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Respiratory infections & inflammations w MCC

MS-DRG 177 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$14,396
Median
$22,741
Max
$35,619
Range multiplier
2.5×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85$22,535$61,505723.6×
Aetna2179$12,740$38,810$97,4527.6×
UnitedHealthcare2173$13,136$34,593$74,6735.7×
horizon971$5,778$39,204$105,79318.3×
Cigna2147$15,442$38,227$73,0634.7×
amerihealth2037$13,529$31,905$55,8274.1×
WellCare2029$12,740$17,322$33,5012.6×
qualcare inc815$5,565$6,765$36,9186.6×
Humana1212$12,878$15,553$18,8321.5×
wellpoint812$1,885$13,140$16,8358.9×
clover health1111$12,878$15,614$18,4731.4×
amerigroup910$12,740$14,691$20,4881.6×
clover99$14,014$16,116$22,5371.6×
oxford99$51,238$52,439$69,0121.3×
brighton health plan99$62,593$62,593$77,4261.2×
seoul medical group99$14,269$16,409$22,9461.6×
vaccn99$11,722$13,342$19,4511.7×
karna99$18,663$21,210$28,9931.6×
First Health88$60$60$601.0×
Emblem Health88$19,687$24,922$31,8401.6×
fidelis care88$12,878$14,655$16,8351.3×
qualcare26$46,465$62,496$62,4961.3×
Medicare46$14,848$15,152$17,9351.2×
optum health36$11,721$14,254$17,3221.5×
Ambetter44$18,958$31,076$36,7671.9×
jefferson health plan33$16,220$16,220$19,1901.2×
wellpoint full dual advantage33$15,159$15,159$17,9351.2×
oxford health plans33$39,207$39,207$39,2071.0×
braven health33$15,159$15,159$17,9351.2×
horizon nj total care33$15,159$15,159$17,9351.2×
healthspring33$15,614$15,614$18,4731.2×
horizon nj health33$10,830$10,830$10,8301.0×
ubh22$12,768$13,709$14,6511.1×
geisinger health plan12$16,642$39,564$62,4853.8×
jeff nj amerihealth_ibc12$23,070$25,283$27,4971.2×
point of comfort refugee resettlement11$14,848$14,848$14,8481.0×
provider partners health plan11$15,887$15,887$15,8871.0×
optum va ccn11$14,848$14,848$14,8481.0×
naphcare11$23,756$23,756$23,7561.0×
Medicare Advantage11$15,301$15,301$15,3011.0×
st agnes11$14,848$14,848$14,8481.0×
inspira life11$14,848$14,848$14,8481.0×
innovage11$15,145$15,145$15,1451.0×
va_champus_tricare11$14,848$14,848$14,8481.0×
ibc main line health11$18,560$18,560$18,5601.0×
ibc employee benefit11$18,560$18,560$18,5601.0×
devoted health participation11$15,590$15,590$15,5901.0×
allwell pa health_wellness ma11$16,332$16,332$16,3321.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACKNJ16$8,479$35,619$97,452
JFK UNIVERSITY MEDICAL CENTEREDISONNJ16$8,479$35,619$97,452
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$3,470$60$30,085$52,454
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$2,486$60$29,896$57,567
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,589$60$27,912$48,768
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$2,426$60$27,461$51,286
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$3,629$60$26,717$43,143
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$3,319$60$26,649$51,383
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$3,233$60$26,166$43,797
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$3,233$60$26,166$43,797
PALISADES MEDICAL CENTERNORTH BERGENNJ14$19,451$8,479$22,741$68,049
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ17$10,830$19,190$61,505
HMH -OCEAN MEDICAL CENTERBRICKNJ14$13,342$9,963$17,677$62,593
JERSEY SHORE UNIVERSITY MED CTRNEPTUNENJ16$13,714$11,423$16,406$105,793
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$16,727$14,848$16,332$62,485
INSPIRA MEDICAL CENTER ELMERELMERNJ17$10,830$16,220$61,505
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ17$10,830$16,068$61,505
RIVERVIEW MEDICAL CENTERRED BANKNJ15$13,714$11,813$14,921$62,593
SOUTHERN OCEAN MEDICAL CENTERMANAHAWKINNJ14$11,722$5,778$14,779$62,593
RARITAN BAY MEDICAL CENTERPERTH AMBOYNJ14$13,714$5,778$14,396$77,971
BAYSHORE MEDICAL CENTERHOLMDELNJ14$13,714$5,778$14,396$77,971
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.