New Jersey / St Luke's Warren Hospital
CMS certification 310060 · Phillipsburg, NJ
St Luke's Warren Hospital: charges and Medicare payments
St Luke's Warren Hospital reported 1,126 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 7.35 times what it was paid — among the higher ratios in New Jersey, number 18 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: 235 stays at an average charge of $139,566, 55% above the national average. It also billed 1,133 outpatient services, charging 11.96 times what Medicare paid.
- 1Medicare inpatient stays 1,126
- 2Charge ÷ paid, inpatient 7.35×
- 3Rank in NJ (highest ratio = 1) 18 of 60
- 4CMS price-transparency actions 0
Inpatient stays
For the 38 DRGs that can be compared with the national average, St Luke's Warren Hospital charged more than the national average in 37 (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 | 235 | $139,566 | +55% | $19,954 |
| 291 Heart Failure and Shock with MCC | 139 | $103,080 | +83% | $13,537 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 59 | $88,067 | +80% | $10,849 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $96,623 | +68% | $13,232 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $68,685 | +71% | $8,381 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $82,537 | +61% | $12,218 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $64,574 | +71% | $8,571 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $121,330 | +72% | $17,253 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $95,278 | +96% | $10,345 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $97,514 | +63% | $13,898 |
| 092 Other Disorders of Nervous System with CC | 27 | $79,487 | +54% | $10,818 |
| 683 Renal Failure with CC | 27 | $67,496 | +66% | $9,546 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $79,068 | +119% | $7,498 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $256,083 | +12% | $48,941 |
| 552 Medical Back Problems without MCC | 21 | $70,628 | +45% | $10,002 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $105,344 | +75% | $14,467 |
| 682 Renal Failure with MCC | 21 | $137,716 | +109% | $15,761 |
| 884 Organic Disturbances and Intellectual Disability | 21 | $90,559 | +45% | $17,820 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 19 | $101,804 | +51% | $14,116 |
| 603 Cellulitis without MCC | 18 | $62,875 | +69% | $9,653 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $125,118 | +125% | $9,954 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $69,370 | +87% | $8,288 |
| 812 Red Blood Cell Disorders without MCC | 16 | $90,558 | +104% | $9,722 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $109,967 | +138% | $9,775 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $100,884 | +78% | $13,774 |
| 389 Gastrointestinal Obstruction with CC | 14 | $83,195 | +114% | $9,072 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $149,366 | +48% | $20,711 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $124,665 | +70% | $17,334 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $203,551 | +104% | $20,698 |
| 149 Dysequilibrium | 13 | $82,526 | +86% | $7,963 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $99,881 | +120% | $10,395 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $64,341 | +68% | $7,444 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $219,620 | +62% | $28,114 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $136,990 | +60% | $18,711 |
| 811 Red Blood Cell Disorders with MCC | 12 | $92,698 | +36% | $14,532 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $79,955 | +58% | $11,613 |
| 196 Interstitial Lung Disease with MCC | 11 | $86,321 | 0% | $19,079 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $150,240 | +47% | $21,137 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 249 | $21,138 | $2,418 |
| Comprehensive Observation Services | 139 | $42,095 | $2,849 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 116 | $20,039 | $1,661 |
| Level 5 Musculoskeletal Procedures | 101 | $109,201 | $13,635 |
| Level 2 Upper GI Procedures | 101 | $16,980 | $1,992 |
| Level 1 Nerve Procedures | 72 | $13,719 | $1,951 |
| Level 5 Urology and Related Services | 47 | $50,764 | $5,417 |
| Level 4 Urology and Related Services | 46 | $35,856 | $3,650 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 45 | $40,360 | $3,584 |
| Level 3 Urology and Related Services | 37 | $24,464 | $2,132 |
| Level 4 Musculoskeletal Procedures | 32 | $86,793 | $7,490 |
| Level 3 Musculoskeletal Procedures | 31 | $45,431 | $3,389 |
| Level 1 Endovascular Procedures | 26 | $37,544 | $3,322 |
| Level 3 Vascular Procedures | 25 | $37,331 | $3,337 |
| Level 2 Musculoskeletal Procedures | 21 | $16,578 | $1,622 |
| Level 2 Neurostimulator and Related Procedures | 17 | $71,054 | $7,160 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $31,648 | $2,975 |
| Level 1 Laparoscopy and Related Services | 12 | $59,982 | $6,041 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Warren Hospital charged $139,566 on average, 6% more than the New Jersey average of $131,698, and was paid $19,954 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), St Luke's Warren Hospital charged $103,080 on average, 6% more than the New Jersey average of $97,469, and was paid $13,537 against a state average of $12,811. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Luke's Warren Hospital charged $88,067 on average, 12% more than the New Jersey average of $78,561, and was paid $10,849 against a state average of $10,720. For Pulmonary Edema and Respiratory Failure (DRG 189), St Luke's Warren Hospital charged $96,623 on average, 1% less than the New Jersey average of $97,805, and was paid $13,232 against a state average of $12,570. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $21,138 was 5% above the state average of $20,104. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,095 was 22% above the state average of $34,388. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,039 was 56% above the state average of $12,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $109,201 was 71% above 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.