New Jersey / Holy Name Medical Center
CMS certification 310008 · Teaneck, NJ · 5 entries in CMS's price-transparency list
Holy Name Medical Center: charges and Medicare payments
Holy Name Medical Center reported 2,365 Medicare inpatient stays across 77 DRGs in 2024. Across them it charged 4.4 times what it was paid — among the lower ratios in New Jersey, number 55 of 60 hospitals with at least 100 stays (state median 6.25×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 216 stays at an average charge of $87,248, 3% below the national average. It also billed 2,591 outpatient services, charging 5.33 times what Medicare paid.
- 1Medicare inpatient stays 2,365
- 2Charge ÷ paid, inpatient 4.4×
- 3Rank in NJ (highest ratio = 1) 55 of 60
- 4CMS price-transparency actions 5
Inpatient stays
For the 77 DRGs that can be compared with the national average, Holy Name Medical Center charged more than the national average in 12 (16%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 216 | $87,248 | -3% | $18,376 |
| 291 Heart Failure and Shock with MCC | 123 | $56,880 | +1% | $11,804 |
| 690 Kidney and Urinary Tract Infections without MCC | 100 | $34,826 | -8% | $7,466 |
| 177 Respiratory Infections and Inflammations with MCC | 99 | $57,455 | -19% | $14,900 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 80 | $37,454 | -7% | $7,606 |
| 193 Simple Pneumonia and Pleurisy with MCC | 72 | $66,435 | +11% | $12,533 |
| 689 Kidney and Urinary Tract Infections with MCC | 67 | $47,857 | -7% | $10,582 |
| 603 Cellulitis without MCC | 61 | $28,780 | -23% | $8,204 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 55 | $65,349 | -14% | $14,671 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 55 | $28,620 | -23% | $7,225 |
| 194 Simple Pneumonia and Pleurisy with CC | 54 | $39,315 | +2% | $7,878 |
| 552 Medical Back Problems without MCC | 48 | $30,861 | -37% | $8,852 |
| 178 Respiratory Infections and Inflammations with CC | 47 | $45,157 | 0% | $9,128 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $46,155 | -23% | $12,093 |
| 312 Syncope and Collapse | 45 | $39,308 | -14% | $8,095 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $43,576 | -10% | $9,138 |
| 638 Diabetes with CC | 40 | $33,120 | -21% | $8,431 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $173,566 | -24% | $42,727 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 37 | $41,914 | -15% | $9,580 |
| 812 Red Blood Cell Disorders without MCC | 36 | $39,702 | -11% | $8,691 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 35 | $33,662 | -7% | $7,012 |
| 202 Bronchitis and Asthma with CC/MCC | 34 | $48,086 | +4% | $9,069 |
| 394 Other Digestive System Diagnoses with CC | 28 | $37,768 | -20% | $8,869 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $53,173 | -5% | $9,741 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $58,597 | +16% | $10,626 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $70,423 | -4% | $14,955 |
| 683 Renal Failure with CC | 25 | $37,131 | -9% | $8,404 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $102,521 | +3% | $18,658 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 24 | $30,983 | -22% | $7,861 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 24 | $71,176 | -30% | $18,707 |
| 389 Gastrointestinal Obstruction with CC | 23 | $37,493 | -4% | $7,777 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $67,769 | -33% | $17,768 |
| 682 Renal Failure with MCC | 23 | $61,819 | -6% | $13,678 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $27,180 | -5% | $5,317 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $37,906 | -39% | $13,361 |
| 330 Major Small and Large Bowel Procedures with CC | 21 | $83,818 | -30% | $22,027 |
| 252 Other Vascular Procedures with MCC | 20 | $118,180 | -31% | $29,878 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $68,766 | -39% | $18,635 |
| 811 Red Blood Cell Disorders with MCC | 20 | $57,773 | -15% | $12,902 |
| 271 Other Major Cardiovascular Procedures with CC | 18 | $174,035 | 0% | $34,130 |
| 305 Hypertension without MCC | 18 | $37,236 | -7% | $7,092 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $42,100 | -11% | $9,455 |
| 101 Seizures without MCC | 17 | $28,668 | -41% | $8,414 |
| 313 Chest Pain | 17 | $32,077 | -20% | $6,733 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $104,322 | +22% | $18,796 |
| 390 Gastrointestinal Obstruction without CC/MCC | 17 | $25,954 | -7% | $5,678 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $52,507 | -14% | $12,265 |
| 180 Respiratory Neoplasms with MCC | 16 | $60,821 | -31% | $15,793 |
| 467 Revision of Hip or Knee Replacement with CC | 16 | $109,316 | -31% | $28,982 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 16 | $79,223 | -36% | $23,316 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $54,097 | -6% | $11,454 |
| 300 Peripheral Vascular Disorders with CC | 15 | $33,907 | -31% | $9,909 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $195,036 | -40% | $59,302 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 15 | $139,346 | -36% | $41,327 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $53,952 | -5% | $13,721 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $131,116 | -39% | $38,688 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $42,158 | -11% | $10,165 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 14 | $41,602 | -15% | $9,986 |
| 565 Other Musculoskeletal System and Connective Tissue Diagnoses... | 14 | $42,155 | -12% | $9,414 |
| 637 Diabetes with MCC | 14 | $84,111 | +26% | $16,820 |
Showing the 60 most frequent of 77 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holy Name Medical Center charged $87,248 on average, 34% less than the New Jersey average of $131,698, and was paid $18,376 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Holy Name Medical Center charged $56,880 on average, 42% less than the New Jersey average of $97,469, and was paid $11,804 against a state average of $12,811. For Kidney and Urinary Tract Infections without MCC (DRG 690), Holy Name Medical Center charged $34,826 on average, 45% less than the New Jersey average of $63,137, and was paid $7,466 against a state average of $8,142. For Respiratory Infections and Inflammations with MCC (DRG 177), Holy Name Medical Center charged $57,455 on average, 51% less than the New Jersey average of $117,022, and was paid $14,900 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,126 was 41% below the state average of $34,388. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,183 was 44% below the state average of $20,104. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,598 was 10% below the state average of $12,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,704 was 25% below the state average of $63,772.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Holy Name Medical Center in Teaneck, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-12-01 (CMS case 965)
- CAP Request — 2022-10-28 (CMS case 965)
- Closure Notice — 2023-05-01 (CMS case 965)
- Warning Notice — 2025-04-24 (CMS case 4064)
- Closure Notice — 2025-05-13 (CMS case 4064)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.