Monmouth Medical Center
Monmouth Medical Center in Long Branch, NJ charges 7.0x the Medicare reimbursement rate on average, based on analysis of 66 common procedures at this nonprofit hospital.
Long Branch, NJ 07740 · Acute Care Hospitals · CMS Rating: 3/5
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
D
High
Avg markup vs Medicare
7.03x
Charge / Medicare rate
Max markup
18.54x
Worst procedure
Procedures analyzed
66
With pricing data
Outlier procedures
21.2%
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 |
|---|---|---|---|---|---|
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | 564 | $256,453 | $128,227 | — | 18.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $49,802 | $24,901 | — | 10.5x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $64,651 | $32,326 | — | 10.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $96,288 | $48,144 | — | 10x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $61,294 | $30,647 | — | 9.9x |
| DIABETES WITH MCC | 637 | $122,787 | $61,393 | — | 9.3x |
| DYSEQUILIBRIUM | 149 | $59,992 | $29,996 | — | 9.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $74,822 | $37,411 | — | 8.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $78,884 | $39,442 | — | 8.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $119,934 | $59,967 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $73,513 | $36,756 | — | 8.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $88,975 | $44,488 | — | 8.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $66,338 | $33,169 | — | 8.2x |
| DIABETES WITH CC | 638 | $68,345 | $34,173 | — | 8.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $58,860 | $29,430 | — | 8.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $105,867 | $52,933 | — | 8.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $100,590 | $50,295 | — | 8.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $63,544 | $31,772 | — | 8x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $66,411 | $33,206 | — | 8x |
| RENAL FAILURE WITH CC | 683 | $63,129 | $31,564 | — | 7.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $45,209 | $22,604 | — | 7.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $96,519 | $48,260 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $55,393 | $27,697 | — | 7.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $65,265 | $32,633 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $111,710 | $55,855 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $53,997 | $26,999 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $91,206 | $45,603 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $69,177 | $34,588 | — | 7.3x |
| CHEST PAIN | 313 | $49,549 | $24,774 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $87,080 | $43,540 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $58,425 | $29,212 | — | 7.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $66,400 | $33,200 | — | 7.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $191,916 | $95,958 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $105,699 | $52,849 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $129,946 | $64,973 | — | 6.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $51,716 | $25,858 | — | 6.9x |
| RENAL FAILURE WITH MCC | 682 | $90,644 | $45,322 | — | 6.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $60,214 | $30,107 | — | 6.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $105,447 | $52,724 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $50,235 | $25,117 | — | 6.6x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $44,577 | $22,289 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $52,280 | $26,140 | — | 6.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $58,485 | $29,242 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $46,970 | $23,485 | — | 6.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $43,225 | $21,612 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $62,646 | $31,323 | — | 6.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $110,121 | $55,061 | — | 6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $105,542 | $52,771 | — | 5.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $61,696 | $30,848 | — | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $123,742 | $61,871 | — | 5.8x |
Showing 50 of 66 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