New Jersey / University Hospital

CMS certification 310119 · Newark, NJ

University Hospital: charges and Medicare payments

University Hospital reported 774 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 3.71 times what it was paid — among the lower ratios in New Jersey, number 58 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: 125 stays at an average charge of $145,391, 61% above the national average. It also billed 1,176 outpatient services, charging 7.83 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 774
  2. 2Charge ÷ paid, inpatient 3.71×
  3. 3Rank in NJ (highest ratio = 1) 58 of 60
  4. 4CMS price-transparency actions 0
DRG 871$145,391DRG 885$140,827DRG 291$78,155DRG 189$73,988DRG 847$64,034DRG 065$100,115DRG 481$147,313DRG 442$74,571DRG 064$142,874DRG 683$57,594
Average charge per stay at University Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 35 DRGs that can be compared with the national average, University Hospital charged more than the national average in 30 (86%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC125$145,391+61%$35,258
885 Psychoses88$140,827+220%$32,492
291 Heart Failure and Shock with MCC53$78,155+39%$26,695
189 Pulmonary Edema and Respiratory Failure34$73,988+29%$27,328
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...34$64,034-5%$25,696
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...22$100,115+80%$23,925
481 Hip and Femur Procedures except Major Joint with CC22$147,313+46%$35,234
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...21$74,571+57%$22,640
064 Intracranial Hemorrhage or Cerebral Infarction with MCC20$142,874+43%$35,806
683 Renal Failure with CC19$57,594+41%$20,147
853 Infectious and Parasitic Diseases with O.R. Procedures with...19$298,457+30%$66,752
698 Other Kidney and Urinary Tract Diagnoses with MCC18$152,253+107%$30,303
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$101,307+68%$26,719
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC17$66,395+35%$22,141
637 Diabetes with MCC16$109,185+64%$26,716
552 Medical Back Problems without MCC15$84,569+73%$23,352
003 ECMO or Tracheostomy with MV >96 Hours or Principal...14$990,955-6%$251,221
177 Respiratory Infections and Inflammations with MCC14$74,537+6%$27,595
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...14$149,832+74%$34,515
870 Septicemia or Severe Sepsis with MV >96 Hours14$323,7030%$83,275
193 Simple Pneumonia and Pleurisy with MCC13$118,251+98%$26,702
252 Other Vascular Procedures with MCC13$110,552-35%$52,699
884 Organic Disturbances and Intellectual Disability13$102,716+65%$32,008
101 Seizures without MCC12$60,766+25%$21,575
312 Syncope and Collapse12$65,218+43%$21,233
378 Gastrointestinal Hemorrhage with CC12$67,518+39%$22,839
432 Cirrhosis and Alcoholic Hepatitis with MCC12$129,109+35%$34,439
638 Diabetes with CC12$44,198+6%$21,157
682 Renal Failure with MCC12$95,450+45%$28,207
690 Kidney and Urinary Tract Infections without MCC12$77,085+104%$21,513
057 Degenerative Nervous System Disorders without MCC11$91,339+61%$28,040
100 Seizures with MCC11$107,278+14%$35,485
208 Respiratory System Diagnosis with Ventilator Support <=96...11$120,053-12%$44,423
433 Cirrhosis and Alcoholic Hepatitis with CC11$77,205+47%$23,472
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...11$56,431+52%$20,386

Outpatient services

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University Hospital charged $145,391 on average, 10% more than the New Jersey average of $131,698, and was paid $35,258 against a state average of $19,296. For Psychoses (DRG 885), University Hospital charged $140,827 on average, 53% more than the New Jersey average of $91,986, and was paid $32,492 against a state average of $15,005. For Heart Failure and Shock with MCC (DRG 291), University Hospital charged $78,155 on average, 20% less than the New Jersey average of $97,469, and was paid $26,695 against a state average of $12,811. For Pulmonary Edema and Respiratory Failure (DRG 189), University Hospital charged $73,988 on average, 24% less than the New Jersey average of $97,805, and was paid $27,328 against a state average of $12,570. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,483 was 3% below the state average of $34,388. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,733 was 35% below the state average of $21,241. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $18,166 was 10% below the state average of $20,104. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,606 was 68% below the state average of $8,057.

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.