Capital Health Regional Medical Center
Capital Health Regional Medical Center in Trenton, NJ charges 28.7x the Medicare reimbursement rate across analyzed procedures, with 97% showing significant price variations.
Trenton, NJ 08638 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
F
Very high
Avg markup vs Medicare
28.72x
Charge / Medicare rate
Max markup
40.57x
Worst procedure
Procedures analyzed
35
With pricing data
Outlier procedures
97.1%
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 |
|---|---|---|---|---|---|
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $620,670 | $310,335 | — | 40.6x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $311,264 | $155,632 | — | 40.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $325,217 | $162,608 | — | 39.5x |
| DIABETES WITH MCC | 637 | $523,796 | $261,898 | — | 38.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $362,975 | $181,487 | — | 35.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $468,526 | $234,263 | — | 34.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $255,712 | $127,856 | — | 33.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $337,930 | $168,965 | — | 33.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $393,446 | $196,723 | — | 33x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $475,042 | $237,521 | — | 32.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $408,940 | $204,470 | — | 32.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $222,735 | $111,368 | — | 32x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $255,590 | $127,795 | — | 31x |
| RENAL FAILURE WITH MCC | 682 | $451,487 | $225,743 | — | 31x |
| HYPERTENSION WITH MCC | 304 | $304,836 | $152,418 | — | 30.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $248,272 | $124,136 | — | 30.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $293,893 | $146,946 | — | 29.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $503,185 | $251,592 | — | 27.8x |
| SYNCOPE AND COLLAPSE | 312 | $240,180 | $120,090 | — | 27.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $438,867 | $219,433 | — | 27.2x |
| DIABETES WITH CC | 638 | $256,424 | $128,212 | — | 27x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $317,992 | $158,996 | — | 26.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $299,762 | $149,881 | — | 26.2x |
| RENAL FAILURE WITH CC | 683 | $230,167 | $115,083 | — | 26x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $452,668 | $226,334 | — | 25.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $478,514 | $239,257 | — | 25.4x |
| SEIZURES WITH MCC | 100 | $514,366 | $257,183 | — | 25.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $205,015 | $102,508 | — | 25.2x |
| SEIZURES WITHOUT MCC | 101 | $240,385 | $120,193 | — | 25x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $416,885 | $208,443 | — | 24.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $527,813 | $263,906 | — | 22.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $792,069 | $396,034 | — | 20.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $349,145 | $174,572 | — | 19.9x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $880,286 | $440,143 | — | 18.4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $176,467 | $88,234 | — | 5.8x |
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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