New Jersey / Hackensack Meridian Health Pascack Valley Medical
CMS certification 310130 · Westwood, NJ
Hackensack Meridian Health Pascack Valley Medical: charges and Medicare payments
Hackensack Meridian Health Pascack Valley Medical reported 646 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 6.15 times what it was paid — mid-range in New Jersey, number 33 of 60 hospitals with at least 100 stays (state median 6.25×, national 4.15×). Its most frequent stay was DRG 177, Respiratory Infections and Inflammations with MCC: 93 stays at an average charge of $85,851, 22% above the national average. It also billed 526 outpatient services, charging 5.67 times what Medicare paid.
- 1Medicare inpatient stays 646
- 2Charge ÷ paid, inpatient 6.15×
- 3Rank in NJ (highest ratio = 1) 33 of 60
- 4CMS price-transparency actions 0
Inpatient stays
For the 26 DRGs that can be compared with the national average, Hackensack Meridian Health Pascack Valley Medical charged more than the national average in 23 (88%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 177 Respiratory Infections and Inflammations with MCC | 93 | $85,851 | +22% | $14,040 |
| 291 Heart Failure and Shock with MCC | 52 | $69,843 | +24% | $11,229 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 49 | $92,703 | +3% | $16,226 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $44,300 | +17% | $6,915 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $77,986 | +31% | $12,246 |
| 689 Kidney and Urinary Tract Infections with MCC | 37 | $99,650 | +94% | $14,787 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $43,549 | +8% | $6,967 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $55,943 | +11% | $9,634 |
| 683 Renal Failure with CC | 23 | $53,102 | +30% | $7,795 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $47,953 | +25% | $9,252 |
| 552 Medical Back Problems without MCC | 22 | $49,394 | +1% | $8,587 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $67,433 | +49% | $8,460 |
| 603 Cellulitis without MCC | 18 | $38,804 | +4% | $7,415 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $80,884 | -13% | $16,528 |
| 682 Renal Failure with MCC | 16 | $92,917 | +41% | $12,543 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $63,122 | +30% | $10,868 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $48,270 | +13% | $7,694 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $63,728 | -13% | $14,352 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $62,256 | -18% | $12,687 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $107,065 | +6% | $17,374 |
| 312 Syncope and Collapse | 13 | $55,859 | +23% | $7,689 |
| 389 Gastrointestinal Obstruction with CC | 12 | $89,015 | +129% | $7,100 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $47,966 | +29% | $6,945 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $87,321 | +52% | $10,924 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $122,378 | +3% | $24,999 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $45,835 | +22% | $7,072 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 107 | $24,335 | $3,092 |
| Level 5 Musculoskeletal Procedures | 103 | $52,433 | $14,825 |
| Level 4 Musculoskeletal Procedures | 60 | $43,583 | $7,869 |
| Level 5 Urology and Related Services | 40 | $27,320 | $5,697 |
| Level 1 Laparoscopy and Related Services | 37 | $43,487 | $6,566 |
| Level 3 Musculoskeletal Procedures | 35 | $26,364 | $3,473 |
| Level 3 Urology and Related Services | 28 | $11,781 | $2,318 |
| Level 6 Musculoskeletal Procedures | 21 | $67,568 | $21,153 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 18 | $12,028 | $1,742 |
| Level 4 Urology and Related Services | 16 | $24,558 | $3,967 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $37,803 | $3,937 |
| Level 1 Nerve Procedures | 13 | $11,196 | $2,072 |
| Level 2 Laparoscopy and Related Services | 12 | $49,323 | $11,698 |
| Level 3 Lower GI Procedures | 11 | $27,334 | $3,195 |
| Level 4 Gynecologic Procedures | 11 | $24,560 | $3,558 |
Against the New Jersey average
For Respiratory Infections and Inflammations with MCC (DRG 177), Hackensack Meridian Health Pascack Valley Medical charged $85,851 on average, 27% less than the New Jersey average of $117,022, and was paid $14,040 against a state average of $16,115. For Heart Failure and Shock with MCC (DRG 291), Hackensack Meridian Health Pascack Valley Medical charged $69,843 on average, 28% less than the New Jersey average of $97,469, and was paid $11,229 against a state average of $12,811. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hackensack Meridian Health Pascack Valley Medical charged $92,703 on average, 30% less than the New Jersey average of $131,698, and was paid $16,226 against a state average of $19,296. For Kidney and Urinary Tract Infections without MCC (DRG 690), Hackensack Meridian Health Pascack Valley Medical charged $44,300 on average, 30% less than the New Jersey average of $63,137, and was paid $6,915 against a state average of $8,142. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,335 was 29% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,433 was 18% below the state average of $63,772. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $43,583 was 2% below the state average of $44,614. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $27,320 was 7% below the state average of $29,528.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.