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Acute Care Hospital

Virtua Mount Holly Hospital

Mount Holly, New Jersey · Burlington County · Emergency services listed

Summary

Virtua Mount Holly Hospital is an acute care hospital in Mount Holly, New Jersey. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 46 services, specialties and programs. Medicare lists 1,103 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
383Beds (hospital website)
46Services listed

Quick answers

Does Virtua Mount Holly Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Virtua Mount Holly Hospital. In a medical emergency, call 911.
Where is Virtua Mount Holly Hospital?
175 Madison Ave, Mount Holly, NJ 08060, in Burlington County, New Jersey.
What is the phone number of Virtua Mount Holly Hospital?
(609) 267-0700, as listed by Medicare (CMS).
What is the Medicare star rating of Virtua Mount Holly Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

Procedures[4]

Programs and centers[4]

  • Special Care Nursery
  • Pediatric Pavilion with CHOP physicians
  • Primary PCI Center
  • Sleep center
  • Doula services program
  • Minor Emergency Center
  • Primary Stroke Center
  • Maternity and labor and delivery services
  • Pediatric Pavilion (staffed with CHOP physicians)
  • Pediatric emergency services
  • Cardiac catheterization program
  • Spine surgery program
  • Bariatric surgery program
  • Neurosurgery partnership with Penn Medicine

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center

Visiting and practical information

VisitingGeneral visiting 9 a.m.-8 p.m. daily; Behavioral Health Unit walk-in visiting 5:30-6:30 p.m[5]
ParkingFree parking for patients and visitors[4]

Recognition[4]

  • Primary Stroke Center (Joint Commission)
  • Magnet designation (American Nurses Credentialing Center)
  • American College of Cardiology accreditation for diagnostic catheterization and PCI
  • Aetna Institute of Quality (IOQ) designation for spine surgery
  • Baby-Friendly designation

Doctors and clinicians (1,103)

1,103 doctors and other clinicians list Virtua Mount Holly Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,103)

And 1,079 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Virtua Mount Holly Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night1 of 5 stars
Rated the hospital 9 or 10 out of 1059%National average: 72%
Would definitely recommend the hospital55%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home80%National average: 86%
Room and bathroom “always” clean61%National average: 74%
Area around the room “always” quiet at night38%National average: 60%
Completed surveys422Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.177Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.239Better than the national benchmark
Surgical site infections after colon surgery1.227No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.599No different from the national benchmark
MRSA bloodstream infections1.387No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.143Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients11.9%
Deaths within 30 days: heart failure patients12.3%
Deaths within 30 days: pneumonia patients17.3%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patients14.5%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.8%
Readmitted within 30 days: heart failure22.2%
Readmitted within 30 days: pneumonia16.2%
Readmitted within 30 days: COPD20.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)198 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)75%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Virtua Mount Holly Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 20 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC Medication Management New Patient 30 - 44 Minutes $859 $85.90 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC Medication Management New Patient 45 - 59 Minutes $1,152 $115.20 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC Medication Management New Patient 60 - 74 Minutes $1,444 $144.40 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC Medication Management Existing Patient 20 - 29 Minutes $566 $56.60 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC Medication Management Existing Patient 30 - 39 Minutes $859 $85.90 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: HC Consult Level 3 - 40 Minutes $390 $39 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: HC Consult Level 4 - 60 Minutes $473 $47.30 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: HC Preventative Visit New Patient 18-39 Years $390 $39 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: HC Preventative Visit New Patient 40-64 Years $444 $44.40 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
  • Brighton — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • CHN — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Contigo_Health — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Fidelis — Medicaid: 10.32% (a percentage in the contract, not a dollar amount)
  • First_MCO — Commercial: 70% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC Emergency - Intermediate Service $3,312 $331.20 $290.50 – $4,500
Emergency room visit (moderate): 10 of 57 insurance plan rates
  • Aetna — Commercial: $2,018
  • Aetna — Medicare: $305.63
  • Aetna — QHP: $696
  • Aetna — Whole_Health: $1,655
  • AmBetter — Medicaid: $635.48
  • Amerihealth — Commercial: $2,357
  • Amerihealth — Local_Value: $2,003
  • Amerihealth — Medicare: $302.61
  • Brighton — Commercial: $3,330
  • CHN — Commercial: $4,500
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC Emergency - Extended Service $3,931 $393.10 $446.76 – $4,500
Emergency room visit (moderately high): 10 of 57 insurance plan rates
  • Aetna — Commercial: $2,018
  • Aetna — Medicare: $470.02
  • Aetna — QHP: $1,070.35
  • Aetna — Whole_Health: $1,655
  • AmBetter — Medicaid: $977.28
  • Amerihealth — Commercial: $2,357
  • Amerihealth — Local_Value: $2,003
  • Amerihealth — Medicare: $465.37
  • Brighton — Commercial: $3,330
  • CHN — Commercial: $4,500
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC Emergency - Critical Care Service $4,035 $403.50 $643.24 – $4,500
Emergency room visit (high): 10 of 57 insurance plan rates
  • Aetna — Commercial: $2,018
  • Aetna — Medicare: $676.75
  • Aetna — QHP: $1,541.10
  • Aetna — Whole_Health: $1,655
  • AmBetter — Medicaid: $1,407.09
  • Amerihealth — Commercial: $2,357
  • Amerihealth — Local_Value: $2,003
  • Amerihealth — Medicare: $670.04
  • Brighton — Commercial: $3,330
  • CHN — Commercial: $4,500

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC Basic Metabolic Panel $197 $19.70 $8.12 – $543.91
Basic metabolic panel (blood test): 10 of 56 insurance plan rates
  • Aetna — Medicare: $8.54
  • AmBetter — Medicaid: $17.77
  • Amerihealth — Commercial: $95.29
  • Amerihealth — Local_Value: $80.99
  • Amerihealth — Medicare: $8.46
  • Cigna — HMO: $518.01
  • Cigna — Local_Plus: $440.31
  • Cigna — PPO: $543.91
  • Cigna_Healthsprings — Medicare: $8.63
  • Clover_Health — Medicare: $8.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC Complete Metabolic Panel $294 $29.40 $10.14 – $228.47
Comprehensive metabolic panel (blood test): 10 of 57 insurance plan rates
  • Aetna — Medicare: $10.67
  • AmBetter — Medicaid: $22.18
  • Amerihealth — Commercial: $118.91
  • Amerihealth — Local_Value: $101.07
  • Amerihealth — Medicare: $10.56
  • Cigna — HMO: $217.59
  • Cigna — Local_Plus: $184.95
  • Cigna — PPO: $228.47
  • Cigna_Healthsprings — Medicare: $10.77
  • Clover_Health — Medicare: $10.77
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC Lipid Panel $313 $31.30 $12.85 – $154.74
Cholesterol panel (lipid panel): 10 of 57 insurance plan rates
  • Aetna — Medicare: $13.52
  • AmBetter — Medicaid: $28.12
  • Amerihealth — Commercial: $154.74
  • Amerihealth — Local_Value: $131.53
  • Amerihealth — Medicare: $13.39
  • Cigna — HMO: $90.57
  • Cigna — Local_Plus: $76.98
  • Cigna — PPO: $95.10
  • Cigna_Healthsprings — Medicare: $13.66
  • Clover_Health — Medicare: $13.66
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC Renal Function Panel $456 $45.60 $6.59 – $97.73
Kidney function panel: 10 of 57 insurance plan rates
  • Aetna — Medicare: $8.77
  • AmBetter — Medicaid: $18.23
  • Amerihealth — Commercial: $97.73
  • Amerihealth — Local_Value: $83.07
  • Amerihealth — Medicare: $8.68
  • Cigna — HMO: $19.89
  • Cigna — Local_Plus: $16.91
  • Cigna — PPO: $20.88
  • Cigna_Healthsprings — Medicare: $8.85
  • Clover_Health — Medicare: $8.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC Hepatic Function Panel $241 $24.10 $7.84 – $92.03
Liver function panel: 10 of 57 insurance plan rates
  • Aetna — Medicare: $8.25
  • AmBetter — Medicaid: $17.16
  • Amerihealth — Commercial: $92.03
  • Amerihealth — Local_Value: $78.23
  • Amerihealth — Medicare: $8.17
  • Cigna — HMO: $50.82
  • Cigna — Local_Plus: $43.20
  • Cigna — PPO: $53.36
  • Cigna_Healthsprings — Medicare: $8.33
  • Clover_Health — Medicare: $8.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC Urinalysis Auto W/ Microscopy $130 $13 $3.04 – $66.12
Urine test (automated, with microscope): 10 of 57 insurance plan rates
  • Aetna — Medicare: $3.20
  • AmBetter — Medicaid: $6.66
  • Amerihealth — Commercial: $35.83
  • Amerihealth — Local_Value: $30.46
  • Amerihealth — Medicare: $3.17
  • Cigna — HMO: $62.97
  • Cigna — Local_Plus: $53.52
  • Cigna — PPO: $66.12
  • Cigna_Healthsprings — Medicare: $3.23
  • Clover_Health — Medicare: $3.23
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC Urinalysis Dip Stick W/O Microscopy $39 $3.90 $3.34 – $44.07
Urine test (manual, without microscope): 10 of 57 insurance plan rates
  • Aetna — Medicare: $3.51
  • AmBetter — Medicaid: $7.31
  • Amerihealth — Commercial: $40.72
  • Amerihealth — Local_Value: $34.61
  • Amerihealth — Medicare: $3.48
  • Cigna — HMO: $41.97
  • Cigna — Local_Plus: $35.67
  • Cigna — PPO: $44.07
  • Cigna_Healthsprings — Medicare: $3.55
  • Clover_Health — Medicare: $3.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC Urinalysis Auto W/O Microscopy $114 $11.40 $2.16 – $60.29
Urine test (automated, without microscope): 10 of 57 insurance plan rates
  • Aetna — Medicare: $2.27
  • AmBetter — Medicaid: $4.73
  • Amerihealth — Commercial: $27.69
  • Amerihealth — Local_Value: $23.54
  • Amerihealth — Medicare: $2.25
  • Cigna — HMO: $57.42
  • Cigna — Local_Plus: $48.81
  • Cigna — PPO: $60.29
  • Cigna_Healthsprings — Medicare: $2.30
  • Clover_Health — Medicare: $2.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC Psa Total Diagnostic $567 $56.70 $15.90 – $212.57
PSA (prostate specific antigen) blood test: 10 of 57 insurance plan rates
  • Aetna — Medicare: $18.57
  • AmBetter — Medicaid: $38.62
  • Amerihealth — Commercial: $212.57
  • Amerihealth — Local_Value: $180.68
  • Amerihealth — Medicare: $18.39
  • Cigna — HMO: $119.28
  • Cigna — Local_Plus: $101.39
  • Cigna — PPO: $125.24
  • Cigna_Healthsprings — Medicare: $18.76
  • Clover_Health — Medicare: $18.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC Thyroid Stimulating Hormone $369 $36.90 $16.13 – $213.38
Thyroid stimulating hormone (TSH) test: 10 of 53 insurance plan rates
  • Aetna — Medicare: $16.97
  • AmBetter — Medicaid: $35.28
  • Amerihealth — Commercial: $213.38
  • Amerihealth — Local_Value: $181.37
  • Amerihealth — Medicare: $16.80
  • Cigna_Healthsprings — Medicare: $17.14
  • Clover_Health — Medicare: $17.14
  • Geisinger_Gold — Medicare: $17.14
  • Horizon_BCBS — Braven_Health: $16.80
  • Horizon_NJ_Health — Total_Care: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC Cbc W Auto Diff $228 $22.80 $3.66 – $89.59
Complete blood count (CBC) with differential: 10 of 57 insurance plan rates
  • Aetna — Commercial: $73.90
  • Aetna — Medicare: $7.85
  • AmBetter — Medicaid: $16.32
  • Amerihealth — Commercial: $89.59
  • Amerihealth — Local_Value: $76.15
  • Amerihealth — Medicare: $7.77
  • Cigna — HMO: $38.67
  • Cigna — Local_Plus: $32.87
  • Cigna — PPO: $40.60
  • Cigna_Healthsprings — Medicare: $7.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC Cbc / Hemogram $186 $18.60 $2.86 – $81.44
Complete blood count (CBC), automated: 10 of 57 insurance plan rates
  • Aetna — Medicare: $6.53
  • AmBetter — Medicaid: $13.59
  • Amerihealth — Commercial: $81.44
  • Amerihealth — Local_Value: $69.23
  • Amerihealth — Medicare: $6.47
  • Cigna — HMO: $24.30
  • Cigna — Local_Plus: $20.66
  • Cigna — PPO: $25.52
  • Cigna_Healthsprings — Medicare: $6.60
  • Clover_Health — Medicare: $6.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC Antiphospholipid Syndrome (Aps) Profile Labcorp $336 $33.60 $3.57 – $45.61
Blood clotting time test (prothrombin time, PT): 10 of 57 insurance plan rates
  • Aetna — Medicare: $4.33
  • AmBetter — Medicaid: $9.01
  • Amerihealth — Commercial: $45.61
  • Amerihealth — Local_Value: $38.77
  • Amerihealth — Medicare: $4.29
  • Cigna — HMO: $18.78
  • Cigna — Local_Plus: $15.96
  • Cigna — PPO: $19.72
  • Cigna_Healthsprings — Medicare: $4.38
  • Clover_Health — Medicare: $4.38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC Antiphospholipid Syndrome Profile Labcorp $336 $33.60 $5.77 – $76.56
Blood clotting test (partial thromboplastin time, PTT): 10 of 57 insurance plan rates
  • Aetna — Medicare: $6.07
  • AmBetter — Medicaid: $12.62
  • Amerihealth — Commercial: $76.56
  • Amerihealth — Local_Value: $65.07
  • Amerihealth — Medicare: $6.01
  • Cigna — HMO: $50.82
  • Cigna — Local_Plus: $43.20
  • Cigna — PPO: $53.36
  • Cigna_Healthsprings — Medicare: $6.13
  • Clover_Health — Medicare: $6.13

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT Head or Brain w/o Contrast $3,810 $381 $111.57 – $2,520.23
CT scan of the head or brain, without contrast: 10 of 57 insurance plan rates
  • Aetna — Medicare: $117.38
  • Aetna — QHP: $267.30
  • AmBetter — Medicaid: $244.06
  • Amerihealth — Commercial: $1,459.52
  • Amerihealth — Local_Value: $1,242.21
  • Amerihealth — Medicare: $116.22
  • Cigna — HMO: $2,400.22
  • Cigna — Local_Plus: $2,035.38
  • Cigna — PPO: $2,520.23
  • Cigna_Healthsprings — Medicare: $118.54
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI Brain W/ & W/O Contrast $12,368 $1,236.80 $374.69 – $5,085.22
MRI of the brain, before and after contrast: 10 of 57 insurance plan rates
  • Aetna — Commercial: $4,545
  • Aetna — Medicare: $394.20
  • Aetna — QHP: $897.69
  • Aetna — Whole_Health: $3,727
  • AmBetter — Medicaid: $819.63
  • Amerihealth — Commercial: $5,085.22
  • Amerihealth — Local_Value: $4,328.06
  • Amerihealth — Medicare: $390.30
  • Cigna — HMO: $672.72
  • Cigna — Local_Plus: $570.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC X-Ray Chest 2 Views $1,576 $157.60 $32.78 – $288.68
Chest X-ray, 2 views: 10 of 57 insurance plan rates
  • Aetna — Medicare: $97.19
  • Aetna — QHP: $221.32
  • AmBetter — Medicaid: $202.08
  • Amerihealth — Commercial: $224.54
  • Amerihealth — Local_Value: $191.11
  • Amerihealth — Medicare: $96.23
  • Cigna — HMO: $111.04
  • Cigna — Local_Plus: $94.38
  • Cigna — PPO: $116.59
  • Cigna_Healthsprings — Medicare: $98.15
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC X-Ray Spine Lumbosacral 4 Views $2,418 $241.80 $111.57 – $379.46
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates
  • Aetna — Medicare: $117.38
  • Aetna — QHP: $267.30
  • AmBetter — Medicaid: $244.06
  • Amerihealth — Commercial: $330.21
  • Amerihealth — Local_Value: $281.04
  • Amerihealth — Medicare: $116.22
  • Cigna — HMO: $361.39
  • Cigna — Local_Plus: $307.18
  • Cigna — PPO: $379.46
  • Cigna_Healthsprings — Medicare: $118.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI Lumbar Spine W/O Contrast $8,601 $860.10 $253.60 – $4,545
MRI of the lower back (lumbar spine), without contrast: 10 of 57 insurance plan rates
  • Aetna — Commercial: $4,545
  • Aetna — Medicare: $266.81
  • Aetna — QHP: $607.59
  • Aetna — Whole_Health: $3,727
  • AmBetter — Medicaid: $554.76
  • Amerihealth — Commercial: $3,136.98
  • Amerihealth — Local_Value: $2,669.91
  • Amerihealth — Medicare: $264.17
  • Cigna — HMO: $460.14
  • Cigna — Local_Plus: $390.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT Pelvis w/ Contrast $6,609 $660.90 $186.77 – $2,053.90
CT scan of the pelvis, with contrast: 10 of 57 insurance plan rates
  • Aetna — Medicare: $196.50
  • Aetna — QHP: $447.48
  • AmBetter — Medicaid: $408.56
  • Amerihealth — Commercial: $2,053.90
  • Amerihealth — Local_Value: $1,748.09
  • Amerihealth — Medicare: $194.55
  • Cigna — HMO: $396.63
  • Cigna — Local_Plus: $336.34
  • Cigna — PPO: $416.46
  • Cigna_Healthsprings — Medicare: $198.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI Lower Extremity Any Joint W/O Contrast $10,110 $1,011 $253.60 – $4,545
MRI of a leg joint (such as the knee), without contrast: 10 of 57 insurance plan rates
  • Aetna — Commercial: $4,545
  • Aetna — Medicare: $266.81
  • Aetna — QHP: $607.59
  • Aetna — Whole_Health: $3,727
  • AmBetter — Medicaid: $554.76
  • Amerihealth — Commercial: $3,136.98
  • Amerihealth — Local_Value: $2,669.91
  • Amerihealth — Medicare: $264.17
  • Cigna — HMO: $550.31
  • Cigna — Local_Plus: $466.66
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT Abdomen & Pelvis w/ Contrast $8,366 $836.60 $350 – $2,093.52
CT scan of the abdomen and pelvis, with contrast: 10 of 57 insurance plan rates
  • Aetna — Medicare: $394.20
  • Aetna — QHP: $897.69
  • AmBetter — Medicaid: $819.63
  • Amerihealth — Commercial: $2,093.52
  • Amerihealth — Local_Value: $1,781.81
  • Amerihealth — Medicare: $390.30
  • Cigna — HMO: $795.10
  • Cigna — Local_Plus: $674.25
  • Cigna — PPO: $834.86
  • Cigna_Healthsprings — Medicare: $398.11
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC Ultrasound Abdomen Complete $4,606 $460.60 $96.23 – $752.88
Ultrasound of the abdomen, complete: 10 of 57 insurance plan rates
  • Aetna — Medicare: $117.38
  • Aetna — QHP: $267.30
  • AmBetter — Medicaid: $119.70
  • Amerihealth — Commercial: $752.88
  • Amerihealth — Local_Value: $640.78
  • Amerihealth — Medicare: $116.22
  • Cigna — HMO: $369.16
  • Cigna — Local_Plus: $313.79
  • Cigna — PPO: $387.62
  • Cigna_Healthsprings — Medicare: $98.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC Ultrasound > 14 Weeks First Gestation $3,555 $355.50 $111.57 – $660.42
Pregnancy ultrasound (after the first trimester): 10 of 54 insurance plan rates
  • Aetna — Commercial: $624
  • Aetna — Medicare: $117.38
  • Aetna — QHP: $267.30
  • Aetna — Whole_Health: $513
  • AmBetter — Medicaid: $119.70
  • Amerihealth — Commercial: $660.42
  • Amerihealth — Local_Value: $562.09
  • Amerihealth — Medicare: $116.22
  • Cigna — HMO: $417.66
  • Cigna — Local_Plus: $355.01
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC Ultrasound Transvaginal $2,547 $254.70 $111.57 – $614.19
Transvaginal ultrasound: 10 of 57 insurance plan rates
  • Aetna — Medicare: $117.38
  • Aetna — QHP: $267.30
  • AmBetter — Medicaid: $119.70
  • Amerihealth — Commercial: $614.19
  • Amerihealth — Local_Value: $522.74
  • Amerihealth — Medicare: $116.22
  • Cigna — HMO: $408.28
  • Cigna — Local_Plus: $347.04
  • Cigna — PPO: $428.69
  • Cigna_Healthsprings — Medicare: $118.54
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC Mammogram Diagnostic W Cad Uniteral $1,428 $142.80 $51.18 – $430.49
Diagnostic mammogram, one breast: 10 of 42 insurance plan rates
  • Amerihealth — Commercial: $409.46
  • Amerihealth — Local_Value: $348.49
  • Cigna — HMO: $409.89
  • Cigna — Local_Plus: $409.89
  • Cigna — PPO: $430.49
  • Horizon_NJ_Health — Medicaid: $51.18
  • Oxford — Commercial: $204.01
  • United_Healthcare — Commercial: $204.01
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 59.1% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC Mammogram Digital Diagnostic Bilateral $2,141 $214.10 $64.93 – $10,605
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates
  • Aetna — Whole_Health: $10,605
  • Amerihealth — Commercial: $521.73
  • Amerihealth — Local_Value: $444.05
  • Cigna — HMO: $525.63
  • Cigna — Local_Plus: $525.63
  • Cigna — PPO: $551.91
  • Horizon_NJ_Health — Medicaid: $64.93
  • Oxford — Commercial: $260.06
  • United_Healthcare — Commercial: $260.06
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC Mammogrm Screening W/ Cad Bilateral $1,687 $168.70 $98.04 – $1,603.15
Screening mammogram, both breasts: 10 of 42 insurance plan rates
  • Amerihealth — Commercial: $396.25
  • Amerihealth — Local_Value: $337.25
  • Cigna — HMO: $1,526.81
  • Cigna — Local_Plus: $1,297.79
  • Cigna — PPO: $1,603.15
  • Horizon_NJ_Health — Medicaid: $98.04
  • Oxford — Commercial: $214.90
  • United_Healthcare — Commercial: $214.90
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 59.1% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: HC Ekg 12 Lead W Report $65 $6.50 $36.09 – $278
Electrocardiogram (ECG/EKG) with reading: 10 of 41 insurance plan rates
  • Aetna — Commercial: $278
  • Aetna — Whole_Health: $228
  • Amerihealth — Commercial: $276.14
  • Amerihealth — Local_Value: $235.64
  • Horizon_NJ_Health — Medicaid: $36.09
  • Aetna — Better_Health: 10.32% (a percentage in the contract, not a dollar amount)
  • Aetna — First_Health: 80% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare: 12% (a percentage in the contract, not a dollar amount)
  • Aetna — Workers_Comp: 65% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Casualty: 65% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC Left Heart Cath W Injections & Imaging $14,447 $1,444.70 $3,374.54 – $18,315
Left heart catheterization (diagnostic): 10 of 57 insurance plan rates
  • Aetna — Commercial: $12,204
  • Aetna — Medicare: $3,550.30
  • Aetna — QHP: $8,084.85
  • Aetna — Whole_Health: $10,007
  • AmBetter — Medicaid: $7,381.82
  • Amerihealth — Commercial: $11,687
  • Amerihealth — Local_Value: $9,933
  • Amerihealth — Medicare: $3,515.15
  • Brighton — Commercial: $18,315
  • CHN — Commercial: $14,500
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC Electrophysiologic Evaluation W Right Atrial / Ventricular Pacing / Recording W Insertion Multiple Electrode Catheters WO Arrhythmia Indu $20,455 $2,045.50 $306.82 – $24,878.65
Heart rhythm study (electrophysiology evaluation): 10 of 57 insurance plan rates
  • Aetna — Medicare: $8,375.81
  • Aetna — QHP: $19,073.63
  • AmBetter — Medicaid: $17,415.05
  • Amerihealth — Commercial: $9,204.70
  • Amerihealth — Local_Value: $7,854.50
  • Amerihealth — Medicare: $8,292.88
  • Cigna — HMO: $2,736.98
  • Cigna — Local_Plus: $2,326.43
  • Cigna — PPO: $2,873.83
  • Cigna_Healthsprings — Medicare: $8,458.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC Ep Evaluation W Transseptal Cath Atrial Fib $34,157 $3,415.70 $95.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $80,432.58
Heart rhythm study with ablation for atrial fibrillation: 10 of 57 insurance plan rates
  • Aetna — Medicare: $27,078.97
  • Aetna — QHP: $61,664.98
  • AmBetter — Medicaid: $56,302.81
  • Amerihealth — Commercial: $36,539
  • Amerihealth — Local_Value: $32,885
  • Amerihealth — Medicare: $26,810.86
  • Cigna_Healthsprings — Medicare: $27,347.08
  • Clover_Health — Medicare: $27,615.19
  • Geisinger_Gold — Medicare: $27,615.19
  • Horizon_BCBS — Braven_Health: $26,810.86
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC Complex Polysomnography Age 6 + $10,624 $1,062.40 $190 – $8,935
Sleep study (overnight, in a sleep lab): 10 of 57 insurance plan rates
  • Aetna — Commercial: $4,075
  • Aetna — Medicare: $1,123
  • Aetna — QHP: $2,557.34
  • Aetna — Whole_Health: $3,342
  • AmBetter — Medicaid: $1,145.24
  • Amerihealth — Medicare: $1,111.89
  • Cigna_Healthsprings — Medicare: $1,134.12
  • Clover_Health — Medicare: $1,145.24
  • Geisinger_Gold — Medicare: $1,145.24
  • Horizon_BCBS — Braven_Health: $1,111.89

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC Therapeutic Exercise 15 Minutes $232 $23.20 $18.50 – $176
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates
  • Aetna — Commercial: $18.50
  • Aetna — Whole_Health: $35.74
  • Amerihealth — Commercial: $56.36
  • Amerihealth — Local_Value: $48.25
  • Cigna — HMO: $115.51
  • Cigna — Local_Plus: $98.18
  • Cigna — PPO: $121.29
  • Horizon_NJ_Health — Medicaid: $64
  • Integrated_Health — Commercial: $20
  • MedRisk — Commercial: $85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC Pt Evaluation Low Complexity $495 $49.50 $60 – $176
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates
  • Aetna — Commercial: $109.65
  • Aetna — Whole_Health: $109.65
  • Amerihealth — Commercial: $75.14
  • Amerihealth — Local_Value: $64.34
  • Cigna — HMO: $115.51
  • Cigna — Local_Plus: $98.18
  • Cigna — PPO: $121.29
  • Horizon_NJ_Health — Medicaid: $64
  • Humana_TriCare — Commercial: $165.55
  • Integrated_Health — Commercial: $60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC Pt Evaluation Moderate Complexity $495 $49.50 $60 – $176
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates
  • Aetna — Commercial: $109.65
  • Aetna — Whole_Health: $109.65
  • Amerihealth — Commercial: $93.93
  • Amerihealth — Local_Value: $80.42
  • Cigna — HMO: $115.51
  • Cigna — Local_Plus: $98.18
  • Cigna — PPO: $121.29
  • Horizon_NJ_Health — Medicaid: $64
  • Humana_TriCare — Commercial: $165.55
  • Integrated_Health — Commercial: $60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC Pt Evaluation High Complexity $495 $49.50 $60 – $176
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates
  • Aetna — Commercial: $109.65
  • Aetna — Whole_Health: $109.65
  • Amerihealth — Commercial: $112.71
  • Amerihealth — Local_Value: $96.50
  • Cigna — HMO: $115.51
  • Cigna — Local_Plus: $98.18
  • Cigna — PPO: $121.29
  • Horizon_NJ_Health — Medicaid: $64
  • Humana_TriCare — Commercial: $165.55
  • Integrated_Health — Commercial: $60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC Individual Therapy 30 Minutes $390 $39 $77.16 – $532
Psychotherapy, 30 minutes: 10 of 57 insurance plan rates
  • Aetna — Better_Health: $84.88
  • Aetna — Commercial: $532
  • Aetna — Medicare: $177.35
  • Aetna — QHP: $403.86
  • Aetna — Whole_Health: $436
  • AmBetter — Medicaid: $368.75
  • Amerihealth — Commercial: $159.67
  • Amerihealth — Local_Value: $159.67
  • Amerihealth — Medicare: $352
  • Cigna — HMO: $514
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC Individual Therapy 45 Minutes $489 $48.90 $77.16 – $532
Psychotherapy, 45 minutes: 10 of 57 insurance plan rates
  • Aetna — Better_Health: $84.88
  • Aetna — Commercial: $532
  • Aetna — Medicare: $177.35
  • Aetna — QHP: $403.86
  • Aetna — Whole_Health: $436
  • AmBetter — Medicaid: $368.75
  • Amerihealth — Commercial: $221.60
  • Amerihealth — Local_Value: $221.60
  • Amerihealth — Medicare: $352
  • Cigna — HMO: $514
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC Individual Therapy 60 Minutes $576 $57.60 $77.16 – $532
Psychotherapy, 60 minutes: 10 of 57 insurance plan rates
  • Aetna — Better_Health: $84.88
  • Aetna — Commercial: $532
  • Aetna — Medicare: $177.35
  • Aetna — QHP: $403.86
  • Aetna — Whole_Health: $436
  • AmBetter — Medicaid: $368.75
  • Amerihealth — Commercial: $311.51
  • Amerihealth — Local_Value: $311.51
  • Amerihealth — Medicare: $352
  • Cigna — HMO: $514
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC Family Psychotherapy Without the Patient Present 50 Minutes $901 $90.10 $77.16 – $532
Family psychotherapy, without the patient: 10 of 57 insurance plan rates
  • Aetna — Better_Health: $84.88
  • Aetna — Commercial: $532
  • Aetna — Medicare: $177.35
  • Aetna — QHP: $403.86
  • Aetna — Whole_Health: $436
  • AmBetter — Medicaid: $368.75
  • Amerihealth — Commercial: $272.99
  • Amerihealth — Local_Value: $272.99
  • Amerihealth — Medicare: $352
  • Cigna — HMO: $514
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC Family Therapy W Patient Present 50 Minutes $749 $74.90 $77.16 – $532
Family psychotherapy, with the patient: 10 of 57 insurance plan rates
  • Aetna — Better_Health: $84.88
  • Aetna — Commercial: $532
  • Aetna — Medicare: $177.35
  • Aetna — QHP: $403.86
  • Aetna — Whole_Health: $436
  • AmBetter — Medicaid: $368.75
  • Amerihealth — Commercial: $285.11
  • Amerihealth — Local_Value: $285.11
  • Amerihealth — Medicare: $352
  • Cigna — HMO: $514
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC Group Therapy $461 $46.10 $72.96 – $532
Group psychotherapy: 10 of 57 insurance plan rates
  • Aetna — Better_Health: $84.88
  • Aetna — Commercial: $532
  • Aetna — Medicare: $102.10
  • Aetna — QHP: $232.51
  • Aetna — Whole_Health: $436
  • AmBetter — Medicaid: $212.29
  • Amerihealth — Commercial: $72.96
  • Amerihealth — Local_Value: $72.96
  • Amerihealth — Medicare: $352
  • Cigna — HMO: $514

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC Biopsy Prostate Needle / Punch Single / Multi $3,083 $308.30 $983.65 – $16,391
Prostate biopsy: 10 of 57 insurance plan rates
  • Aetna — Commercial: $5,559.01
  • Aetna — Medicare: $2,261.16
  • Aetna — QHP: $2,356.67
  • Aetna — Whole_Health: $4,558.07
  • AmBetter — Medicaid: $2,305.94
  • Amerihealth — Commercial: $8,367
  • Amerihealth — Local_Value: $7,113
  • Amerihealth — Medicare: $2,238.78
  • Brighton — Commercial: $11,655
  • CHN — Commercial: $12,000
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HC Hysteroscopy Cervical Polpectomy $3,567 $356.70 $24.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,424.53
Hysteroscopy with biopsy of the uterus lining: 10 of 57 insurance plan rates
  • Aetna — Commercial: $8,424
  • Aetna — Medicare: $3,509.59
  • Aetna — QHP: $7,992.14
  • Aetna — Whole_Health: $6,909
  • AmBetter — Medicaid: $7,297.17
  • Amerihealth — Medicare: $3,474.84
  • Cigna_Healthsprings — Medicare: $3,544.34
  • Clover_Health — Medicare: $3,579.09
  • Geisinger_Gold — Medicare: $3,579.09
  • Horizon_BCBS — Braven_Health: $3,474.84
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC Epidural / Subarachnoid Injection Non Neurolytic Diagnostic / Therapeutic Substance W Catheter Place / Image Guidance Lumbar / Sacral $4,144 $414.40 $700.29 – $16,391
Spinal injection, lower back (epidural), with imaging guidance: 10 of 57 insurance plan rates
  • Aetna — Commercial: $4,467
  • Aetna — Medicare: $764.41
  • Aetna — QHP: $1,677.77
  • Aetna — Whole_Health: $3,826.64
  • AmBetter — Medicaid: $779.55
  • Amerihealth — Commercial: $8,367
  • Amerihealth — Local_Value: $7,113
  • Amerihealth — Medicare: $756.84
  • Brighton — Commercial: $11,655
  • CHN — Commercial: $12,000
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC Inject Tf W/ Image Lumbar / Sacral 1 Level $4,666 $466.60 $972.98 – $16,391
Nerve root injection, lower back, with imaging guidance: 10 of 57 insurance plan rates
  • Aetna — Commercial: $4,467
  • Aetna — Medicare: $982.71
  • Aetna — QHP: $8,669.41
  • Aetna — Whole_Health: $3,826.64
  • AmBetter — Medicaid: $1,002.17
  • Amerihealth — Commercial: $8,367
  • Amerihealth — Local_Value: $7,113
  • Amerihealth — Medicare: $972.98
  • Brighton — Commercial: $11,655
  • CHN — Commercial: $12,000
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: HC Yag Laser Capsulotomy $4,036 $403.60 $599.55 – $16,391
Laser treatment of clouding after cataract surgery: 10 of 57 insurance plan rates
  • Aetna — Commercial: $5,559.01
  • Aetna — Medicare: $605.55
  • Aetna — QHP: $8,669.41
  • Aetna — Whole_Health: $4,558.07
  • AmBetter — Medicaid: $617.54
  • Amerihealth — Commercial: $8,367
  • Amerihealth — Local_Value: $7,113
  • Amerihealth — Medicare: $599.55
  • Brighton — Commercial: $11,655
  • CHN — Commercial: $12,000

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $77,176.83 – $258,996.77
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 38 insurance plan rates
  • Aetna — Commercial: $223,957.64
  • Aetna — Medicare: $82,822.39
  • Aetna — QHP: $188,605.45
  • Aetna — Whole_Health: $183,646.68
  • AmBetter — Medicaid: $172,204.98
  • Amerihealth — Commercial: $222,778.11
  • Amerihealth — Local_Value: $189,318.96
  • Amerihealth — Medicare: $82,822.39
  • Cigna — HMO: $214,042.09
  • Cigna — Local_Plus: $181,935.82
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $15,316.54 – $52,475.01
Hip or knee replacement (major joint of the leg), without major complications: 10 of 36 insurance plan rates
  • Aetna — Commercial: $44,158.31
  • Aetna — Medicare: $16,518.05
  • Aetna — QHP: $37,615.37
  • Aetna — Whole_Health: $36,210.09
  • AmBetter — Medicaid: $34,344.46
  • Amerihealth — Commercial: $44,439.26
  • Amerihealth — Local_Value: $37,764.91
  • Amerihealth — Medicare: $16,518.05
  • Cigna — HMO: $42,203.23
  • Cigna — Local_Plus: $35,872.76
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $19,352.40 – $62,578.12
Neck (cervical) spinal fusion, without complications: 10 of 36 insurance plan rates
  • Aetna — Commercial: $55,888.68
  • Aetna — Medicare: $20,843.84
  • Aetna — QHP: $47,466.18
  • Aetna — Whole_Health: $45,829.07
  • AmBetter — Medicaid: $43,338.68
  • Amerihealth — Commercial: $56,455.14
  • Amerihealth — Local_Value: $47,976.12
  • Amerihealth — Medicare: $20,843.84
  • Cigna — HMO: $53,414.25
  • Cigna — Local_Plus: $45,402.13
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,223.11 – $29,420.60
Uterus and ovary surgery (not for cancer), without complications: 10 of 36 insurance plan rates
  • Aetna — Commercial: $28,403.35
  • Aetna — Medicare: $10,708.11
  • Aetna — QHP: $24,384.81
  • Aetna — Whole_Health: $23,290.92
  • AmBetter — Medicaid: $22,264.40
  • Amerihealth — Commercial: $26,329.29
  • Amerihealth — Local_Value: $22,374.88
  • Amerihealth — Medicare: $10,708.11
  • Cigna — HMO: $27,145.81
  • Cigna — Local_Plus: $23,073.94

Source: Virtua Mount Holly Hospital’s standard charges file (virtua.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address175 Madison Ave, Mount Holly, NJ 08060
CountyBurlington County
StateNew Jersey
Phone(609) 267‑0700
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number310057
Name in Medicare recordsVIRTUA MOUNT HOLLY HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(609) 914‑6000[4]
Official websitevirtua.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Virtua Mount Holly Hospital — virtua.org
  2. Visiting Hours and Information — virtua.org