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

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Hospitals
22
Min
$7,708.00
Median
$13,390
Max
$18,759
Range multiplier
2.4×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85.00$12,378$29,414346.0×
Aetna2179$6,770.90$20,936$51,7927.6×
UnitedHealthcare2173$6,981.03$18,385$39,6855.7×
horizon971$5,361.00$19,463$52,5239.8×
Cigna2147$8,329.96$20,316$38,8304.7×
amerihealth2037$6,474.64$15,269$28,0604.3×
WellCare2029$6,770.90$9,815.75$17,8042.6×
qualcare inc815$5,565.00$6,765.00$17,1053.1×
Humana1212$6,844.15$8,204.28$10,9661.6×
wellpoint812$1,885.00$6,983.14$8,946.814.7×
clover health1111$6,844.15$8,081.85$10,7571.6×
amerigroup910$6,770.90$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$60.00$60.00$60.001.0×
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$5,179.00$5,179.00$5,179.001.0×
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$6,705.60$9,963.00$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$5,179.00$8,395.71$29,414
Inspira Medical Center Woodbury IncWoodburyNJ17$5,179.00$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$5,778.00$7,916.54$32,734
Bayshore Medical CenterHolmdelNJ14$7,288.16$5,778.00$7,708.00$38,710
Raritan Bay Medical CenterPerth AmboyNJ14$7,288.16$5,778.00$7,708.00$38,710
Hackensack University Medical CenterHackensackNJ16$6,690.00$18,759$51,792
Jfk University Medical CenterEdisonNJ16$6,690.00$18,759$51,792
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$15,989$27,877
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$15,690$25,918
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$15,438$24,590
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$15,269$30,594
Community Medical CenterToms RiverNJ13$2,426.00$60.00$13,744$24,544
Palisades Medical CenterNorth BergenNJ14$10,338$5,361.00$13,516$33,784
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$13,492$21,845
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$13,492$21,845
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$13,390$22,929
Inspira Medical Center VinelandVinelandNJ17$5,179.00$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.