Virtua Mount Holly Hospital: charges and Medicare payments

Virtua Mount Holly Hospital reported 2,877 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 9.62 times what it was paid — among the higher ratios in New Jersey, number 10 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: 210 stays at an average charge of $148,439, 64% above the national average. It also billed 1,994 outpatient services, charging 13.89 times what Medicare paid.

1Medicare inpatient stays 2,877
2Charge ÷ paid, inpatient 9.62×
3Rank in NJ (highest ratio = 1) 10 of 60
4CMS price-transparency actions 0

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

Inpatient stays

For the 90 DRGs that can be compared with the national average, Virtua Mount Holly Hospital charged more than the national average in 90 (100%). 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	210	$148,439	+64%	$16,025
291 Heart Failure and Shock with MCC	182	$96,405	+71%	$10,577
690 Kidney and Urinary Tract Infections without MCC	100	$71,003	+88%	$7,039
177 Respiratory Infections and Inflammations with MCC	98	$143,761	+104%	$13,870
193 Simple Pneumonia and Pleurisy with MCC	90	$105,220	+76%	$11,077
603 Cellulitis without MCC	76	$78,465	+110%	$7,674
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	66	$76,756	+91%	$6,797
689 Kidney and Urinary Tract Infections with MCC	61	$100,713	+96%	$10,144
683 Renal Failure with CC	57	$76,247	+87%	$7,788
481 Hip and Femur Procedures except Major Joint with CC	52	$149,706	+49%	$16,850
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	52	$101,547	+107%	$9,081
194 Simple Pneumonia and Pleurisy with CC	51	$68,265	+78%	$7,157
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	50	$68,620	+85%	$6,707
190 Chronic Obstructive Pulmonary Disease with MCC	49	$76,584	+51%	$9,210
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$97,003	+61%	$10,911
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	47	$145,456	+42%	$17,392
682 Renal Failure with MCC	44	$116,692	+77%	$12,632
378 Gastrointestinal Hemorrhage with CC	43	$93,744	+93%	$8,775
309 Cardiac Arrhythmia and Conduction Disorders with CC	42	$68,936	+91%	$7,207
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$115,689	+58%	$14,242
699 Other Kidney and Urinary Tract Diagnoses with CC	39	$69,993	+47%	$8,676
812 Red Blood Cell Disorders without MCC	37	$90,911	+105%	$7,693
552 Medical Back Problems without MCC	36	$72,055	+47%	$8,160
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	35	$85,024	+53%	$9,018
189 Pulmonary Edema and Respiratory Failure	35	$100,582	+75%	$10,056
178 Respiratory Infections and Inflammations with CC	34	$99,694	+120%	$8,862
638 Diabetes with CC	34	$82,847	+99%	$8,774
853 Infectious and Parasitic Diseases with O.R. Procedures with...	34	$366,106	+60%	$33,249
202 Bronchitis and Asthma with CC/MCC	31	$79,643	+73%	$7,902
286 Circulatory Disorders except AMI, with Cardiac...	31	$141,868	+26%	$16,462
389 Gastrointestinal Obstruction with CC	31	$64,753	+66%	$7,927
330 Major Small and Large Bowel Procedures with CC	29	$218,614	+84%	$19,639
280 Acute Myocardial Infarction, Discharged Alive with MCC	28	$122,520	+62%	$13,002
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	28	$100,855	+65%	$11,687
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$104,395	+84%	$10,608
281 Acute Myocardial Infarction, Discharged Alive with CC	25	$83,402	+65%	$7,661
322 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$147,141	+28%	$16,044
329 Major Small and Large Bowel Procedures with MCC	25	$425,081	+98%	$41,245
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$134,239	+34%	$14,371
312 Syncope and Collapse	24	$65,260	+43%	$7,324
884 Organic Disturbances and Intellectual Disability	24	$140,862	+126%	$17,745
637 Diabetes with MCC	23	$125,086	+88%	$12,142
057 Degenerative Nervous System Disorders without MCC	22	$64,564	+14%	$11,254
191 Chronic Obstructive Pulmonary Disease with CC	22	$72,769	+84%	$7,720
394 Other Digestive System Diagnoses with CC	22	$81,687	+74%	$7,834
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	22	$119,046	+76%	$11,232
813 Coagulation Disorders	22	$105,416	+32%	$12,931
287 Circulatory Disorders except AMI, with Cardiac...	21	$90,479	+42%	$9,050
314 Other Circulatory System Diagnoses with MCC	21	$125,460	+32%	$16,380
377 Gastrointestinal Hemorrhage with MCC	21	$191,087	+124%	$16,601
100 Seizures with MCC	20	$159,413	+69%	$17,887
101 Seizures without MCC	20	$71,502	+47%	$8,396
300 Peripheral Vascular Disorders with CC	19	$92,196	+87%	$8,864
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	19	$44,479	+55%	$6,071
388 Gastrointestinal Obstruction with MCC	18	$151,198	+121%	$10,760
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$103,179	+58%	$11,818
315 Other Circulatory System Diagnoses with CC	17	$98,531	+106%	$7,949
480 Hip and Femur Procedures except Major Joint with MCC	17	$233,356	+68%	$23,576
536 Fractures of Hip and Pelvis without MCC	17	$58,912	+56%	$6,631
554 Bone Diseases and Arthropathies without MCC	17	$66,051	+74%	$7,036

Showing the 60 most frequent of 90 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	704	$43,978	$2,824
Level 5 Musculoskeletal Procedures	121	$128,477	$13,655
Level 1 Endovascular Procedures	118	$36,863	$3,375
Level 5 Urology and Related Services	96	$51,410	$5,417
Level 4 Urology and Related Services	87	$37,155	$3,583
Level 4 Musculoskeletal Procedures	80	$79,787	$7,415
Level 2 Excision/ Biopsy/ Incision and Drainage	74	$23,247	$1,686
Level 3 Urology and Related Services	74	$15,941	$2,132
Level 1 Laparoscopy and Related Services	66	$79,743	$5,971
Level 4 Gynecologic Procedures	56	$35,946	$3,197
Level 3 Musculoskeletal Procedures	54	$33,613	$3,339
Level 6 Musculoskeletal Procedures	52	$191,104	$19,159
Level 3 Vascular Procedures	49	$29,231	$3,208
Level 2 Laparoscopy and Related Services	39	$118,003	$10,765
Level 3 Endovascular Procedures	36	$94,630	$11,503
Level 4 Airway Endoscopy	32	$55,911	$3,829
Level 3 Pacemaker and Similar Procedures	27	$102,710	$11,166
Level 1 Breast/Lymphatic Surgery and Related Procedures	26	$40,712	$3,871
Level 2 Upper GI Procedures	24	$31,619	$1,951
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	24	$33,141	$3,502
Level 2 Breast/Lymphatic Surgery and Related Procedures	23	$61,843	$6,599
Level 1 Nerve Procedures	21	$22,162	$2,022
Level 2 Musculoskeletal Procedures	17	$19,245	$1,683
Level 3 Lower GI Procedures	16	$34,767	$2,939
Level 2 Pacemaker and Similar Procedures	15	$81,481	$8,891

Against the New Jersey average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Virtua Mount Holly Hospital charged $148,439 on average, 13% more than the New Jersey average of $131,698, and was paid $16,025 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Virtua Mount Holly Hospital charged $96,405 on average, 1% less than the New Jersey average of $97,469, and was paid $10,577 against a state average of $12,811. For Kidney and Urinary Tract Infections without MCC (DRG 690), Virtua Mount Holly Hospital charged $71,003 on average, 12% more than the New Jersey average of $63,137, and was paid $7,039 against a state average of $8,142. For Respiratory Infections and Inflammations with MCC (DRG 177), Virtua Mount Holly Hospital charged $143,761 on average, 23% more than the New Jersey average of $117,022, and was paid $13,870 against a state average of $16,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $43,978 was 28% above the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $128,477 was 101% above the state average of $63,772. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $36,863 was 24% above the state average of $29,645. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $51,410 was 74% above 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.