SAINT MICHAEL'S MEDICAL CENTER
NEWARK, NJ 07102 · Acute Care Hospitals
18 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
18
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
11%
Compared to NJ hospitals
Understanding Your Costs
When you receive a bill from SAINT MICHAEL'S MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SAINT MICHAEL'S MEDICAL CENTER lists chargemaster rates that average 5.5x the corresponding Medicare reimbursement amount across 18 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NJ has a chargemaster-to-Medicare ratio of 7.8x, with ratios across the state ranging from 1.3x to 30.8x. At 5.5x, this facility’s average ratio is below the state median. 61 hospitals in NJ report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at SAINT MICHAEL'S MEDICAL CENTER is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC (DRG 280). The listed chargemaster rate is $186,186, while Medicare reimburses $16,093 for the same procedure — a ratio of 11.6x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
2 of 18 procedures (11%) at this facility have listed rates above the 90th percentile compared to other NJ hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
SAINT MICHAEL'S MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $186,186 | $16,093 | 11.6x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $58,104 | $7,964 | 7.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $47,165 | $7,127 | 6.6x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $76,695 | $12,041 | 6.4x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $90,920 | $14,338 | 6.3x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $119,890 | $20,091 | 6.0x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $297,120 | $51,164 | 5.8x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $116,630 | $22,136 | 5.3x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $44,279 | $8,917 | 5.0x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $65,717 | $13,601 | 4.8x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $94,246 | $19,835 | 4.8x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $40,044 | $8,438 | 4.8x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $85,956 | $18,754 | 4.6x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $296,538 | $68,856 | 4.3x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $66,617 | $15,743 | 4.2x | 1th | Compare your bill |
| CHEST PAIN | 313 | $32,223 | $7,867 | 4.1x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $52,123 | $14,397 | 3.6x | 1th | Compare your bill |
| PSYCHOSES | 885 | $48,404 | $14,225 | 3.4x | 1th | Compare your bill |
Showing 18 of 18 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NJ hospitals
61 hospitals in NJ report pricing data to CMS. This facility's average ratio of 5.5x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About SAINT MICHAEL'S MEDICAL CENTER
How much does SAINT MICHAEL'S MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, SAINT MICHAEL'S MEDICAL CENTER's listed chargemaster rates average 5.5x the Medicare reimbursement amount across 18 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at SAINT MICHAEL'S MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at SAINT MICHAEL'S MEDICAL CENTER is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC (DRG 280), with a listed charge of $186,186 compared to Medicare reimbursement of $16,093 — a ratio of 11.6x. Source: CMS IPPS Provider Summary.
Is SAINT MICHAEL'S MEDICAL CENTER expensive compared to other NJ hospitals?
SAINT MICHAEL'S MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.5x. Ratios vary significantly across NJ hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for SAINT MICHAEL'S MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from SAINT MICHAEL'S MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does SAINT MICHAEL'S MEDICAL CENTER in NEWARK, NJ accept Medicare?
SAINT MICHAEL'S MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SAINT MICHAEL'S MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.