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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$5,766.00
Median
$7,807.24
Max
$8,163.76
Range multiplier
1.4×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield864$33.15$85.00$34,5411042.0×
UnitedHealthcare1254$12.16$7,981.49$13,4071102.5×
Aetna1242$13.32$6,748.00$11,208841.4×
Cigna925$6,927.00$20,762$26,0283.8×
fidelis care816$12.51$3,917.68$8,412.89672.5×
amerihealth816$37.03$72.82$93.112.5×
qualcare inc815$75.60$87.00$9,057.00119.8×
wellpoint814$529.48$7,807.24$8,412.8915.9×
WellCare1111$7,975.97$15,536$16,7422.1×
clover health1111$7,807.24$7,975.97$8,412.891.1×
Humana1111$7,807.24$8,014.69$8,571.951.1×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$13,663$13,750$16,0291.2×
wellpoint full dual advantage33$7,975.97$7,975.97$8,163.761.0×
Ambetter33$16,351$16,351$16,7361.0×
braven health33$7,975.97$7,975.97$8,163.761.0×
healthspring33$8,215.25$8,215.25$8,408.681.0×
horizon nj health33$976.61$976.61$976.611.0×
horizon nj total care33$7,975.97$7,975.97$8,163.761.0×
jefferson health plan33$8,534.29$8,534.29$8,735.231.0×
Medicare33$7,975.97$7,975.97$8,163.761.0×
pa health_wellness chc11$1,008.80$1,008.80$1,008.801.0×
horizon nj health nj11$499.25$499.25$499.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Inspira Medical Center VinelandVinelandNJ13$976.61$8,163.76$16,736
Inspira Medical Center Woodbury IncWoodburyNJ13$976.61$7,975.97$16,351
Inspira Medical Center ElmerElmerNJ13$976.61$7,975.97$16,351
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$6,311.00$14.45$7,807.24$22,013
Robert Wood Johnson University HospiNew BrunswickNJ13$5,110.00$12.16$7,807.24$34,541
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$5,110.00$12.16$7,807.24$34,541
Kennedy University HospitalCherry HillNJ5$499.25$7,124.00$9,751.00
Cooperman Barnabas Medical CenterLivingstonNJ13$6,839.00$15.83$6,748.00$23,489
Monmouth Medical CenterLong BranceNJ13$5,419.00$24.85$6,012.00$21,314
Jersey City Medical CenterJersey CityNJ13$5,339.00$27.58$5,845.00$26,028
Community Medical CenterToms RiverNJ13$3,786.00$12.41$5,845.00$21,412
Newark Beth Israel Medical CenterNewarkNJ13$4,881.00$22.71$5,766.00$24,026

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.