New Jersey / Trinitas Regional Medical Center
CMS certification 310027 · Elizabeth, NJ · 2 entries in CMS's price-transparency list
Trinitas Regional Medical Center: charges and Medicare payments
Trinitas Regional Medical Center reported 651 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 4.54 times what it was paid — among the lower ratios in New Jersey, number 54 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: 218 stays at an average charge of $107,720, 19% above the national average. It also billed 357 outpatient services, charging 8.21 times what Medicare paid.
- 1Medicare inpatient stays 651
- 2Charge ÷ paid, inpatient 4.54×
- 3Rank in NJ (highest ratio = 1) 54 of 60
- 4CMS price-transparency actions 2
Inpatient stays
For the 25 DRGs that can be compared with the national average, Trinitas Regional Medical Center charged more than the national average in 14 (56%). 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 | 218 | $107,720 | +19% | $22,546 |
| 291 Heart Failure and Shock with MCC | 41 | $81,440 | +44% | $17,006 |
| 885 Psychoses | 27 | $85,974 | +95% | $17,804 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $52,182 | +7% | $13,456 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $86,839 | +69% | $15,418 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $195,961 | -14% | $47,797 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $67,517 | +38% | $13,098 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $95,246 | +26% | $18,509 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $49,273 | -18% | $16,186 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $65,694 | +10% | $16,622 |
| 312 Syncope and Collapse | 18 | $42,948 | -6% | $12,269 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 18 | $305,252 | -6% | $65,267 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $89,261 | +26% | $18,640 |
| 252 Other Vascular Procedures with MCC | 15 | $99,001 | -42% | $35,010 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $47,448 | +28% | $11,639 |
| 073 Cranial and Peripheral Nerve Disorders with MCC | 14 | $42,234 | -46% | $18,317 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $74,527 | -13% | $20,069 |
| 682 Renal Failure with MCC | 14 | $78,002 | +18% | $15,334 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $70,168 | -4% | $19,361 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $89,002 | +76% | $13,598 |
| 069 Transient Ischemia without Thrombolytic | 12 | $46,876 | -7% | $11,580 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $46,733 | -17% | $16,085 |
| 149 Dysequilibrium | 11 | $43,153 | -3% | $11,174 |
| 638 Diabetes with CC | 11 | $211,241 | +407% | $21,871 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $87,198 | +40% | $20,318 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 134 | $19,672 | $2,849 |
| Level 1 Intraocular Procedures | 42 | $22,186 | $2,440 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 30 | $5,890 | $1,697 |
| Level 2 Upper GI Procedures | 27 | $10,429 | $1,992 |
| Level 1 Endovascular Procedures | 23 | $25,797 | $3,417 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 21 | $27,180 | $3,598 |
| Level 4 Musculoskeletal Procedures | 20 | $32,336 | $7,191 |
| Level 3 Vascular Procedures | 18 | $16,987 | $3,337 |
| Level 4 Vascular Procedures | 17 | $35,867 | $5,753 |
| Level 5 Urology and Related Services | 14 | $32,848 | $5,417 |
| Level 2 Vascular Procedures | 11 | $13,129 | $1,555 |
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Trinitas Regional Medical Center charged $107,720 on average, 18% less than the New Jersey average of $131,698, and was paid $22,546 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Trinitas Regional Medical Center charged $81,440 on average, 16% less than the New Jersey average of $97,469, and was paid $17,006 against a state average of $12,811. For Psychoses (DRG 885), Trinitas Regional Medical Center charged $85,974 on average, 7% less than the New Jersey average of $91,986, and was paid $17,804 against a state average of $15,005. For Gastrointestinal Hemorrhage with CC (DRG 378), Trinitas Regional Medical Center charged $52,182 on average, 35% less than the New Jersey average of $79,735, and was paid $13,456 against a state average of $10,018. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,672 was 43% below the state average of $34,388. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $22,186 was 10% above the state average of $20,104. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,890 was 54% below the state average of $12,828. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,429 was 38% below the state average of $16,923.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Trinitas Regional Medical Center in Elizabeth, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-04-08 (CMS case 2460)
- Met Requirements — 2025-08-01 (CMS case 6119)
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.