Community Medical Center

99 Rt 37 West · Toms River, NJ 08755

🤖AI Overview

⚠️ This hospital charges 8.3x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$762.3M

Medicare Payments

$92.2M

Discharges

8,597

Avg Length of Stay

6.2 days

Markup Ratio

8.3x

Risk Score

2.18

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Community Medical Center charges an average of $88,668 per discharge, but Medicare only pays $10,722 — a markup of 8.3x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

8.3x

State Avg

7.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$88,668

State Avg

$116,124

National Avg

$69,838

Avg Length of Stay

This Hospital

6.2 days

State Avg

5.8 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

8.5%

65–74

26.6%

75–84

35.4%

85+

29.6%

Gender

56.5%

Female

43.5%

Male

Dual Eligibility

16.8%

Dual Eligible

83.2%

Non-Dual

Race & Ethnicity

White

92.2%

Black

1.7%

Hispanic

3.1%

Asian

1.1%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

61.2%

Ischemic Heart Disease

59.1%

Diabetes

50.7%

Anxiety

43.9%

Heart Failure

43.3%

Mood Disorders

42.8%

COPD

42.3%

Atrial Fibrillation

41.0%

Chronic Kidney Disease

40.5%

Depression

37.5%

Alzheimer's/Dementia

25.1%

Stroke/TIA

25.0%

Cancer

24.1%

Tobacco Use

16.6%

Osteoporosis

16.2%

Asthma

15.3%

Substance Use

11.9%

Bipolar Disorder

8.3%

Schizophrenia/Psychosis

5.7%

Parkinson's

4.8%

Personality Disorders

3.0%

PTSD

2.5%

ADHD/Conduct Disorders

1.4%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.