Valley Hospital
Valley Hospital in Paramus, NJ charges 6.4x the Medicare reimbursement rate across 175 analyzed procedures, representing a significant markup for this nonprofit-private healthcare facility.
Paramus, NJ 07652 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.43x
Charge / Medicare rate
Max markup
10.8x
Worst procedure
Procedures analyzed
175
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $39,633 | $19,817 | — | 10.8x |
| HEADACHES WITHOUT MCC | 103 | $57,225 | $28,613 | — | 10.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $30,956 | $15,478 | — | 9.5x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $66,443 | $33,222 | — | 9.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $26,989 | $13,495 | — | 9.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $32,022 | $16,011 | — | 9.2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $46,659 | $23,329 | — | 9.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $47,808 | $23,904 | — | 9.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $62,952 | $31,476 | — | 9.1x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $97,097 | $48,548 | — | 9.1x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $123,694 | $61,847 | — | 9.1x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $144,913 | $72,456 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $37,769 | $18,884 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $51,155 | $25,577 | — | 8.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,940 | $24,970 | — | 8.7x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $111,482 | $55,741 | — | 8.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $46,690 | $23,345 | — | 8.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $64,456 | $32,228 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $43,410 | $21,705 | — | 8.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $42,332 | $21,166 | — | 8.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $43,700 | $21,850 | — | 8.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $51,468 | $25,734 | — | 8.2x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 061 | $200,544 | $100,272 | — | 8.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $64,240 | $32,120 | — | 8.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $50,041 | $25,020 | — | 8.2x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $46,699 | $23,350 | — | 8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $117,175 | $58,587 | — | 8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $47,804 | $23,902 | — | 8x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $92,664 | $46,332 | — | 7.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $42,269 | $21,134 | — | 7.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $55,111 | $27,555 | — | 7.8x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $83,695 | $41,848 | — | 7.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $54,391 | $27,195 | — | 7.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $62,740 | $31,370 | — | 7.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $48,039 | $24,019 | — | 7.6x |
| DIABETES WITH MCC | 637 | $81,855 | $40,928 | — | 7.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $38,485 | $19,242 | — | 7.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $40,340 | $20,170 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $105,581 | $52,791 | — | 7.5x |
| SYNCOPE AND COLLAPSE | 312 | $43,982 | $21,991 | — | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $69,472 | $34,736 | — | 7.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $183,681 | $91,841 | — | 7.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $93,181 | $46,590 | — | 7.5x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $214,614 | $107,307 | — | 7.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $91,131 | $45,566 | — | 7.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $116,113 | $58,057 | — | 7.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $58,494 | $29,247 | — | 7.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $104,410 | $52,205 | — | 7.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $57,316 | $28,658 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $128,370 | $64,185 | — | 7.3x |
Showing 50 of 175 procedures
How VALLEY HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use