Capital Health Medical Center - Hopewell
Capital Health Medical Center - Hopewell in Pennington, NJ charges 30.8x the Medicare reimbursement rate across all 49 procedures analyzed, making it one of the highest-markup hospitals in the region.
Pennington, NJ 08534 · 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
F
Very high
Avg markup vs Medicare
30.79x
Charge / Medicare rate
Max markup
53.75x
Worst procedure
Procedures analyzed
49
With pricing data
Outlier procedures
100%
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 |
|---|---|---|---|---|---|
| RENAL FAILURE WITH CC | 683 | $316,842 | $158,421 | — | 53.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $381,454 | $190,727 | — | 49.6x |
| SYNCOPE AND COLLAPSE | 312 | $340,087 | $170,044 | — | 42.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $326,847 | $163,423 | — | 42.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $310,370 | $155,185 | — | 42.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $239,231 | $119,616 | — | 41x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $342,489 | $171,244 | — | 40.3x |
| DIABETES WITH MCC | 637 | $549,519 | $274,760 | — | 40.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $218,189 | $109,095 | — | 39.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $218,099 | $109,049 | — | 39.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $282,255 | $141,127 | — | 38.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $283,941 | $141,970 | — | 38x |
| RENAL FAILURE WITH MCC | 682 | $436,561 | $218,281 | — | 36.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $205,775 | $102,888 | — | 35.9x |
| DIABETES WITH CC | 638 | $258,134 | $129,067 | — | 35.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $351,223 | $175,611 | — | 35.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $211,143 | $105,571 | — | 35.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $371,687 | $185,844 | — | 34.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $195,183 | $97,592 | — | 33.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $497,774 | $248,887 | — | 32.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $367,057 | $183,528 | — | 31.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $281,395 | $140,697 | — | 31.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $353,574 | $176,787 | — | 31.3x |
| CELLULITIS WITHOUT MCC | 603 | $189,113 | $94,557 | — | 31.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $260,435 | $130,217 | — | 31.2x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $244,624 | $122,312 | — | 31x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $194,902 | $97,451 | — | 30.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $343,029 | $171,515 | — | 30.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $405,219 | $202,610 | — | 29.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $279,085 | $139,542 | — | 28.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $297,261 | $148,631 | — | 28.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $447,880 | $223,940 | — | 28.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $183,085 | $91,543 | — | 27.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $523,772 | $261,886 | — | 26.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $280,190 | $140,095 | — | 26x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $1,058,921 | $529,460 | — | 25.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $353,567 | $176,784 | — | 24.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $384,188 | $192,094 | — | 23.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $187,503 | $93,752 | — | 23.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $273,877 | $136,939 | — | 22.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $340,868 | $170,434 | — | 22.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $310,852 | $155,426 | — | 20.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $758,755 | $379,377 | — | 20.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $363,505 | $181,752 | — | 19.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $541,845 | $270,923 | — | 18.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $242,621 | $121,311 | — | 17.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $299,216 | $149,608 | — | 16.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $346,910 | $173,455 | — | 13.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $353,601 | $176,801 | — | 12.2x |
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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