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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$11,620
Median
$18,945
Max
$28,403
Range multiplier
2.4×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2196$85.00$17,547$42,186496.3×
Aetna2179$10,284$31,883$78,6617.6×
UnitedHealthcare2173$10,603$27,923$60,2745.7×
horizon971$5,778.00$28,653$77,32113.4×
Cigna2147$12,686$30,856$58,9744.6×
amerihealth2037$9,831.10$23,184$40,6624.1×
WellCare2029$10,284$14,233$27,0412.6×
qualcare inc815$5,565.00$6,765.00$27,2624.9×
Humana1212$10,395$12,692$15,7841.5×
wellpoint812$1,885.00$10,606$13,5887.2×
clover health1111$10,395$12,695$15,4831.5×
amerigroup910$10,284$11,901$17,0681.7×
clover99$11,312$13,080$18,7741.7×
oxford99$41,358$42,328$55,7051.3×
brighton health plan99$45,748$45,748$56,5891.2×
seoul medical group99$11,518$13,317$19,1161.7×
vaccn99$9,461.46$10,769$15,7011.7×
karna99$15,387$17,530$24,4331.6×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$15,891$20,116$25,7011.6×
fidelis care88$10,395$11,829$13,5881.3×
qualcare26$36,153$48,626$48,6261.3×
Medicare46$12,198$12,383$15,0321.2×
optum health36$9,529.04$11,649$14,2331.5×
Ambetter44$15,574$25,267$30,8162.0×
jefferson health plan33$13,188$13,188$16,0841.2×
wellpoint full dual advantage33$12,325$12,325$15,0321.2×
oxford health plans33$32,209$32,209$32,2091.0×
braven health33$12,325$12,325$15,0321.2×
horizon nj total care33$12,325$12,325$15,0321.2×
healthspring33$12,695$12,695$15,4831.2×
horizon nj health33$7,428.00$7,428.00$7,428.001.0×
ubh22$10,306$11,109$11,9111.2×
geisinger health plan12$13,672$30,394$47,1163.4×
jeff nj amerihealth_ibc12$18,953$20,771$22,5891.2×
point of comfort refugee resettlement11$12,198$12,198$12,1981.0×
provider partners health plan11$13,052$13,052$13,0521.0×
optum va ccn11$12,198$12,198$12,1981.0×
naphcare11$19,516$19,516$19,5161.0×
Medicare Advantage11$12,571$12,571$12,5711.0×
st agnes11$12,198$12,198$12,1981.0×
inspira life11$12,198$12,198$12,1981.0×
innovage11$12,442$12,442$12,4421.0×
va_champus_tricare11$12,198$12,198$12,1981.0×
ibc main line health11$15,247$15,247$15,2471.0×
ibc employee benefit11$15,247$15,247$15,2471.0×
devoted health participation11$12,808$12,808$12,8081.0×
allwell pa health_wellness ma11$13,418$13,418$13,4181.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hackensack University Medical CenterHackensackNJ16$8,479.00$28,403$78,661
Jfk University Medical CenterEdisonNJ16$8,479.00$28,403$78,661
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$24,284$42,339
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$23,184$46,467
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$22,190$39,365
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$21,651$37,338
Community Medical CenterToms RiverNJ13$2,426.00$60.00$20,784$37,267
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$20,448$33,179
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$20,448$33,179
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$20,331$34,824
Palisades Medical CenterNorth BergenNJ14$15,701$8,081.00$18,945$49,735
Inspira Medical Center VinelandVinelandNJ17$7,428.00$16,084$42,186
Hmh -Ocean Medical CenterBrickNJ14$10,769$9,963.00$14,269$49,975
Kennedy University HospitalCherry HillNJ22$13,790$4,692.00$13,418$47,116
Jersey Shore University Med CtrNeptuneNJ16$11,069$9,529.04$13,222$77,321
Inspira Medical Center ElmerElmerNJ17$7,428.00$13,188$42,186
Inspira Medical Center Woodbury IncWoodburyNJ17$7,428.00$13,065$42,186
Riverview Medical CenterRed BankNJ15$11,069$9,534.85$12,367$49,325
Southern Ocean Medical CenterManahawkinNJ14$9,461.46$5,778.00$11,929$49,717
Raritan Bay Medical CenterPerth AmboyNJ14$11,069$5,778.00$11,620$56,987
Bayshore Medical CenterHolmdelNJ14$11,069$5,778.00$11,620$56,987
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.