peter's University Hospital charged more than the national average in 55 (100%). 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	164	$214,318	+137%	$21,889
291 Heart Failure and Shock with MCC	121	$188,719	+235%	$15,107
177 Respiratory Infections and Inflammations with MCC	64	$253,073	+259%	$19,747
690 Kidney and Urinary Tract Infections without MCC	53	$92,289	+144%	$9,854
193 Simple Pneumonia and Pleurisy with MCC	48	$186,859	+213%	$15,521
689 Kidney and Urinary Tract Infections with MCC	47	$143,374	+179%	$14,294
189 Pulmonary Edema and Respiratory Failure	37	$176,031	+206%	$15,154
378 Gastrointestinal Hemorrhage with CC	35	$129,723	+167%	$11,693
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$87,933	+119%	$9,603
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$157,436	+161%	$14,048
603 Cellulitis without MCC	30	$94,596	+154%	$10,420
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	30	$113,635	+132%	$11,589
377 Gastrointestinal Hemorrhage with MCC	29	$196,732	+130%	$19,051
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$87,951	+137%	$9,241
683 Renal Failure with CC	26	$117,139	+188%	$10,403
853 Infectious and Parasitic Diseases with O.R. Procedures with...	26	$506,922	+121%	$57,544
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$183,970	+225%	$15,203
309 Cardiac Arrhythmia and Conduction Disorders with CC	23	$109,556	+203%	$9,199
280 Acute Myocardial Infarction, Discharged Alive with MCC	22	$232,031	+206%	$17,736
194 Simple Pneumonia and Pleurisy with CC	21	$113,821	+197%	$10,256
552 Medical Back Problems without MCC	21	$136,686	+180%	$11,527
178 Respiratory Infections and Inflammations with CC	20	$93,974	+107%	$10,720
252 Other Vascular Procedures with MCC	20	$306,362	+79%	$34,758
394 Other Digestive System Diagnoses with CC	20	$91,804	+95%	$10,966
698 Other Kidney and Urinary Tract Diagnoses with MCC	19	$160,604	+119%	$17,886
191 Chronic Obstructive Pulmonary Disease with CC	18	$119,774	+202%	$10,178
312 Syncope and Collapse	18	$105,346	+131%	$10,178
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	17	$188,641	+239%	$11,900
300 Peripheral Vascular Disorders with CC	17	$107,670	+118%	$12,351
682 Renal Failure with MCC	17	$180,737	+174%	$16,763
299 Peripheral Vascular Disorders with MCC	16	$200,425	+167%	$18,230
202 Bronchitis and Asthma with CC/MCC	15	$97,402	+111%	$11,073
330 Major Small and Large Bowel Procedures with CC	15	$179,558	+51%	$27,685
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	14	$88,666	+209%	$7,271
432 Cirrhosis and Alcoholic Hepatitis with MCC	14	$284,102	+197%	$28,104
813 Coagulation Disorders	14	$108,794	+36%	$16,855
179 Respiratory Infections and Inflammations without CC/MCC	13	$74,085	+110%	$9,928
190 Chronic Obstructive Pulmonary Disease with MCC	13	$151,176	+199%	$13,568
286 Circulatory Disorders except AMI, with Cardiac...	13	$284,822	+154%	$22,618
305 Hypertension without MCC	13	$98,851	+147%	$9,725
331 Major Small and Large Bowel Procedures without CC/MCC	13	$110,275	+28%	$17,635
389 Gastrointestinal Obstruction with CC	13	$90,315	+132%	$9,691
481 Hip and Femur Procedures except Major Joint with CC	13	$138,659	+38%	$21,636
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	12	$278,996	+179%	$22,872
180 Respiratory Neoplasms with MCC	12	$201,854	+130%	$19,001
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$440,018	+224%	$29,415
372 Major Gastrointestinal Disorders and Peritoneal Infections...	12	$167,390	+253%	$12,684
435 Malignancy of Hepatobiliary System or Pancreas with MCC	12	$260,802	+176%	$18,344
445 Disorders of The Biliary Tract with CC	12	$124,941	+115%	$12,409
919 Complications of Treatment with MCC	12	$224,489	+154%	$22,033
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	11	$153,086	+135%	$15,076
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	11	$250,677	+311%	$14,930
638 Diabetes with CC	11	$111,597	+168%	$11,638
812 Red Blood Cell Disorders without MCC	11	$104,163	+135%	$10,571
907 Other O.R. Procedures for Injuries with MCC	11	$209,761	+14%	$39,612

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	458	$85,742	$2,885
Level 2 Excision/ Biopsy/ Incision and Drainage	243	$18,458	$1,705
Level 2 Upper GI Procedures	140	$23,768	$2,019
Level 1 Laparoscopy and Related Services	120	$44,321	$5,999
Level 5 Musculoskeletal Procedures	117	$72,251	$13,834
Level 3 Vascular Procedures	104	$34,421	$3,358
Level 5 Urology and Related Services	95	$29,091	$5,404
Level 1 Endovascular Procedures	84	$59,950	$3,404
Level 4 Urology and Related Services	78	$29,046	$3,579
Level 3 Urology and Related Services	40	$18,981	$2,161
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	38	$33,727	$3,477
Level 6 Gynecologic Procedures	37	$35,627	$7,863
Level 3 Lower GI Procedures	36	$31,242	$2,978
Level 2 Laparoscopy and Related Services	36	$63,373	$10,909
Level 3 Endovascular Procedures	30	$129,967	$11,657
Level 3 Pacemaker and Similar Procedures	28	$109,494	$11,315
Level 4 Airway Endoscopy	20	$39,269	$3,698
Level 3 Upper GI Procedures	20	$29,166	$4,063
Complex GI Procedures	20	$47,831	$6,046
Level 4 Vascular Procedures	19	$54,880	$5,830
Level 4 Gynecologic Procedures	19	$25,784	$3,317
Level 2 Vascular Procedures	15	$3,067	$1,699
Level 2 Pacemaker and Similar Procedures	15	$73,723	$9,009
Level 2 Endovascular Procedures	12	$69,111	$6,064
Level 1 Breast/Lymphatic Surgery and Related Procedures	11	$36,677	$3,751

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Peter's University Hospital charged $214,318 on average, 63% more than the New Jersey average of $131,698, and was paid $21,889 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Saint Peter's University Hospital charged $188,719 on average, 94% more than the New Jersey average of $97,469, and was paid $15,107 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), Saint Peter's University Hospital charged $253,073 on average, 116% more than the New Jersey average of $117,022, and was paid $19,747 against a state average of $16,115. For Kidney and Urinary Tract Infections without MCC (DRG 690), Saint Peter's University Hospital charged $92,289 on average, 46% more than the New Jersey average of $63,137, and was paid $9,854 against a state average of $8,142. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $85,742 was 149% above the state average of $34,388. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,458 was 44% above the state average of $12,828. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $23,768 was 40% above the state average of $16,923. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $44,321 was 11% above the state average of $39,976.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Saint Peter's 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:

CAP Request — 2023-07-24 (CMS case 1440)
Closure Notice — 2024-03-11 (CMS case 1440)
CAP Request — 2025-09-24 (CMS case 6709)
Closure Notice — 2025-12-05 (CMS case 6709)

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.