New Jersey / Shore Medical Center
CMS certification 310047 · Somers Point, NJ · 2 entries in CMS's price-transparency list
Shore Medical Center: charges and Medicare payments
Shore Medical Center reported 1,880 Medicare inpatient stays across 63 DRGs in 2024. Across them it charged 5.98 times what it was paid — mid-range in New Jersey, number 35 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: 160 stays at an average charge of $87,015, 4% below the national average. It also billed 1,953 outpatient services, charging 8.23 times what Medicare paid.
- 1Medicare inpatient stays 1,880
- 2Charge ÷ paid, inpatient 5.98×
- 3Rank in NJ (highest ratio = 1) 35 of 60
- 4CMS price-transparency actions 2
Inpatient stays
For the 63 DRGs that can be compared with the national average, Shore Medical Center charged more than the national average in 39 (62%). 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 | 160 | $87,015 | -4% | $16,140 |
| 291 Heart Failure and Shock with MCC | 140 | $60,444 | +7% | $10,131 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 97 | $43,228 | +8% | $6,511 |
| 177 Respiratory Infections and Inflammations with MCC | 78 | $93,593 | +33% | $13,267 |
| 603 Cellulitis without MCC | 73 | $40,216 | +8% | $7,525 |
| 193 Simple Pneumonia and Pleurisy with MCC | 71 | $66,344 | +11% | $10,736 |
| 690 Kidney and Urinary Tract Infections without MCC | 61 | $40,481 | +7% | $6,641 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $53,061 | +8% | $8,412 |
| 312 Syncope and Collapse | 46 | $49,833 | +9% | $7,103 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $83,655 | -17% | $16,481 |
| 689 Kidney and Urinary Tract Infections with MCC | 41 | $51,319 | 0% | $9,446 |
| 194 Simple Pneumonia and Pleurisy with CC | 38 | $44,372 | +16% | $7,226 |
| 378 Gastrointestinal Hemorrhage with CC | 38 | $51,134 | +5% | $8,574 |
| 682 Renal Failure with MCC | 38 | $71,960 | +9% | $11,491 |
| 683 Renal Failure with CC | 35 | $52,898 | +30% | $7,951 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $42,344 | +14% | $6,455 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $57,339 | +13% | $8,936 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $50,038 | +10% | $8,074 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $45,055 | +25% | $6,106 |
| 202 Bronchitis and Asthma with CC/MCC | 27 | $51,542 | +12% | $7,867 |
| 552 Medical Back Problems without MCC | 27 | $50,932 | +4% | $7,906 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $111,674 | +9% | $16,668 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $68,684 | +14% | $10,409 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $86,042 | +49% | $9,891 |
| 394 Other Digestive System Diagnoses with CC | 25 | $51,426 | +9% | $7,660 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $204,243 | -11% | $38,974 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $48,169 | -21% | $10,521 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 23 | $31,191 | +9% | $4,647 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $58,802 | -20% | $12,431 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $37,859 | -20% | $8,290 |
| 313 Chest Pain | 21 | $40,899 | +2% | $5,952 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $70,258 | +24% | $9,801 |
| 602 Cellulitis with MCC | 19 | $71,593 | +19% | $11,478 |
| 812 Red Blood Cell Disorders without MCC | 19 | $53,865 | +21% | $7,431 |
| 389 Gastrointestinal Obstruction with CC | 18 | $36,370 | -7% | $6,569 |
| 948 Signs and Symptoms without MCC | 18 | $43,126 | +13% | $6,529 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $56,197 | -26% | $10,365 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $84,608 | -1% | $13,974 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 15 | $113,080 | +28% | $14,553 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $58,409 | +5% | $8,116 |
| 393 Other Digestive System Diagnoses with MCC | 15 | $56,327 | -27% | $12,651 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $32,940 | -23% | $7,344 |
| 811 Red Blood Cell Disorders with MCC | 15 | $87,790 | +29% | $11,366 |
| 149 Dysequilibrium | 14 | $46,352 | +4% | $6,150 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $76,346 | -19% | $15,440 |
| 390 Gastrointestinal Obstruction without CC/MCC | 14 | $30,105 | +8% | $4,948 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $84,037 | -10% | $15,139 |
| 947 Signs and Symptoms with MCC | 14 | $60,224 | +7% | $10,230 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $70,855 | -29% | $14,790 |
| 069 Transient Ischemia without Thrombolytic | 13 | $42,806 | -15% | $6,559 |
| 092 Other Disorders of Nervous System with CC | 13 | $47,632 | -8% | $8,403 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $96,764 | -14% | $16,256 |
| 300 Peripheral Vascular Disorders with CC | 13 | $38,222 | -23% | $7,944 |
| 305 Hypertension without MCC | 13 | $41,553 | +4% | $6,225 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $150,991 | +27% | $21,303 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $36,793 | -7% | $6,990 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $111,674 | -20% | $22,975 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 12 | $205,559 | -36% | $50,882 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $207,610 | -3% | $36,131 |
| 637 Diabetes with MCC | 11 | $88,313 | +33% | $11,743 |
Showing the 60 most frequent of 63 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Shore Medical Center charged $87,015 on average, 34% less than the New Jersey average of $131,698, and was paid $16,140 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Shore Medical Center charged $60,444 on average, 38% less than the New Jersey average of $97,469, and was paid $10,131 against a state average of $12,811. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Shore Medical Center charged $43,228 on average, 28% less than the New Jersey average of $59,791, and was paid $6,511 against a state average of $7,933. For Respiratory Infections and Inflammations with MCC (DRG 177), Shore Medical Center charged $93,593 on average, 20% less than the New Jersey average of $117,022, and was paid $13,267 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,882 was 28% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $67,889 was 6% above the state average of $63,772. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $39,121 was 2% below the state average of $39,976. For Level 2 Vascular Procedures (outpatient APC 5182), its average charge of $10,704 was 1% below the state average of $10,845.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Shore Medical Center in Somers Point, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-04-19 (CMS case 2459)
- Closure Notice — 2024-07-23 (CMS case 2459)
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.