Hospital · CCN 310041
Community Medical Center
99 Rt 37 West, Toms River, NJ 08755 · Ocean County
Part of RWJBarnabas Health · 410 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
149 admission types 57 outpatient services 3 Medicare-file findings
Billed per dollar paid, all admissions
6.73×
$709.5M billed against $105.4M paid across 7,467 Medicare discharges; the national figure is 5.03×.
1.1%
of adults in Ocean County have medical debt in collections
5.8%
uninsured in the county · state 8.0%
$85K
median household income
6.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
29.8%
obesity in the countyⓘ
11.4%
diagnosed diabetes (PLACES)
7.0%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
887
$116,195
$17,298
6.7× st 6.8×
291
Heart failure and shock with mcc
462
$86,877
$11,617
7.5× st 7.6×
193
Simple pneumonia and pleurisy with mcc
254
$88,535
$11,889
7.4× st 7.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
174
$80,245
$9,859
8.1× st 7.3×
689
Kidney and urinary tract infections with mcc
174
$82,453
$10,326
8.0× st 7.5×
698
Other kidney and urinary tract diagnoses with mcc
160
$101,233
$14,118
7.2× st 6.8×
177
Respiratory infections and inflammations with mcc
155
$111,981
$15,089
7.4× st 7.3×
690
Kidney and urinary tract infections without mcc
149
$56,802
$7,117
8.0× st 7.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
135
$230,415
$44,187
5.2× st 6.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
124
$62,264
$7,239
8.6× st 7.5×
190
Chronic obstructive pulmonary disease with mcc
112
$90,227
$10,569
8.5× st 8.3×
603
Cellulitis without mcc
110
$61,145
$8,098
7.6× st 7.0×
312
Syncope and collapse
107
$66,809
$7,694
8.7× st 7.8×
378
Gastrointestinal hemorrhage with cc
105
$77,929
$8,795
8.9× st 7.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
100
$111,262
$17,965
6.2× st 7.3×
280
Acute myocardial infarction, discharged alive with mcc
99
$107,310
$13,876
7.7× st 7.3×
682
Renal failure with mcc
98
$89,866
$13,214
6.8× st 7.3×
481
Hip and femur procedures except major joint with cc
96
$91,947
$17,930
5.1× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
91
$60,244
$6,760
8.9× st 7.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
90
$77,826
$9,564
8.1× st 8.5×
309
Cardiac arrhythmia and conduction disorders with cc
87
$59,280
$6,603
9.0× st 8.0×
683
Renal failure with cc
81
$61,309
$8,094
7.6× st 7.5×
194
Simple pneumonia and pleurisy with cc
81
$67,136
$7,596
8.8× st 8.0×
377
Gastrointestinal hemorrhage with mcc
77
$124,841
$16,504
7.6× st 7.2×
189
Pulmonary edema and respiratory failure
77
$78,814
$11,321
7.0× st 7.7×
552
Medical back problems without mcc
75
$60,755
$8,453
7.2× st 6.7×
699
Other kidney and urinary tract diagnoses with cc
69
$56,343
$9,148
6.2× st 6.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
69
$56,891
$17,119
3.3× st 5.2×
813
Coagulation disorders
65
$92,508
$13,818
6.7× st 6.5×
069
Transient ischemia without thrombolytic
64
$76,549
$8,200
9.3× st 7.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
61
$99,401
$12,338
8.1× st 7.2×
057
Degenerative nervous system disorders without mcc
60
$66,726
$11,252
5.9× st 6.0×
308
Cardiac arrhythmia and conduction disorders with mcc
56
$95,751
$10,917
8.8× st 8.3×
638
Diabetes with cc
56
$67,804
$8,798
7.7× st 7.8×
637
Diabetes with mcc
55
$104,501
$14,624
7.1× st 6.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
55
$114,842
$16,745
6.9× st 6.7×
191
Chronic obstructive pulmonary disease with cc
54
$61,442
$7,632
8.1× st 7.7×
884
Organic disturbances and intellectual disability
54
$81,735
$15,180
5.4× st 5.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
52
$49,571
$7,866
6.3× st 6.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
51
$139,046
$23,673
5.9× st 7.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
51
$48,155
$5,011
9.6× st 7.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
51
$139,092
$19,612
7.1× st 7.5×
948
Signs and symptoms without mcc
49
$57,355
$6,918
8.3× st 7.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
46
$179,090
$24,064
7.4× st 6.7×
330
Major small and large bowel procedures with cc
46
$120,248
$21,801
5.5× st 6.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
46
$129,248
$17,513
7.4× st 6.3×
314
Other circulatory system diagnoses with mcc
43
$120,687
$17,616
6.9× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
42
$88,991
$18,374
4.8× st 5.9×
812
Red blood cell disorders without mcc
40
$79,723
$8,050
9.9× st 7.6×
101
Seizures without mcc
40
$53,300
$8,133
6.6× st 7.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
40
$68,229
$9,890
6.9× st 6.9×
389
Gastrointestinal obstruction with cc
39
$68,288
$7,403
9.2× st 7.3×
056
Degenerative nervous system disorders with mcc
39
$98,345
$18,035
5.5× st 5.9×
202
Bronchitis and asthma with cc/mcc
38
$72,288
$9,053
8.0× st 7.6×
394
Other digestive system diagnoses with cc
37
$63,528
$9,075
7.0× st 7.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
36
$89,852
$11,673
7.7× st 7.2×
281
Acute myocardial infarction, discharged alive with cc
36
$77,868
$8,003
9.7× st 7.4×
092
Other disorders of nervous system with cc
35
$61,978
$9,075
6.8× st 6.9×
811
Red blood cell disorders with mcc
34
$100,584
$12,845
7.8× st 7.3×
870
Septicemia or severe sepsis with mv >96 hours
33
$282,273
$63,189
4.5× st 5.8×
178
Respiratory infections and inflammations with cc
31
$78,798
$8,546
9.2× st 8.1×
480
Hip and femur procedures except major joint with mcc
31
$115,625
$23,305
5.0× st 6.3×
243
Permanent cardiac pacemaker implant with cc
31
$120,305
$19,489
6.2× st 6.0×
482
Hip and femur procedures except major joint without cc/mcc
31
$72,222
$13,877
5.2× st 5.7×
313
Chest pain
31
$48,622
$6,779
7.2× st 6.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
30
$85,086
$13,814
6.2× st 6.7×
327
Stomach, esophageal and duodenal procedures with cc
30
$104,924
$21,169
5.0× st 5.1×
305
Hypertension without mcc
29
$53,029
$6,642
8.0× st 7.2×
149
Dysequilibrium
28
$62,812
$6,583
9.5× st 7.7×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
28
$70,098
$6,221
11.3× st 8.0×
300
Peripheral vascular disorders with cc
28
$63,751
$10,236
6.2× st 6.8×
071
Other cerebrovascular disorders with cc
27
$89,231
$10,478
8.5× st 7.8×
282
Acute myocardial infarction, discharged alive without cc/mcc
27
$57,965
$6,298
9.2× st 7.4×
329
Major small and large bowel procedures with mcc
26
$177,338
$43,181
4.1× st 5.9×
299
Peripheral vascular disorders with mcc
26
$90,490
$14,794
6.1× st 6.7×
100
Seizures with mcc
25
$109,884
$17,879
6.1× st 6.2×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
25
$56,260
$7,561
7.4× st 3.6×
292
Heart failure and shock with cc
25
$64,272
$7,873
8.2× st 7.6×
673
Other kidney and urinary tract procedures with mcc
25
$184,368
$35,468
5.2× st 6.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
24
$237,795
$37,370
6.4× st 6.4×
393
Other digestive system diagnoses with mcc
24
$80,361
$14,097
5.7× st 6.7×
242
Permanent cardiac pacemaker implant with mcc
23
$175,789
$32,314
5.4× st 5.5×
565
Other musculoskeletal system and connective tissue diagnoses with cc
23
$67,934
$10,025
6.8× st 5.7×
551
Medical back problems with mcc
23
$103,730
$14,702
7.1× st 6.6×
176
Pulmonary embolism without mcc
22
$74,870
$7,740
9.7× st 7.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
22
$74,597
$9,621
7.8× st 7.2×
536
Fractures of hip and pelvis without mcc
22
$52,170
$6,734
7.7× st 6.8×
602
Cellulitis with mcc
22
$88,247
$13,240
6.7× st 6.8×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
22
$147,184
$21,331
6.9× st 6.6×
660
Kidney and ureter procedures for non-neoplasm with cc
21
$92,204
$11,856
7.8× st 6.8×
388
Gastrointestinal obstruction with mcc
21
$84,150
$13,450
6.3× st 7.5×
328
Stomach, esophageal and duodenal procedures without cc/mcc
21
$68,350
$13,767
5.0× st 4.5×
336
Peritoneal adhesiolysis with cc
20
$123,884
$22,284
5.6× st 6.1×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
20
$103,814
$13,694
7.6× st 6.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
20
$77,217
$9,308
8.3× st 7.4×
390
Gastrointestinal obstruction without cc/mcc
20
$48,835
$5,050
9.7× st 6.8×
947
Signs and symptoms with mcc
20
$73,128
$11,022
6.6× st 7.8×
315
Other circulatory system diagnoses with cc
20
$72,438
$8,659
8.4× st 7.7×
163
Major chest procedures with mcc
19
$214,307
$42,187
5.1× st 4.7×
326
Stomach, esophageal and duodenal procedures with mcc
18
$171,595
$42,747
4.0× st 5.0×
270
Other major cardiovascular procedures with mcc
18
$237,056
$43,426
5.5× st 5.7×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
18
$143,255
$21,390
6.7× st 5.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
18
$117,662
$13,336
8.8× st 7.4×
917
Poisoning and toxic effects of drugs with mcc
18
$91,864
$14,780
6.2× st 6.0×
074
Cranial and peripheral nerve disorders without mcc
18
$65,475
$8,547
7.7× st 5.8×
554
Bone diseases and arthropathies without mcc
18
$56,691
$7,820
7.3× st 7.4×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
17
$43,342
$12,600
3.4× st 4.3×
271
Other major cardiovascular procedures with cc
17
$171,082
$35,731
4.8× st 5.5×
187
Pleural effusion with cc
17
$65,530
$8,531
7.7× st 7.7×
192
Chronic obstructive pulmonary disease without cc/mcc
17
$58,925
$5,755
10.2× st 9.7×
444
Disorders of the biliary tract with mcc
16
$123,029
$16,393
7.5× st 6.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
16
$53,167
$9,217
5.8× st 5.7×
252
Other vascular procedures with mcc
16
$161,253
$28,781
5.6× st 6.3×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
15
$134,504
$19,501
6.9× st 5.4×
629
Other endocrine, nutritional and metabolic o.r. procedures with cc
15
$172,834
$22,309
7.7× st 6.0×
180
Respiratory neoplasms with mcc
15
$138,538
$15,509
8.9× st 6.5×
659
Kidney and ureter procedures for non-neoplasm with mcc
15
$185,575
$21,466
8.6× st 6.6×
644
Endocrine disorders with cc
15
$58,054
$10,020
5.8× st 7.2×
580
Other skin, subcutaneous tissue and breast procedures with cc
15
$125,287
$17,191
7.3× st 5.3×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
15
$145,760
$17,496
8.3× st 7.0×
331
Major small and large bowel procedures without cc/mcc
15
$70,305
$15,867
4.4× st 6.1×
674
Other kidney and urinary tract procedures with cc
14
$143,393
$25,648
5.6× st 6.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
14
$87,401
$25,141
3.5× st 5.4×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
14
$56,000
$11,320
4.9× st 6.5×
920
Complications of treatment with cc
14
$51,185
$9,408
5.4× st 6.8×
862
Postoperative and post-traumatic infections with mcc
13
$67,555
$14,621
4.6× st 6.6×
091
Other disorders of nervous system with mcc
13
$106,754
$16,438
6.5× st 6.5×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
13
$74,498
$15,374
4.8× st 6.1×
919
Complications of treatment with mcc
13
$148,980
$16,239
9.2× st 6.7×
460
Spinal fusion except cervical without mcc
13
$125,312
$39,852
3.1× st 5.0×
179
Respiratory infections and inflammations without cc/mcc
12
$65,171
$8,400
7.8× st 7.6×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
12
$115,624
$31,153
3.7× st 4.9×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
12
$112,602
$16,863
6.7× st 8.3×
643
Endocrine disorders with mcc
12
$136,413
$16,852
8.1× st 6.6×
885
Psychoses
12
$88,178
$11,853
7.4× st 6.1×
244
Permanent cardiac pacemaker implant without cc/mcc
12
$98,486
$15,578
6.3× st 6.4×
304
Hypertension with mcc
12
$105,994
$10,442
10.2× st 6.8×
082
Traumatic stupor and coma >1 hour with mcc
12
$64,281
$19,430
3.3× st 6.4×
085
Traumatic stupor and coma <1 hour with mcc
12
$84,104
$19,660
4.3× st 6.2×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
12
$57,867
$11,694
4.9× st 5.3×
054
Nervous system neoplasms with mcc
11
$107,296
$12,042
8.9× st 7.0×
439
Disorders of pancreas except malignancy with cc
11
$64,941
$8,690
7.5× st 7.3×
558
Tendonitis, myositis and bursitis without mcc
11
$54,910
$7,744
7.1× st 8.0×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$129,150
$15,987
8.1× st 6.3×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
11
$43,671
$7,234
6.0× st 7.5×
264
Other circulatory system o.r. procedures
11
$185,373
$26,263
7.1× st 6.2×
283
Acute myocardial infarction, expired with mcc
11
$87,446
$16,774
5.2× st 4.6×
195
Simple pneumonia and pleurisy without cc/mcc
11
$53,681
$5,628
9.5× st 8.0×
125
Other disorders of the eye without mcc
11
$59,168
$7,153
8.3× st 8.3×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
1,857
$21,709
$2,837
7.7×
5191
Level 1 Endovascular Procedures
272
$22,641
$3,399
6.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
251
$7,265
$1,674
4.3×
5373
Level 3 Urology and Related Services
152
$10,071
$2,100
4.8×
5115
Level 5 Musculoskeletal Procedures
138
$37,908
$13,667
2.8×
5193
Level 3 Endovascular Procedures
135
$48,726
$11,357
4.3×
5183
Level 3 Vascular Procedures
124
$14,309
$3,259
4.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
102
$12,761
$2,906
4.4×
5361
Level 1 Laparoscopy and Related Services
99
$20,021
$5,943
3.4×
5375
Level 5 Urology and Related Services
94
$16,108
$5,371
3.0×
5374
Level 4 Urology and Related Services
89
$13,097
$3,584
3.7×
5414
Level 4 Gynecologic Procedures
86
$11,702
$3,212
3.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
85
$15,371
$3,588
4.3×
5192
Level 2 Endovascular Procedures
73
$24,793
$5,919
4.2×
5223
Level 3 Pacemaker and Similar Procedures
62
$39,050
$11,166
3.5×
5492
Level 2 Intraocular Procedures
61
$16,066
$4,201
3.8×
5113
Level 3 Musculoskeletal Procedures
57
$12,541
$3,341
3.8×
5114
Level 4 Musculoskeletal Procedures
53
$25,364
$7,265
3.5×
5182
Level 2 Vascular Procedures
38
$6,927
$1,642
4.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
38
$14,950
$3,991
3.7×
5112
Level 2 Musculoskeletal Procedures
38
$9,780
$1,542
6.3×
5184
Level 4 Vascular Procedures
35
$22,844
$5,589
4.1×
5362
Level 2 Laparoscopy and Related Services
32
$34,738
$10,480
3.3×
5116
Level 6 Musculoskeletal Procedures
32
$53,946
$19,463
2.8×
5222
Level 2 Pacemaker and Similar Procedures
31
$25,355
$8,430
3.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
30
$23,552
$6,646
3.5×
5302
Level 2 Upper GI Procedures
30
$11,151
$1,992
5.6×
5194
Level 4 Endovascular Procedures
27
$57,233
$18,316
3.1×
5491
Level 1 Intraocular Procedures
24
$13,390
$2,440
5.5×
5224
Level 4 Pacemaker and Similar Procedures
18
$54,850
$20,349
2.7×
5372
Level 2 Urology and Related Services
16
$4,782
$715
6.7×
5416
Level 6 Gynecologic Procedures
15
$22,131
$7,911
2.8×
5313
Level 3 Lower GI Procedures
13
$13,059
$2,939
4.4×
5627
Level 7 Radiation Therapy
12
$56,675
$8,152
7.0×
5415
Level 5 Gynecologic Procedures
12
$18,865
$5,207
3.6×
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 066
info
inp_charge_10x_payment
average charge $70,098 is 11.3× the total payment
MS-DRG 192
info
inp_charge_10x_payment
average charge $58,925 is 10.2× the total payment
MS-DRG 304
info
inp_charge_10x_payment
average charge $105,994 is 10.2× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.