Newton Medical Center
Newton Medical Center in Newton, NJ charges 17.1x the Medicare reimbursement rate across 62 analyzed procedures, with 90% showing significant price variations.
Newton, NJ 07860 · Acute Care Hospitals · CMS Rating: 4/5
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
17.11x
Charge / Medicare rate
Max markup
25.16x
Worst procedure
Procedures analyzed
62
With pricing data
Outlier procedures
90.3%
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 |
|---|---|---|---|---|---|
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $126,718 | $63,359 | — | 25.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $159,931 | $79,966 | — | 25x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $125,233 | $62,617 | — | 24x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $109,637 | $54,819 | — | 23.8x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $397,285 | $198,643 | — | 23.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $93,417 | $46,708 | — | 22.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $115,468 | $57,734 | — | 22.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $110,656 | $55,328 | — | 21.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $135,821 | $67,911 | — | 21.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $126,575 | $63,287 | — | 21.6x |
| DIABETES WITH MCC | 637 | $165,553 | $82,777 | — | 21x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $85,950 | $42,975 | — | 20.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $118,053 | $59,027 | — | 19.6x |
| DYSEQUILIBRIUM | 149 | $83,260 | $41,630 | — | 19.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $135,241 | $67,621 | — | 19.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $91,936 | $45,968 | — | 19x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $117,860 | $58,930 | — | 18.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $56,185 | $28,093 | — | 18.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $86,478 | $43,239 | — | 18.7x |
| DIABETES WITH CC | 638 | $93,162 | $46,581 | — | 18.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $91,007 | $45,504 | — | 18.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $259,505 | $129,753 | — | 18.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $141,261 | $70,630 | — | 17.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $82,524 | $41,262 | — | 17.6x |
| SEIZURES WITHOUT MCC | 101 | $95,773 | $47,887 | — | 17.4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $99,712 | $49,856 | — | 17.2x |
| SYNCOPE AND COLLAPSE | 312 | $90,143 | $45,072 | — | 17.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $100,045 | $50,022 | — | 17x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $84,213 | $42,107 | — | 17x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $143,485 | $71,743 | — | 16.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $181,371 | $90,686 | — | 16.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $155,769 | $77,884 | — | 16.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $152,027 | $76,014 | — | 16.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $124,007 | $62,003 | — | 16.7x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $180,087 | $90,044 | — | 16.5x |
| CELLULITIS WITH MCC | 602 | $161,259 | $80,630 | — | 16.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $110,326 | $55,163 | — | 16.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $101,354 | $50,677 | — | 16.2x |
| CELLULITIS WITHOUT MCC | 603 | $83,846 | $41,923 | — | 16.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $87,594 | $43,797 | — | 16x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $109,936 | $54,968 | — | 15.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $130,429 | $65,215 | — | 15.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $92,959 | $46,479 | — | 15.9x |
| RENAL FAILURE WITH CC | 683 | $88,362 | $44,181 | — | 15.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $63,035 | $31,518 | — | 15.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $111,274 | $55,637 | — | 15.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $111,944 | $55,972 | — | 14.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $155,395 | $77,697 | — | 14.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $184,316 | $92,158 | — | 14.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $187,784 | $93,892 | — | 14.4x |
Showing 50 of 62 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