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Hip hemiarthroplasty

CPT 27125 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$2,700.00
Median
$4,402.50
Max
$14,444
Range multiplier
5.3×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield856$33.15$69.91$8,720.00263.0×
UnitedHealthcare1044$12.16$22,525$26,5002179.3×
Aetna1230$13.32$26,240$26,9902026.3×
Cigna925$6,000.00$20,762$26,0284.3×
amerihealth816$21,284$23,129$25,1031.2×
qualcare inc815$75.60$87.00$9,057.00119.8×
fidelis care88$12.51$15.50$28.112.2×
First Health88$60.00$60.00$60.001.0×
wellpoint66$614.08$3,266.00$3,266.005.3×
horizon nj health33$1,077.09$1,077.09$1,077.091.0×
healthspring11$14,878$14,878$14,8781.0×
horizon nj health nj11$550.62$550.62$550.621.0×
horizon nj total care11$14,444$14,444$14,4441.0×
Humana11$15,167$15,167$15,1671.0×
jefferson health plan11$15,456$15,456$15,4561.0×
Medicare11$14,444$14,444$14,4441.0×
clover health11$14,444$14,444$14,4441.0×
braven health11$14,444$14,444$14,4441.0×
WellCare11$14,444$14,444$14,4441.0×
Ambetter11$29,611$29,611$29,6111.0×
wellpoint full dual advantage11$14,444$14,444$14,4441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$6,311.00$14.45$8,222.00$26,240
Kennedy University HospitalCherry HillNJ4$550.62$7,741.50$10,746
Inspira Medical Center ElmerElmerNJ2$1,077.09$7,231.05$13,385
Inspira Medical Center Woodbury IncWoodburyNJ2$1,077.09$7,231.05$13,385
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$5,110.00$12.16$4,402.50$26,500
Robert Wood Johnson University HospiNew BrunswickNJ8$5,110.00$12.16$4,402.50$26,500
Community Medical CenterToms RiverNJ9$3,786.00$12.41$3,266.00$26,500
Monmouth Medical CenterLong BranceNJ9$5,419.00$24.85$3,266.00$26,990
Newark Beth Israel Medical CenterNewarkNJ9$4,881.00$22.71$2,982.50$26,990
Cooperman Barnabas Medical CenterLivingstonNJ9$6,839.00$15.83$2,982.50$26,990
Jersey City Medical CenterJersey CityNJ9$5,339.00$27.58$2,700.00$26,500
Inspira Medical Center VinelandVinelandNJ13$1,077.09$14,444$29,611

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.