Monmouth Medical Center-southern Campus
MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS in Lakewood, NJ charges 8.9x the Medicare reimbursement rate on average, with 19% of analyzed procedures showing significant pricing variations.
Lakewood, NJ 08701 · 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
8.86x
Charge / Medicare rate
Max markup
12.67x
Worst procedure
Procedures analyzed
32
With pricing data
Outlier procedures
18.8%
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $78,366 | $39,183 | — | 12.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $99,252 | $49,626 | — | 12.5x |
| CHEST PAIN | 313 | $62,858 | $31,429 | — | 11.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $149,509 | $74,754 | — | 11.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $57,785 | $28,893 | — | 11.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $59,110 | $29,555 | — | 10.6x |
| RENAL FAILURE WITH CC | 683 | $65,972 | $32,986 | — | 10.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $57,164 | $28,582 | — | 10.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $75,530 | $37,765 | — | 10.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $67,576 | $33,788 | — | 10.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $54,400 | $27,200 | — | 9.8x |
| SYNCOPE AND COLLAPSE | 312 | $61,679 | $30,840 | — | 9.8x |
| RENAL FAILURE WITH MCC | 682 | $108,206 | $54,103 | — | 9.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $90,422 | $45,211 | — | 9.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $85,503 | $42,752 | — | 8.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $77,187 | $38,594 | — | 8.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $83,303 | $41,652 | — | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $63,400 | $31,700 | — | 8.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $45,891 | $22,945 | — | 8.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $96,299 | $48,150 | — | 8x |
| PSYCHOSES | 885 | $75,953 | $37,976 | — | 7.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $117,012 | $58,506 | — | 7.7x |
| CELLULITIS WITHOUT MCC | 603 | $47,224 | $23,612 | — | 7.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $226,028 | $113,014 | — | 7.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $62,689 | $31,344 | — | 7.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $101,944 | $50,972 | — | 7.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $44,335 | $22,167 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $96,841 | $48,421 | — | 6.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $47,140 | $23,570 | — | 6.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $51,306 | $25,653 | — | 6.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $84,374 | $42,187 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $272,572 | $136,286 | — | 5.4x |
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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