St Joseph's University Medical Center Inc: charges and Medicare payments

St Joseph's University Medical Center Inc reported 2,608 Medicare inpatient stays across 79 DRGs in 2024. Across them it charged 6.26 times what it was paid — mid-range in New Jersey, number 30 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: 287 stays at an average charge of $166,601, 85% above the national average. It also billed 1,681 outpatient services, charging 7.24 times what Medicare paid.

1Medicare inpatient stays 2,608
2Charge ÷ paid, inpatient 6.26×
3Rank in NJ (highest ratio = 1) 30 of 60
4CMS price-transparency actions 0

Average charge per stay at St Joseph's University Medical Center Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 79 DRGs that can be compared with the national average, St Joseph's University Medical Center Inc charged more than the national average in 77 (97%). 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	287	$166,601	+85%	$24,267
291 Heart Failure and Shock with MCC	183	$117,047	+108%	$16,626
177 Respiratory Infections and Inflammations with MCC	121	$136,806	+94%	$20,680
193 Simple Pneumonia and Pleurisy with MCC	107	$119,153	+99%	$16,881
689 Kidney and Urinary Tract Infections with MCC	82	$103,042	+101%	$15,200
698 Other Kidney and Urinary Tract Diagnoses with MCC	65	$128,870	+76%	$19,524
853 Infectious and Parasitic Diseases with O.R. Procedures with...	64	$393,244	+72%	$54,633
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	62	$167,248	+67%	$25,281
274 Percutaneous and Other Intracardiac Procedures without MCC	58	$96,429	-38%	$34,625
885 Psychoses	54	$125,915	+186%	$18,977
690 Kidney and Urinary Tract Infections without MCC	53	$68,765	+82%	$11,385
378 Gastrointestinal Hemorrhage with CC	52	$82,564	+70%	$13,004
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	46	$81,916	+47%	$13,475
481 Hip and Femur Procedures except Major Joint with CC	46	$136,689	+36%	$26,736
870 Septicemia or Severe Sepsis with MV >96 Hours	44	$330,562	+2%	$69,814
280 Acute Myocardial Infarction, Discharged Alive with MCC	42	$149,244	+97%	$19,822
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	41	$116,019	+92%	$17,003
682 Renal Failure with MCC	40	$96,624	+47%	$18,303
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	39	$76,229	+55%	$13,804
308 Cardiac Arrhythmia and Conduction Disorders with MCC	34	$104,251	+84%	$15,733
683 Renal Failure with CC	34	$85,537	+110%	$12,424
189 Pulmonary Edema and Respiratory Failure	33	$95,959	+67%	$15,772
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$91,617	+154%	$10,486
377 Gastrointestinal Hemorrhage with MCC	31	$126,517	+48%	$20,177
207 Respiratory System Diagnosis with Ventilator Support >96...	29	$321,238	+10%	$63,399
393 Other Digestive System Diagnoses with MCC	29	$122,812	+60%	$19,357
267 Endovascular Cardiac Valve Replacement and Supplement...	28	$206,433	-7%	$51,012
100 Seizures with MCC	27	$130,821	+39%	$22,506
190 Chronic Obstructive Pulmonary Disease with MCC	27	$84,070	+66%	$14,195
603 Cellulitis without MCC	26	$100,069	+168%	$13,954
699 Other Kidney and Urinary Tract Diagnoses with CC	25	$71,964	+52%	$13,005
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$63,535	+58%	$10,588
470 Major Hip and Knee Joint Replacement or Reattachment of...	24	$154,788	+66%	$23,227
637 Diabetes with MCC	24	$112,648	+69%	$18,081
811 Red Blood Cell Disorders with MCC	24	$156,210	+129%	$17,968
314 Other Circulatory System Diagnoses with MCC	23	$271,508	+186%	$24,141
321 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$256,397	+57%	$36,685
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$174,078	+28%	$32,433
270 Other Major Cardiovascular Procedures with MCC	21	$357,523	+38%	$56,880
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$161,229	+58%	$26,281
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$116,756	+2%	$22,410
552 Medical Back Problems without MCC	20	$73,680	+51%	$12,936
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	20	$59,242	+39%	$12,095
178 Respiratory Infections and Inflammations with CC	18	$94,958	+110%	$12,671
194 Simple Pneumonia and Pleurisy with CC	18	$95,884	+150%	$11,780
056 Degenerative Nervous System Disorders with MCC	17	$142,186	+48%	$22,805
057 Degenerative Nervous System Disorders without MCC	17	$72,962	+29%	$16,400
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$81,667	+62%	$11,726
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	17	$402,369	+86%	$53,925
069 Transient Ischemia without Thrombolytic	16	$86,532	+72%	$10,598
252 Other Vascular Procedures with MCC	16	$305,409	+79%	$39,690
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	16	$59,542	+107%	$8,988
638 Diabetes with CC	16	$57,941	+39%	$13,119
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$64,457	+74%	$11,014
812 Red Blood Cell Disorders without MCC	16	$106,255	+139%	$12,794
266 Endovascular Cardiac Valve Replacement and Supplement...	15	$365,889	+28%	$66,746
092 Other Disorders of Nervous System with CC	14	$81,731	+59%	$13,732
312 Syncope and Collapse	14	$77,766	+71%	$11,988
329 Major Small and Large Bowel Procedures with MCC	14	$277,586	+29%	$46,633
884 Organic Disturbances and Intellectual Disability	14	$118,270	+90%	$20,602

Showing the 60 most frequent of 79 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	387	$26,147	$3,079
Level 5 Musculoskeletal Procedures	140	$101,692	$14,568
Level 1 Endovascular Procedures	106	$21,352	$3,588
Level 2 Upper GI Procedures	100	$10,188	$2,148
Level 3 Vascular Procedures	81	$17,608	$3,342
Level 4 Musculoskeletal Procedures	70	$39,115	$8,140
Level 2 Excision/ Biopsy/ Incision and Drainage	67	$10,854	$1,823
Level 3 Endovascular Procedures	66	$69,305	$12,171
Level 1 Laparoscopy and Related Services	58	$49,048	$6,411
Level 3 Urology and Related Services	50	$16,977	$2,281
Level 2 Endovascular Procedures	44	$42,840	$6,269
Level 5 Urology and Related Services	44	$38,631	$5,888
Level 4 Urology and Related Services	39	$23,481	$3,967
Level 2 Musculoskeletal Procedures	38	$13,317	$1,714
Level 4 Endovascular Procedures	38	$105,316	$19,905
Level 3 Lower GI Procedures	38	$15,583	$3,085
Level 1 Intraocular Procedures	34	$18,606	$2,652
Level 3 Pacemaker and Similar Procedures	33	$50,410	$11,816
Level 3 Musculoskeletal Procedures	31	$21,250	$3,589
Level 3 Electrophysiologic Procedures	29	$116,392	$26,076
Level 3 Intraocular Procedures	26	$33,107	$5,947
Level 4 Vascular Procedures	22	$36,760	$6,253
Level 2 Laparoscopy and Related Services	22	$68,319	$11,698
Level 4 Gynecologic Procedures	19	$12,833	$3,409
Level 3 Excision/ Biopsy/ Incision and Drainage	16	$17,541	$3,032

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph's University Medical Center Inc charged $166,601 on average, 27% more than the New Jersey average of $131,698, and was paid $24,267 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), St Joseph's University Medical Center Inc charged $117,047 on average, 20% more than the New Jersey average of $97,469, and was paid $16,626 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), St Joseph's University Medical Center Inc charged $136,806 on average, 17% more than the New Jersey average of $117,022, and was paid $20,680 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Joseph's University Medical Center Inc charged $119,153 on average, 19% more than the New Jersey average of $100,241, and was paid $16,881 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,147 was 24% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $101,692 was 59% above the state average of $63,772. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,352 was 28% below the state average of $29,645. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,188 was 40% below the state average of $16,923.

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.