New Jersey / St Mary's General Hospital
CMS certification 310006 · Passaic, NJ · 1 entry in CMS's price-transparency list
St Mary's General Hospital: charges and Medicare payments
St Mary's General Hospital reported 526 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 3.39 times what it was paid — among the lower ratios in New Jersey, number 59 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: 98 stays at an average charge of $65,607, 27% below the national average. It also billed 232 outpatient services, charging 9.45 times what Medicare paid.
- 1Medicare inpatient stays 526
- 2Charge ÷ paid, inpatient 3.39×
- 3Rank in NJ (highest ratio = 1) 59 of 60
- 4CMS price-transparency actions 1
Inpatient stays
For the 24 DRGs that can be compared with the national average, St Mary's General Hospital charged more than the national average in 1 (4%). 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 | 98 | $65,607 | -27% | $22,471 |
| 291 Heart Failure and Shock with MCC | 71 | $53,693 | -5% | $15,210 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 41 | $67,998 | -10% | $18,323 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $33,821 | -16% | $10,018 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $52,185 | -26% | $19,119 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $193,412 | -16% | $52,411 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $39,768 | -34% | $14,735 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $163,659 | 0% | $31,446 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $31,452 | -17% | $10,130 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $51,306 | -14% | $15,794 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $59,440 | -7% | $11,907 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $28,554 | -43% | $10,800 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $32,171 | -11% | $9,397 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $22,740 | -39% | $9,618 |
| 312 Syncope and Collapse | 13 | $33,356 | -27% | $10,751 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $48,021 | -1% | $12,020 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $46,750 | -9% | $14,255 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $41,863 | -15% | $12,556 |
| 101 Seizures without MCC | 12 | $32,919 | -32% | $11,091 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $90,496 | -19% | $25,482 |
| 389 Gastrointestinal Obstruction with CC | 12 | $38,842 | 0% | $10,380 |
| 305 Hypertension without MCC | 11 | $21,220 | -47% | $9,609 |
| 603 Cellulitis without MCC | 11 | $43,145 | +16% | $10,967 |
| 637 Diabetes with MCC | 11 | $49,708 | -25% | $16,973 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 55 | $28,274 | $3,714 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 48 | $10,608 | $1,814 |
| Comprehensive Observation Services | 36 | $6,293 | $3,115 |
| Level 1 Intraocular Procedures | 22 | $37,166 | $2,468 |
| Level 3 Musculoskeletal Procedures | 17 | $38,527 | $3,511 |
| Level 2 Upper GI Procedures | 16 | $17,098 | $2,165 |
| Level 3 Endovascular Procedures | 14 | $111,145 | $12,501 |
| Level 3 Pacemaker and Similar Procedures | 12 | $76,107 | $12,134 |
| Level 4 Gynecologic Procedures | 12 | $32,752 | $3,321 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Mary's General Hospital charged $65,607 on average, 50% less than the New Jersey average of $131,698, and was paid $22,471 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), St Mary's General Hospital charged $53,693 on average, 45% less than the New Jersey average of $97,469, and was paid $15,210 against a state average of $12,811. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), St Mary's General Hospital charged $67,998 on average, 39% less than the New Jersey average of $111,703, and was paid $18,323 against a state average of $15,382. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), St Mary's General Hospital charged $33,821 on average, 43% less than the New Jersey average of $59,791, and was paid $10,018 against a state average of $7,933. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,274 was 5% below the state average of $29,645. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,608 was 17% below the state average of $12,828. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $6,293 was 82% below the state average of $34,388. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $37,166 was 85% above the state average of $20,104.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Mary's General Hospital in Passaic, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-21 (CMS case 5883)
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.