Cape Regional Medical Center Inc
Cape Regional Medical Center Inc in Cape May Court House, NJ charges 7.0x the Medicare reimbursement rate across 55 analyzed procedures at this nonprofit facility.
Cape May Court House, NJ 08210 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
7.01x
Charge / Medicare rate
Max markup
11.64x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $31,838 | $15,919 | — | 11.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $45,129 | $22,564 | — | 11.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $52,074 | $26,037 | — | 9.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $40,745 | $20,373 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $42,509 | $21,254 | — | 9x |
| SYNCOPE AND COLLAPSE | 312 | $48,432 | $24,216 | — | 9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,025 | $21,512 | — | 8.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $42,001 | $21,001 | — | 8.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $45,660 | $22,830 | — | 8.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,389 | $19,694 | — | 8.3x |
| ENDOCRINE DISORDERS WITH CC | 644 | $54,108 | $27,054 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,941 | $25,970 | — | 8.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $48,930 | $24,465 | — | 8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $44,848 | $22,424 | — | 7.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $40,623 | $20,311 | — | 7.8x |
| DIABETES WITH MCC | 637 | $72,970 | $36,485 | — | 7.8x |
| DIABETES WITH CC | 638 | $44,865 | $22,433 | — | 7.6x |
| RENAL FAILURE WITH CC | 683 | $40,029 | $20,014 | — | 7.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $66,908 | $33,454 | — | 7.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,529 | $23,265 | — | 7.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $45,350 | $22,675 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $40,774 | $20,387 | — | 7.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $70,311 | $35,156 | — | 7.3x |
| RENAL FAILURE WITH MCC | 682 | $72,963 | $36,481 | — | 7.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $58,728 | $29,364 | — | 7.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,653 | $22,326 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $68,502 | $34,251 | — | 7.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $38,987 | $19,494 | — | 7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $60,966 | $30,483 | — | 6.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $50,125 | $25,062 | — | 6.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $51,823 | $25,911 | — | 6.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $49,799 | $24,900 | — | 6.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $49,615 | $24,808 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $34,370 | $17,185 | — | 6.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $38,617 | $19,309 | — | 6.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $108,077 | $54,038 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $87,775 | $43,887 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $58,582 | $29,291 | — | 6.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $70,235 | $35,117 | — | 6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $39,911 | $19,956 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $76,173 | $38,086 | — | 5.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $71,772 | $35,886 | — | 5.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $48,301 | $24,151 | — | 5.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $82,834 | $41,417 | — | 5.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $81,364 | $40,682 | — | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $59,747 | $29,874 | — | 5.6x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $44,753 | $22,376 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $68,954 | $34,477 | — | 5.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $48,713 | $24,356 | — | 5.4x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $56,568 | $28,284 | — | 5.3x |
Showing 50 of 55 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use