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MS-DRG 191 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$7,708
Median
$13,390
Max
$18,759
Range multiplier
2.4×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85$12,378$29,414346.0×
Aetna2179$6,770.9$20,936$51,7927.6×
UnitedHealthcare2173$6,981.03$18,385$39,6855.7×
horizon971$5,361$19,463$52,5239.8×
Cigna2147$8,329.96$20,316$38,8304.7×
amerihealth2037$6,474.64$15,269$28,0604.3×
WellCare2029$6,770.9$9,815.75$17,8042.6×
qualcare inc815$5,565$6,765$17,1053.1×
Humana1212$6,844.15$8,204.28$10,9661.6×
wellpoint812$1,885$6,983.14$8,946.814.7×
clover health1111$6,844.15$8,081.85$10,7571.6×
amerigroup910$6,770.9$7,911.59$12,1771.8×
clover99$7,447.99$8,611.74$13,3951.8×
oxford99$27,231$27,869$36,6771.3×
brighton health plan99$31,075$31,075$38,4401.2×
seoul medical group99$7,583.41$8,768.31$13,6381.8×
vaccn99$6,229.57$7,090.76$10,3381.7×
karna99$10,704$12,114$17,9121.7×
First Health88$60$60$601.0×
Emblem Health88$10,463$13,245$16,9221.6×
fidelis care88$6,844.15$7,788.54$8,946.811.3×
qualcare26$22,755$30,606$30,6061.3×
Medicare46$7,846.46$8,089.67$10,4441.3×
optum health36$6,395.46$7,923.46$9,815.751.5×
Ambetter44$10,227$16,085$21,4102.1×
jefferson health plan33$8,395.71$8,395.71$11,1751.3×
wellpoint full dual advantage33$7,846.46$7,846.46$10,4441.3×
oxford health plans33$21,150$21,150$21,1501.0×
braven health33$7,846.46$7,846.46$10,4441.3×
horizon nj total care33$7,846.46$7,846.46$10,4441.3×
healthspring33$8,081.85$8,081.85$10,7571.3×
horizon nj health33$5,179$5,179$5,1791.0×
ubh22$6,785.57$7,389.95$7,994.321.2×
geisinger health plan12$8,977.64$19,132$29,2873.3×
jeff nj amerihealth_ibc12$12,445$13,639$14,8331.2×
point of comfort refugee resettlement11$8,009.57$8,009.57$8,009.571.0×
provider partners health plan11$8,570.24$8,570.24$8,570.241.0×
optum va ccn11$8,009.57$8,009.57$8,009.571.0×
naphcare11$12,815$12,815$12,8151.0×
Medicare Advantage11$8,254.33$8,254.33$8,254.331.0×
st agnes11$8,009.57$8,009.57$8,009.571.0×
inspira life11$8,009.57$8,009.57$8,009.571.0×
innovage11$8,169.77$8,169.77$8,169.771.0×
va_champus_tricare11$8,009.57$8,009.57$8,009.571.0×
ibc main line health11$10,012$10,012$10,0121.0×
ibc employee benefit11$10,012$10,012$10,0121.0×
devoted health participation11$8,410.05$8,410.05$8,410.051.0×
allwell pa health_wellness ma11$8,810.53$8,810.53$8,810.531.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HMH -OCEAN MEDICAL CENTERBRICKNJ14$7,090.76$6,705.6$9,963$32,904
JERSEY SHORE UNIVERSITY MED CTRNEPTUNENJ16$7,288.16$6,395.46$9,273.41$52,523
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$9,147.41$8,009.57$8,810.53$29,287
INSPIRA MEDICAL CENTER ELMERELMERNJ17$5,179$8,395.71$29,414
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ17$5,179$8,317.25$29,414
RIVERVIEW MEDICAL CENTERRED BANKNJ15$7,288.16$6,277.89$8,142.68$32,477
SOUTHERN OCEAN MEDICAL CENTERMANAHAWKINNJ14$6,229.57$5,778$7,916.54$32,734
BAYSHORE MEDICAL CENTERHOLMDELNJ14$7,288.16$5,778$7,708$38,710
RARITAN BAY MEDICAL CENTERPERTH AMBOYNJ14$7,288.16$5,778$7,708$38,710
HACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACKNJ16$6,690$18,759$51,792
JFK UNIVERSITY MEDICAL CENTEREDISONNJ16$6,690$18,759$51,792
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$3,470$60$15,989$27,877
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,589$60$15,690$25,918
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$3,319$60$15,438$24,590
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$2,486$60$15,269$30,594
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$2,426$60$13,744$24,544
PALISADES MEDICAL CENTERNORTH BERGENNJ14$10,338$5,361$13,516$33,784
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$3,233$60$13,492$21,845
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$3,233$60$13,492$21,845
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$3,629$60$13,390$22,929
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ17$5,179$11,175$29,414
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.