29/100
#1,917 nationally
Saint Michael's Medical Center
111 Central Avenue, Newark, NJ 07102 · (973) 877-5350
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Saint Michael's Medical Center billed $4.48 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 17
- inpatient and outpatient combined
- Rank in NJ
- #30
- 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 49% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 17% 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 |
76 | $124,243 | $25,480 | +90% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
63 | $26,908 | $3,466 | +7% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
56 | $36,328 | $2,503 | +209% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
48 | $66,812 | $16,892 | +54% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
42 | $51,237 | $19,456 | +42% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
26 | $55,773 | $16,692 | +15% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
17 | $74,747 | $17,660 | +60% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
17 | $37,510 | $3,716 | +61% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
16 | $89,097 | $21,473 | +62% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
15 | $130,091 | $25,346 | +83% |
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 |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$36,328 | $2,503 | +209% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$124,243 | $25,480 | +90% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$130,091 | $25,346 | +83% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$89,097 | $21,473 | +62% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$37,510 | $3,716 | +61% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$74,747 | $17,660 | +60% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$66,812 | $16,892 | +54% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$43,612 | $12,606 | +43% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$26,908 | $3,466 | +7% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$36,448 | $11,046 | +8% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$59,683 | $18,738 | +13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$36,554 | $11,115 | +13% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$55,773 | $16,692 | +15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$22,627 | $3,424 | +18% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$38,808 | $11,748 | +30% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$41,778 | $9,275 | +36% |
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.