Valley Hospital: charges and Medicare payments

Valley Hospital reported 7,190 Medicare inpatient stays across 179 DRGs in 2024. Across them it charged 5.69 times what it was paid — mid-range in New Jersey, number 40 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: 476 stays at an average charge of $107,010, 19% above the national average. It also billed 7,118 outpatient services, charging 4.82 times what Medicare paid.

1Medicare inpatient stays 7,190
2Charge ÷ paid, inpatient 5.69×
3Rank in NJ (highest ratio = 1) 40 of 60
4CMS price-transparency actions 0

Average charge per stay at Valley Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 179 DRGs that can be compared with the national average, Valley Hospital charged more than the national average in 109 (61%). 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	476	$107,010	+19%	$17,984
291 Heart Failure and Shock with MCC	426	$66,833	+19%	$11,421
177 Respiratory Infections and Inflammations with MCC	205	$97,387	+38%	$14,617
193 Simple Pneumonia and Pleurisy with MCC	186	$78,030	+31%	$11,818
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	170	$46,039	+15%	$7,028
267 Endovascular Cardiac Valve Replacement and Supplement...	113	$160,007	-28%	$41,042
189 Pulmonary Edema and Respiratory Failure	110	$63,222	+10%	$11,161
682 Renal Failure with MCC	105	$97,310	+48%	$13,213
683 Renal Failure with CC	103	$52,540	+29%	$8,288
552 Medical Back Problems without MCC	101	$48,032	-2%	$8,119
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	98	$41,803	+13%	$6,579
309 Cardiac Arrhythmia and Conduction Disorders with CC	97	$44,630	+24%	$6,418
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	97	$79,870	+32%	$11,437
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	95	$50,473	+3%	$9,519
202 Bronchitis and Asthma with CC/MCC	93	$49,912	+8%	$8,234
378 Gastrointestinal Hemorrhage with CC	91	$64,539	+33%	$8,363
178 Respiratory Infections and Inflammations with CC	85	$56,697	+25%	$9,375
690 Kidney and Urinary Tract Infections without MCC	84	$44,855	+19%	$7,110
194 Simple Pneumonia and Pleurisy with CC	81	$43,272	+13%	$7,579
481 Hip and Femur Procedures except Major Joint with CC	76	$73,944	-27%	$17,580
280 Acute Myocardial Infarction, Discharged Alive with MCC	73	$84,132	+11%	$13,548
312 Syncope and Collapse	73	$52,103	+14%	$7,805
322 Percutaneous Cardiovascular Procedures with Intraluminal...	73	$93,523	-18%	$17,750
853 Infectious and Parasitic Diseases with O.R. Procedures with...	71	$253,051	+11%	$52,651
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	70	$71,846	+29%	$8,686
811 Red Blood Cell Disorders with MCC	69	$83,954	+23%	$12,948
698 Other Kidney and Urinary Tract Diagnoses with MCC	68	$96,873	+32%	$14,360
274 Percutaneous and Other Intracardiac Procedures without MCC	67	$89,180	-43%	$27,386
057 Degenerative Nervous System Disorders without MCC	65	$61,292	+8%	$12,900
689 Kidney and Urinary Tract Infections with MCC	65	$55,719	+9%	$10,326
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	64	$135,388	+36%	$18,697
377 Gastrointestinal Hemorrhage with MCC	61	$107,651	+26%	$16,227
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	58	$76,046	-26%	$17,929
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	57	$86,676	+42%	$12,016
394 Other Digestive System Diagnoses with CC	57	$58,019	+23%	$9,681
308 Cardiac Arrhythmia and Conduction Disorders with MCC	53	$69,098	+22%	$10,362
389 Gastrointestinal Obstruction with CC	51	$61,703	+59%	$6,963
286 Circulatory Disorders except AMI, with Cardiac...	50	$128,521	+14%	$18,909
536 Fractures of Hip and Pelvis without MCC	50	$44,081	+17%	$6,587
603 Cellulitis without MCC	50	$38,039	+2%	$7,499
393 Other Digestive System Diagnoses with MCC	49	$88,563	+15%	$14,762
812 Red Blood Cell Disorders without MCC	49	$58,811	+32%	$7,794
951 Other Factors Influencing Health Status	49	$25,007	-2%	$5,050
813 Coagulation Disorders	48	$105,932	+32%	$13,752
314 Other Circulatory System Diagnoses with MCC	44	$88,908	-6%	$17,369
025 Craniotomy and Endovascular Intracranial Procedures with MCC	42	$188,701	-18%	$37,473
092 Other Disorders of Nervous System with CC	42	$56,362	+9%	$8,730
884 Organic Disturbances and Intellectual Disability	42	$68,009	+9%	$14,337
190 Chronic Obstructive Pulmonary Disease with MCC	40	$58,852	+16%	$9,162
321 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$153,715	-6%	$26,057
418 Laparoscopic Cholecystectomy without C.D.E. with CC	40	$83,629	-10%	$14,168
305 Hypertension without MCC	39	$48,617	+21%	$6,574
243 Permanent Cardiac Pacemaker Implant with CC	38	$108,017	-3%	$19,328
372 Major Gastrointestinal Disorders and Peritoneal Infections...	37	$54,432	+15%	$9,059
071 Other Cerebrovascular Disorders with CC	36	$69,440	+38%	$9,041
699 Other Kidney and Urinary Tract Diagnoses with CC	36	$48,471	+2%	$18,306
315 Other Circulatory System Diagnoses with CC	35	$49,757	+4%	$8,265
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	35	$41,351	+12%	$7,877
100 Seizures with MCC	34	$144,102	+53%	$21,097
330 Major Small and Large Bowel Procedures with CC	34	$74,238	-38%	$19,637

Showing the 60 most frequent of 179 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,164	$20,468	$3,104
Level 1 Intraocular Procedures	778	$19,847	$2,652
Level 5 Musculoskeletal Procedures	522	$53,351	$14,848
Level 2 Excision/ Biopsy/ Incision and Drainage	399	$8,277	$1,837
Level 3 Electrophysiologic Procedures	332	$81,342	$26,873
Level 1 Endovascular Procedures	262	$15,742	$3,694
Level 1 Laparoscopy and Related Services	235	$29,138	$6,521
Level 4 Urology and Related Services	230	$21,413	$3,967
Level 3 Endovascular Procedures	218	$56,282	$12,450
Level 2 Pacemaker and Similar Procedures	214	$20,564	$9,586
Level 5 Urology and Related Services	206	$25,345	$5,888
Level 4 Musculoskeletal Procedures	204	$34,028	$8,108
Level 3 Vascular Procedures	159	$20,618	$3,559
Level 2 Endovascular Procedures	151	$29,108	$6,470
Level 1 Nerve Procedures	145	$10,795	$2,197
Level 3 Urology and Related Services	140	$18,909	$2,318
Level 3 Pacemaker and Similar Procedures	138	$42,058	$12,134
Level 2 Upper GI Procedures	122	$9,339	$2,137
Level 2 Musculoskeletal Procedures	117	$11,024	$1,821
Level 2 Laparoscopy and Related Services	114	$44,914	$11,698
Level 4 Gynecologic Procedures	98	$17,702	$3,511
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	95	$20,482	$3,937
Level 3 Musculoskeletal Procedures	93	$19,495	$3,683
Level 2 Intraocular Procedures	83	$22,278	$4,627
Level 4 Endovascular Procedures	81	$75,723	$19,457

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Valley Hospital charged $107,010 on average, 19% less than the New Jersey average of $131,698, and was paid $17,984 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Valley Hospital charged $66,833 on average, 31% less than the New Jersey average of $97,469, and was paid $11,421 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), Valley Hospital charged $97,387 on average, 17% less than the New Jersey average of $117,022, and was paid $14,617 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Valley Hospital charged $78,030 on average, 22% less than the New Jersey average of $100,241, and was paid $11,818 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,468 was 40% below the state average of $34,388. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $19,847 was 1% below the state average of $20,104. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,351 was 16% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,277 was 35% below the state average of $12,828.

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.