Saint Michael's Medical Center

111 Central Avenue · Newark, NJ 07102

🤖AI Overview

⚠️ This hospital charges 5.4x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$86.9M

Medicare Payments

$16.2M

Discharges

842

Avg Length of Stay

5.4 days

Markup Ratio

5.4x

Risk Score

3.02

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Saint Michael's Medical Center charges an average of $103,232 per discharge, but Medicare only pays $19,207 — a markup of 5.4x. 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

5.4x

State Avg

7.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$103,232

State Avg

$116,124

National Avg

$69,838

Avg Length of Stay

This Hospital

5.4 days

State Avg

5.8 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

21.8%

65–74

32.5%

75–84

28.2%

85+

17.5%

Gender

47.8%

Female

52.2%

Male

Dual Eligibility

45.2%

Dual Eligible

54.8%

Non-Dual

Race & Ethnicity

White

29.4%

Black

41.5%

Hispanic

23.9%

Other

3.6%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Diabetes

64.0%

Ischemic Heart Disease

52.6%

Heart Failure

47.9%

Chronic Kidney Disease

47.4%

COPD

41.9%

Arthritis

41.7%

Mood Disorders

40.3%

Anxiety

35.1%

Atrial Fibrillation

33.2%

Depression

33.2%

Tobacco Use

26.3%

Stroke/TIA

25.1%

Alzheimer's/Dementia

25.1%

Asthma

21.3%

Substance Use

19.0%

Schizophrenia/Psychosis

16.1%

Cancer

15.1%

Bipolar Disorder

11.6%

Osteoporosis

8.0%

Personality Disorders

5.0%

PTSD

4.5%

Parkinson's

3.8%

ADHD/Conduct Disorders

2.8%

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.