14/100
#2,317 nationally
St Luke's Warren Hospital
185 Roseberry St, Phillipsburg, NJ 08865 · (908) 847-6700
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, St Luke's Warren Hospital billed $7.85 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
- 7.9x
- volume-weighted across all its priced work
- Procedures priced
- 56
- inpatient and outpatient combined
- Rank in NJ
- #45
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 13% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 25% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
249 | $21,138 | $2,418 | +80% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
235 | $139,566 | $19,954 | +114% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
139 | $103,080 | $13,537 | +137% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
139 | $42,095 | $2,849 | +117% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
116 | $20,039 | $1,661 | +99% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
101 | $109,201 | $13,635 | +75% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
101 | $16,980 | $1,992 | +44% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
72 | $13,719 | $1,951 | +21% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
59 | $88,067 | $10,849 | +125% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
47 | $50,764 | $5,417 | +85% |
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 |
|---|---|---|---|
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$109,967 | $9,775 | +179% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$125,118 | $9,954 | +175% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$71,054 | $7,160 | +171% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$99,881 | $10,395 | +169% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$203,551 | $20,698 | +167% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$83,195 | $9,072 | +166% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$137,716 | $15,761 | +160% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$79,068 | $7,498 | +158% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$86,321 | $19,079 | +8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,719 | $1,951 | +21% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$256,083 | $48,941 | +44% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$16,980 | $1,992 | +44% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$16,578 | $1,622 | +48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$37,544 | $3,323 | +49% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$92,698 | $14,532 | +65% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$59,982 | $6,041 | +71% |
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.