Saint Michael's Medical Center
SAINT MICHAEL'S MEDICAL CENTER in Newark, NJ charges 5.5x the Medicare reimbursement rate on average across the 18 procedures we analyzed.
Newark, NJ 07102 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.49x
Charge / Medicare rate
Max markup
11.57x
Worst procedure
Procedures analyzed
18
With pricing data
Outlier procedures
11.1%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $186,186 | $93,093 | — | 11.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $58,104 | $29,052 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $47,165 | $23,583 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $76,695 | $38,348 | — | 6.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $90,920 | $45,460 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $119,890 | $59,945 | — | 6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $297,120 | $148,560 | — | 5.8x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $116,630 | $58,315 | — | 5.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $44,279 | $22,139 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $65,717 | $32,859 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $94,246 | $47,123 | — | 4.8x |
| SYNCOPE AND COLLAPSE | 312 | $40,044 | $20,022 | — | 4.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $85,956 | $42,978 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $296,538 | $148,269 | — | 4.3x |
| DIABETES WITH MCC | 637 | $66,617 | $33,308 | — | 4.2x |
| CHEST PAIN | 313 | $32,223 | $16,111 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $52,123 | $26,061 | — | 3.6x |
| PSYCHOSES | 885 | $48,404 | $24,202 | — | 3.4x |
How SAINT MICHAEL'S MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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