▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in NJ
Hospitals
22
Min
$7,708.00
Median
$12,972
Max
$18,958
Range multiplier
2.5×
By payer (48 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 21 | 95 | $85.00 | $12,199 | $28,735 | 338.1× |
| Aetna | 21 | 79 | $6,462.74 | $20,015 | $49,435 | 7.6× |
| UnitedHealthcare | 21 | 73 | $6,663.30 | $17,548 | $37,879 | 5.7× |
| horizon | 9 | 71 | $5,336.00 | $19,172 | $51,735 | 9.7× |
| Cigna | 21 | 47 | $7,963.36 | $19,391 | $37,062 | 4.7× |
| amerihealth | 20 | 37 | $6,327.27 | $14,921 | $27,332 | 4.3× |
| WellCare | 20 | 29 | $6,462.74 | $9,428.23 | $16,994 | 2.6× |
| qualcare inc | 8 | 15 | $5,565.00 | $6,765.00 | $17,959 | 3.2× |
| Humana | 12 | 12 | $6,532.65 | $7,826.60 | $10,561 | 1.6× |
| wellpoint | 8 | 12 | $1,885.00 | $6,665.32 | $8,539.62 | 4.5× |
| clover health | 11 | 11 | $6,532.65 | $7,693.59 | $10,360 | 1.6× |
| amerigroup | 9 | 10 | $6,462.74 | $7,561.62 | $11,748 | 1.8× |
| clover | 9 | 9 | $7,109.01 | $8,219.79 | $12,923 | 1.8× |
| oxford | 9 | 9 | $25,992 | $26,601 | $35,007 | 1.3× |
| brighton health plan | 9 | 9 | $30,610 | $30,610 | $37,863 | 1.2× |
| seoul medical group | 9 | 9 | $7,238.27 | $8,369.24 | $13,158 | 1.8× |
| vaccn | 9 | 9 | $5,946.04 | $6,768.04 | $9,867.08 | 1.7× |
| karna | 9 | 9 | $10,293 | $11,639 | $17,340 | 1.7× |
| First Health | 8 | 8 | $60.00 | $60.00 | $60.00 | 1.0× |
| Emblem Health | 8 | 8 | $9,987.00 | $12,642 | $16,152 | 1.6× |
| fidelis care | 8 | 8 | $6,532.65 | $7,434.06 | $8,539.62 | 1.3× |
| qualcare | 2 | 6 | $23,668 | $31,834 | $31,834 | 1.3× |
| Medicare | 4 | 6 | $7,469.50 | $7,733.65 | $10,058 | 1.3× |
| optum health | 3 | 6 | $6,120.55 | $7,596.64 | $9,428.23 | 1.5× |
| Ambetter | 4 | 4 | $9,776.78 | $15,312 | $20,619 | 2.1× |
| jefferson health plan | 3 | 3 | $7,992.37 | $7,992.37 | $10,762 | 1.3× |
| wellpoint full dual advantage | 3 | 3 | $7,469.50 | $7,469.50 | $10,058 | 1.3× |
| oxford health plans | 3 | 3 | $20,219 | $20,219 | $20,219 | 1.0× |
| braven health | 3 | 3 | $7,469.50 | $7,469.50 | $10,058 | 1.3× |
| horizon nj total care | 3 | 3 | $7,469.50 | $7,469.50 | $10,058 | 1.3× |
| healthspring | 3 | 3 | $7,693.59 | $7,693.59 | $10,360 | 1.3× |
| horizon nj health | 3 | 3 | $5,060.00 | $5,060.00 | $5,060.00 | 1.0× |
| ubh | 2 | 2 | $6,476.74 | $7,063.72 | $7,650.69 | 1.2× |
| geisinger health plan | 1 | 2 | $8,582.54 | $19,605 | $30,628 | 3.6× |
| jeff nj amerihealth_ibc | 1 | 2 | $11,897 | $13,039 | $14,180 | 1.2× |
| point of comfort refugee resettlement | 1 | 1 | $7,657.08 | $7,657.08 | $7,657.08 | 1.0× |
| provider partners health plan | 1 | 1 | $8,193.07 | $8,193.07 | $8,193.07 | 1.0× |
| optum va ccn | 1 | 1 | $7,657.08 | $7,657.08 | $7,657.08 | 1.0× |
| naphcare | 1 | 1 | $12,251 | $12,251 | $12,251 | 1.0× |
| Medicare Advantage | 1 | 1 | $7,891.06 | $7,891.06 | $7,891.06 | 1.0× |
| st agnes | 1 | 1 | $7,657.08 | $7,657.08 | $7,657.08 | 1.0× |
| inspira life | 1 | 1 | $7,657.08 | $7,657.08 | $7,657.08 | 1.0× |
| innovage | 1 | 1 | $7,810.22 | $7,810.22 | $7,810.22 | 1.0× |
| va_champus_tricare | 1 | 1 | $7,657.08 | $7,657.08 | $7,657.08 | 1.0× |
| ibc main line health | 1 | 1 | $9,571.35 | $9,571.35 | $9,571.35 | 1.0× |
| ibc employee benefit | 1 | 1 | $9,571.35 | $9,571.35 | $9,571.35 | 1.0× |
| devoted health participation | 1 | 1 | $8,039.93 | $8,039.93 | $8,039.93 | 1.0× |
| allwell pa health_wellness ma | 1 | 1 | $8,422.78 | $8,422.78 | $8,422.78 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Hmh -Ocean Medical Center | Brick | NJ | 14 | — | $6,768.04 | $6,552.97 | $9,963.00 | $31,407 |
| Jersey Shore University Med Ctr | Neptune | NJ | 16 | — | $6,956.45 | $6,120.55 | $8,874.80 | $51,735 |
| Kennedy University Hospital | Cherry Hill | NJ | 22 | — | $8,756.71 | $7,657.08 | $8,422.78 | $30,628 |
| Inspira Medical Center Elmer | Elmer | NJ | 17 | — | — | $5,060.00 | $7,992.37 | $28,735 |
| Inspira Medical Center Woodbury Inc | Woodbury | NJ | 17 | — | — | $5,060.00 | $7,917.68 | $28,735 |
| Riverview Medical Center | Red Bank | NJ | 15 | — | $6,956.45 | $5,992.17 | $7,772.09 | $30,998 |
| Southern Ocean Medical Center | Manahawkin | NJ | 14 | — | $5,946.04 | $5,778.00 | $7,731.65 | $31,244 |
| Bayshore Medical Center | Holmdel | NJ | 14 | — | $6,956.45 | $5,778.00 | $7,708.00 | $38,130 |
| Raritan Bay Medical Center | Perth Amboy | NJ | 14 | — | $6,956.45 | $5,778.00 | $7,708.00 | $38,130 |
| Hackensack University Medical Center | Hackensack | NJ | 16 | — | — | $6,658.00 | $18,958 | $49,435 |
| Jfk University Medical Center | Edison | NJ | 16 | — | — | $6,658.00 | $18,958 | $49,435 |
| Newark Beth Israel Medical Center | Newark | NJ | 13 | — | $3,470.00 | $60.00 | $15,261 | $26,608 |
| Cooperman Barnabas Medical Center | Livingston | NJ | 13 | — | $3,319.00 | $60.00 | $15,081 | $24,031 |
| Jersey City Medical Center | Jersey City | NJ | 13 | — | $5,589.00 | $60.00 | $14,976 | $24,739 |
| Robert Wood Johnson Univ Hosp @ Som | Somerville | NJ | 13 | — | $2,486.00 | $60.00 | $14,921 | $29,202 |
| Monmouth Medical Center | Long Brance | NJ | 13 | — | $3,629.00 | $60.00 | $13,390 | $21,885 |
| Community Medical Center | Toms River | NJ | 13 | — | $2,426.00 | $60.00 | $13,310 | $23,985 |
| Palisades Medical Center | North Bergen | NJ | 14 | — | $9,867.08 | $5,336.00 | $13,040 | $33,278 |
| Robert Wood Johnson University Hospi | New Brunswick | NJ | 13 | — | $3,233.00 | $60.00 | $12,972 | $20,851 |
| Robert Wood Johnson Hospital @ Hami | Hamilton | NJ | 13 | — | $3,233.00 | $60.00 | $12,972 | $20,851 |
| Inspira Medical Center Vineland | Vineland | NJ | 17 | — | — | $5,060.00 | $10,762 | $28,735 |
| West Jersey Health System | Voorhees | NJ | 0 | — | — | — | — | — |
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.