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Heart failure & shock w/o CC/MCC

MS-DRG 293 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$5,200.66
Median
$8,769.01
Max
$13,554
Range multiplier
2.6×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2196$85.00$8,841.10$19,621230.8×
Aetna2179$4,324.51$13,669$33,0797.6×
UnitedHealthcare2173$4,458.73$11,742$25,3475.7×
horizon971$3,935.00$14,175$38,2539.7×
Cigna2147$5,592.83$12,976$24,8004.4×
amerihealth2037$4,784.68$11,283$18,8453.9×
WellCare2029$4,324.51$6,739.34$11,3712.6×
qualcare inc815$5,565.00$6,765.00$12,1292.2×
Humana1212$4,371.30$5,283.65$7,938.851.8×
wellpoint812$1,885.00$4,460.07$5,714.263.0×
clover health1111$4,371.30$5,183.01$7,787.631.8×
amerigroup910$4,324.51$5,133.31$8,770.952.0×
clover99$4,756.96$5,500.24$9,648.052.0×
oxford99$17,392$17,800$23,4251.3×
brighton health plan99$22,632$22,632$27,9961.2×
seoul medical group99$4,843.45$5,600.25$9,823.462.0×
vaccn99$3,978.77$4,528.81$6,602.521.7×
karna99$7,442.01$8,342.95$13,3711.8×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$6,683.00$8,459.00$10,8081.6×
fidelis care88$4,371.30$4,974.48$5,714.261.3×
qualcare26$16,447$22,121$22,1211.3×
Medicare46$5,032.05$5,431.50$7,560.811.5×
optum health36$4,213.12$5,391.47$6,739.341.6×
Ambetter44$6,866.44$10,316$15,5002.3×
jefferson health plan33$5,384.29$5,384.29$8,090.071.5×
wellpoint full dual advantage33$5,032.05$5,032.05$7,560.811.5×
oxford health plans33$14,200$14,200$14,2001.0×
braven health33$5,032.05$5,032.05$7,560.811.5×
horizon nj total care33$5,032.05$5,032.05$7,560.811.5×
healthspring33$5,183.01$5,183.01$7,787.631.5×
horizon nj health33$3,455.00$3,455.00$3,455.001.0×
ubh22$4,333.88$4,800.14$5,266.401.2×
geisinger health plan12$6,027.69$13,551$21,0743.5×
jeff nj amerihealth_ibc12$8,355.74$9,157.46$9,959.171.2×
point of comfort refugee resettlement11$5,377.72$5,377.72$5,377.721.0×
provider partners health plan11$5,754.16$5,754.16$5,754.161.0×
optum va ccn11$5,377.72$5,377.72$5,377.721.0×
naphcare11$8,604.35$8,604.35$8,604.351.0×
Medicare Advantage11$5,542.05$5,542.05$5,542.051.0×
st agnes11$5,377.72$5,377.72$5,377.721.0×
inspira life11$5,377.72$5,377.72$5,377.721.0×
innovage11$5,485.28$5,485.28$5,485.281.0×
va_champus_tricare11$5,377.72$5,377.72$5,377.721.0×
ibc main line health11$6,722.15$6,722.15$6,722.151.0×
ibc employee benefit11$6,722.15$6,722.15$6,722.151.0×
devoted health participation11$5,646.61$5,646.61$5,646.611.0×
allwell pa health_wellness ma11$5,915.49$5,915.49$5,915.491.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Palisades Medical CenterNorth BergenNJ14$6,602.52$3,935.00$9,735.76$24,605
Community Medical CenterToms RiverNJ13$2,426.00$60.00$9,538.87$18,138
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$9,356.00$15,697
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$8,769.01$15,489
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$8,769.01$15,489
Hmh -Ocean Medical CenterBrickNJ14$4,528.81$4,528.81$8,342.95$22,632
Inspira Medical Center VinelandVinelandNJ17$3,455.00$8,090.07$19,621
Southern Ocean Medical CenterManahawkinNJ14$3,978.77$3,978.77$6,610.01$22,632
Jersey Shore University Med CtrNeptuneNJ16$4,654.89$4,213.12$6,109.03$38,253
Kennedy University HospitalCherry HillNJ22$6,230.30$4,692.00$5,915.49$21,074
Bayshore Medical CenterHolmdelNJ14$4,654.89$4,031.29$5,778.00$28,193
Raritan Bay Medical CenterPerth AmboyNJ14$4,654.89$4,031.29$5,778.00$28,193
Inspira Medical Center ElmerElmerNJ17$3,455.00$5,384.29$19,621
Inspira Medical Center Woodbury IncWoodburyNJ17$3,455.00$5,333.97$19,621
Riverview Medical CenterRed BankNJ15$4,654.89$4,009.64$5,200.66$22,632
Jfk University Medical CenterEdisonNJ16$4,910.00$13,554$34,993
Hackensack University Medical CenterHackensackNJ16$4,910.00$13,554$34,993
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$10,802$19,261
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$10,728$19,540
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$10,133$19,505
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$10,021$19,215
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.