21/100
#2,154 nationally
Robert Wood Johnson University Hospital - Somerset
110 Rehill Ave, Somerville, NJ 08876 · (908) 685-2200
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Robert Wood Johnson University Hospital - Somerset billed $7.95 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
- 8.0x
- volume-weighted across all its priced work
- Procedures priced
- 118
- inpatient and outpatient combined
- Rank in NJ
- #43
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 9% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 12% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
493 | $137,851 | $17,599 | +111% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
338 | $32,478 | $2,798 | +67% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
214 | $108,894 | $11,269 | +151% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
192 | $9,091 | $1,667 | -10% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
168 | $51,946 | $13,250 | -17% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
144 | $33,986 | $3,384 | +35% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
110 | $26,810 | $5,339 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
102 | $16,217 | $2,082 | +26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
102 | $21,090 | $3,593 | about average |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
91 | $123,546 | $13,930 | +101% |
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 |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$121,530 | $13,531 | +237% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$102,065 | $8,281 | +207% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$118,161 | $9,229 | +182% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$131,713 | $12,543 | +172% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$149,436 | $11,482 | +169% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$146,161 | $13,654 | +157% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$123,720 | $10,449 | +156% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$79,519 | $7,063 | +154% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$38,099 | $10,761 | -26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$15,644 | $3,299 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$51,946 | $13,250 | -17% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$60,223 | $11,309 | -11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,091 | $1,667 | -10% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$16,883 | $2,851 | -5% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,439 | $1,992 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$26,810 | $5,339 | about average |
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.