32/100
#1,811 nationally
Community Medical Center
99 Rt 37 West, Toms River, NJ 08755 · (732) 557-8000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Community Medical Center billed $6.47 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.5x
- volume-weighted across all its priced work
- Procedures priced
- 184
- inpatient and outpatient combined
- Rank in NJ
- #17
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 16% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 25% of U.S. hospitals.
Better than 16% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,857 | $21,709 | $2,837 | +12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
887 | $116,195 | $17,298 | +78% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
462 | $86,877 | $11,617 | +100% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
272 | $22,641 | $3,399 | -10% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
254 | $88,535 | $11,889 | +90% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
251 | $7,265 | $1,674 | -28% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
174 | $82,453 | $10,326 | +102% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
174 | $80,245 | $9,859 | +105% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
160 | $101,233 | $14,118 | +78% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
155 | $111,981 | $15,089 | +104% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
COPD (uncomplicated)
MS-DRG 192 · Inpatient stay |
$58,925 | $5,755 | +166% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$88,178 | $11,853 | +144% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$68,288 | $7,403 | +118% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$117,662 | $13,336 | +116% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$90,227 | $10,569 | +116% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$79,723 | $8,050 | +114% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
$74,870 | $7,740 | +114% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
$105,994 | $10,442 | +113% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$22,131 | $7,911 | -46% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$20,021 | $5,943 | -43% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$54,850 | $20,349 | -43% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$34,738 | $10,480 | -42% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$16,108 | $5,371 | -41% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$23,552 | $6,646 | -40% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$57,233 | $18,316 | -40% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$37,908 | $13,667 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.