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Heart failure & shock w CC

MS-DRG 292 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$7,708
Median
$13,542
Max
$19,244
Range multiplier
2.5×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2196$85$12,542$28,722337.9×
Aetna2179$6,787.45$21,085$51,9187.6×
UnitedHealthcare2173$6,998.1$18,430$39,7825.7×
horizon971$5,437$19,589$52,8629.7×
Cigna2147$8,389.24$20,366$38,9254.6×
amerihealth2037$6,562.62$15,476$28,0184.3×
WellCare2029$6,787.45$9,836.57$17,8482.6×
qualcare inc815$5,565$6,765$18,0273.2×
Humana1212$6,860.88$8,265.36$11,0321.6×
wellpoint812$1,885$7,000.21$8,968.684.8×
clover health1111$6,860.88$8,144.65$10,8221.6×
amerigroup910$6,787.45$7,930.38$12,2001.8×
clover99$7,466.2$8,632.79$13,4201.8×
oxford99$27,297$27,937$36,7661.3×
brighton health plan99$31,276$31,276$38,6881.2×
seoul medical group99$7,601.94$8,789.75$13,6641.8×
vaccn99$6,244.79$7,108.1$10,3631.7×
karna99$10,726$12,140$17,9431.7×
First Health88$60$60$601.0×
Emblem Health88$10,489$13,277$16,9631.6×
fidelis care88$6,860.88$7,807.58$8,968.681.3×
qualcare26$23,697$31,874$31,8741.3×
Medicare46$7,907.43$8,147.25$10,5061.3×
optum health36$6,410.22$7,941.02$9,836.571.5×
Ambetter44$10,300$16,210$21,5382.1×
jefferson health plan33$8,460.95$8,460.95$11,2421.3×
wellpoint full dual advantage33$7,907.43$7,907.43$10,5061.3×
oxford health plans33$21,301$21,301$21,3011.0×
braven health33$7,907.43$7,907.43$10,5061.3×
horizon nj total care33$7,907.43$7,907.43$10,5061.3×
healthspring33$8,144.65$8,144.65$10,8221.3×
horizon nj health33$5,057$5,057$5,0571.0×
ubh22$6,802.15$7,407.46$8,012.771.2×
geisinger health plan12$9,041.54$20,097$31,1523.4×
jeff nj amerihealth_ibc12$12,534$13,736$14,9391.2×
point of comfort refugee resettlement11$8,066.58$8,066.58$8,066.581.0×
provider partners health plan11$8,631.24$8,631.24$8,631.241.0×
optum va ccn11$8,066.58$8,066.58$8,066.581.0×
naphcare11$12,907$12,907$12,9071.0×
Medicare Advantage11$8,313.08$8,313.08$8,313.081.0×
st agnes11$8,066.58$8,066.58$8,066.581.0×
inspira life11$8,066.58$8,066.58$8,066.581.0×
innovage11$8,227.91$8,227.91$8,227.911.0×
va_champus_tricare11$8,066.58$8,066.58$8,066.581.0×
ibc main line health11$10,083$10,083$10,0831.0×
ibc employee benefit11$10,083$10,083$10,0831.0×
devoted health participation11$8,469.91$8,469.91$8,469.911.0×
allwell pa health_wellness ma11$8,873.24$8,873.24$8,873.241.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HMH -OCEAN MEDICAL CENTERBRICKNJ14$7,108.1$6,796.72$9,963$32,985
JERSEY SHORE UNIVERSITY MED CTRNEPTUNENJ16$7,305.97$6,410.22$9,294.81$52,862
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$9,210.6$4,692$8,873.24$31,152
INSPIRA MEDICAL CENTER ELMERELMERNJ17$5,057$8,460.95$28,722
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ17$5,057$8,381.88$28,722
RIVERVIEW MEDICAL CENTERRED BANKNJ15$7,305.97$6,293.24$8,162.58$32,556
SOUTHERN OCEAN MEDICAL CENTERMANAHAWKINNJ14$6,244.79$5,778$7,926.47$32,814
BAYSHORE MEDICAL CENTERHOLMDELNJ14$7,305.97$5,778$7,708$38,960
RARITAN BAY MEDICAL CENTERPERTH AMBOYNJ14$7,305.97$5,778$7,708$38,960
HACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACKNJ16$6,785$19,244$51,918
JFK UNIVERSITY MEDICAL CENTEREDISONNJ16$6,785$19,244$51,918
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$3,470$60$16,954$27,945
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$3,319$60$15,904$24,924
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,589$60$15,729$25,982
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$2,486$60$15,476$30,669
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$3,629$60$14,685$22,985
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$2,426$60$14,049$24,877
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$3,233$60$13,568$21,899
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$3,233$60$13,568$21,899
PALISADES MEDICAL CENTERNORTH BERGENNJ14$10,363$5,437$13,542$34,002
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ17$5,057$11,242$28,722
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.