▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in NJ
Hospitals
22
Min
$5,902.04
Median
$9,860.13
Max
$14,500
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 | $9,582.94 | $22,146 | 260.5× |
| Aetna | 21 | 79 | $4,907.74 | $15,512 | $37,540 | 7.6× |
| UnitedHealthcare | 21 | 73 | $5,060.05 | $13,326 | $28,765 | 5.7× |
| horizon | 9 | 71 | $4,096.00 | $14,627 | $39,471 | 9.6× |
| Cigna | 21 | 47 | $6,210.41 | $14,726 | $28,145 | 4.5× |
| amerihealth | 20 | 37 | $4,875.59 | $11,498 | $21,316 | 4.4× |
| WellCare | 20 | 29 | $4,907.74 | $7,472.76 | $12,905 | 2.6× |
| qualcare inc | 8 | 15 | $5,565.00 | $6,765.00 | $12,716 | 2.3× |
| Humana | 12 | 12 | $4,960.83 | $5,950.42 | $8,621.92 | 1.7× |
| wellpoint | 8 | 12 | $1,885.00 | $5,061.58 | $6,484.90 | 3.4× |
| clover health | 11 | 11 | $4,960.83 | $5,837.08 | $8,457.69 | 1.7× |
| amerigroup | 9 | 10 | $4,907.74 | $5,795.66 | $9,582.94 | 2.0× |
| clover | 9 | 9 | $5,398.51 | $6,242.03 | $10,541 | 2.0× |
| oxford | 9 | 9 | $19,738 | $20,200 | $26,584 | 1.3× |
| brighton health plan | 9 | 9 | $23,353 | $23,353 | $28,887 | 1.2× |
| seoul medical group | 9 | 9 | $5,496.67 | $6,355.52 | $10,733 | 2.0× |
| vaccn | 9 | 9 | $4,515.37 | $5,139.59 | $7,492.96 | 1.7× |
| karna | 9 | 9 | $8,219.64 | $9,242.08 | $14,453 | 1.8× |
| First Health | 8 | 8 | $60.00 | $60.00 | $60.00 | 1.0× |
| Emblem Health | 8 | 8 | $7,584.00 | $9,600.00 | $12,265 | 1.6× |
| fidelis care | 8 | 8 | $4,960.83 | $5,645.36 | $6,484.90 | 1.3× |
| qualcare | 2 | 6 | $17,360 | $23,350 | $23,350 | 1.3× |
| Medicare | 4 | 6 | $5,667.07 | $6,031.27 | $8,211.35 | 1.4× |
| optum health | 3 | 6 | $4,733.39 | $5,978.21 | $7,472.76 | 1.6× |
| Ambetter | 4 | 4 | $7,624.65 | $11,617 | $16,833 | 2.2× |
| jefferson health plan | 3 | 3 | $6,063.76 | $6,063.76 | $8,786.14 | 1.4× |
| wellpoint full dual advantage | 3 | 3 | $5,667.07 | $5,667.07 | $8,211.35 | 1.4× |
| oxford health plans | 3 | 3 | $15,768 | $15,768 | $15,768 | 1.0× |
| braven health | 3 | 3 | $5,667.07 | $5,667.07 | $8,211.35 | 1.4× |
| horizon nj total care | 3 | 3 | $5,667.07 | $5,667.07 | $8,211.35 | 1.4× |
| healthspring | 3 | 3 | $5,837.08 | $5,837.08 | $8,457.69 | 1.4× |
| horizon nj health | 3 | 3 | $3,900.00 | $3,900.00 | $3,900.00 | 1.0× |
| ubh | 2 | 2 | $4,918.37 | $5,417.56 | $5,916.74 | 1.2× |
| geisinger health plan | 1 | 2 | $6,693.29 | $14,313 | $21,933 | 3.3× |
| jeff nj amerihealth_ibc | 1 | 2 | $9,278.41 | $10,169 | $11,059 | 1.2× |
| point of comfort refugee resettlement | 1 | 1 | $5,971.55 | $5,971.55 | $5,971.55 | 1.0× |
| provider partners health plan | 1 | 1 | $6,389.56 | $6,389.56 | $6,389.56 | 1.0× |
| optum va ccn | 1 | 1 | $5,971.55 | $5,971.55 | $5,971.55 | 1.0× |
| naphcare | 1 | 1 | $9,554.48 | $9,554.48 | $9,554.48 | 1.0× |
| Medicare Advantage | 1 | 1 | $6,154.03 | $6,154.03 | $6,154.03 | 1.0× |
| st agnes | 1 | 1 | $5,971.55 | $5,971.55 | $5,971.55 | 1.0× |
| inspira life | 1 | 1 | $5,971.55 | $5,971.55 | $5,971.55 | 1.0× |
| innovage | 1 | 1 | $6,090.98 | $6,090.98 | $6,090.98 | 1.0× |
| va_champus_tricare | 1 | 1 | $5,971.55 | $5,971.55 | $5,971.55 | 1.0× |
| ibc main line health | 1 | 1 | $7,464.44 | $7,464.44 | $7,464.44 | 1.0× |
| ibc employee benefit | 1 | 1 | $7,464.44 | $7,464.44 | $7,464.44 | 1.0× |
| devoted health participation | 1 | 1 | $6,270.13 | $6,270.13 | $6,270.13 | 1.0× |
| allwell pa health_wellness ma | 1 | 1 | $6,568.71 | $6,568.71 | $6,568.71 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Robert Wood Johnson University Hospi | New Brunswick | NJ | 13 | — | $3,233.00 | $60.00 | $9,860.13 | $15,834 |
| Robert Wood Johnson Hospital @ Hami | Hamilton | NJ | 13 | — | $3,233.00 | $60.00 | $9,860.13 | $15,834 |
| Hmh -Ocean Medical Center | Brick | NJ | 14 | — | $5,139.59 | $5,049.51 | $9,242.08 | $23,850 |
| Inspira Medical Center Vineland | Vineland | NJ | 17 | — | — | $3,900.00 | $8,786.14 | $22,146 |
| Jersey Shore University Med Ctr | Neptune | NJ | 16 | — | $5,282.66 | $4,733.39 | $6,863.42 | $39,471 |
| Southern Ocean Medical Center | Manahawkin | NJ | 14 | — | $4,515.37 | $4,515.37 | $6,798.65 | $23,727 |
| Kennedy University Hospital | Cherry Hill | NJ | 22 | — | $6,888.49 | $5,971.55 | $6,568.71 | $21,933 |
| Inspira Medical Center Elmer | Elmer | NJ | 17 | — | — | $3,900.00 | $6,063.76 | $22,146 |
| Inspira Medical Center Woodbury Inc | Woodbury | NJ | 17 | — | — | $3,900.00 | $6,007.09 | $22,146 |
| Bayshore Medical Center | Holmdel | NJ | 14 | — | $5,282.66 | $4,574.97 | $5,941.70 | $29,091 |
| Raritan Bay Medical Center | Perth Amboy | NJ | 14 | — | $5,282.66 | $4,574.97 | $5,941.70 | $29,091 |
| Riverview Medical Center | Red Bank | NJ | 15 | — | $5,282.66 | $4,550.39 | $5,902.04 | $23,540 |
| Hackensack University Medical Center | Hackensack | NJ | 16 | — | — | $5,111.00 | $14,500 | $37,540 |
| Jfk University Medical Center | Edison | NJ | 16 | — | — | $5,111.00 | $14,500 | $37,540 |
| Newark Beth Israel Medical Center | Newark | NJ | 13 | — | $3,470.00 | $60.00 | $12,259 | $20,206 |
| Cooperman Barnabas Medical Center | Livingston | NJ | 13 | — | $3,319.00 | $60.00 | $11,500 | $18,517 |
| Robert Wood Johnson Univ Hosp @ Som | Somerville | NJ | 13 | — | $2,486.00 | $60.00 | $11,498 | $22,176 |
| Jersey City Medical Center | Jersey City | NJ | 13 | — | $5,589.00 | $60.00 | $11,373 | $18,786 |
| Community Medical Center | Toms River | NJ | 13 | — | $2,426.00 | $60.00 | $10,825 | $18,482 |
| Palisades Medical Center | North Bergen | NJ | 14 | — | $7,492.96 | $4,096.00 | $10,637 | $25,389 |
| Monmouth Medical Center | Long Brance | NJ | 13 | — | $3,629.00 | $60.00 | $10,618 | $16,619 |
| 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.