5/100
#2,518 nationally
Newton Medical Center
175 High St, Newton, NJ 07860 · (973) 383-2121
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Newton Medical Center billed $13.14 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
- 13.1x
- volume-weighted across all its priced work
- Procedures priced
- 84
- inpatient and outpatient combined
- Rank in NJ
- #54
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 1% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 4% 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 |
361 | $42,530 | $2,834 | +119% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
287 | $198,099 | $15,585 | +204% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
189 | $141,821 | $10,227 | +227% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
92 | $86,940 | $7,337 | +185% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
89 | $169,002 | $10,878 | +263% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
83 | $35,981 | $5,313 | +31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
82 | $22,542 | $1,684 | +124% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
81 | $152,560 | $9,550 | +274% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
78 | $179,568 | $12,941 | +226% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
76 | $200,594 | $12,538 | +227% |
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 |
|---|---|---|---|
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$271,606 | $17,027 | +620% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$160,202 | $9,418 | +283% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$130,300 | $7,681 | +277% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$152,560 | $9,550 | +274% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$169,002 | $10,878 | +263% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$169,745 | $9,502 | +258% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$130,670 | $8,294 | +251% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$104,200 | $6,687 | +250% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,564 | $1,992 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$35,981 | $5,313 | +31% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$16,731 | $1,971 | +47% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$13,258 | $1,677 | +55% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$29,970 | $3,337 | +57% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$40,337 | $3,367 | +60% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$28,811 | $2,975 | +63% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$34,137 | $3,598 | +65% |
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.