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Major small/large bowel procedures w CC

MS-DRG 330 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$20,865
Median
$31,842
Max
$43,991
Range multiplier
2.1×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85$31,402$84,795997.6×
Aetna2174$18,629$55,713$142,4987.6×
UnitedHealthcare2173$19,207$50,583$109,1895.7×
horizon971$6,542$53,739$145,01722.2×
Cigna2147$23,688$55,897$106,8354.5×
amerihealth2037$18,615$43,899$76,3104.1×
WellCare2029$18,629$24,728$48,9862.6×
qualcare inc815$5,565$6,765$46,2288.3×
Humana1212$18,831$23,447$27,9521.5×
wellpoint812$12,660$19,213$24,6161.9×
clover health1111$18,831$23,663$27,4201.5×
amerigroup910$18,629$21,379$28,6871.5×
clover99$20,492$23,339$31,5551.5×
oxford99$74,922$76,678$100,9111.3×
brighton health plan99$85,800$85,800$106,1331.2×
seoul medical group99$20,865$23,763$32,1291.5×
vaccn99$17,140$19,509$28,4421.7×
karna99$26,515$29,966$39,9251.5×
First Health88$60$60$601.0×
Emblem Health88$28,788$36,442$46,5581.6×
fidelis care88$18,831$21,429$24,6161.3×
qualcare26$62,279$83,767$83,7671.3×
Medicare46$22,777$23,435$26,6211.2×
optum health36$16,974$20,500$24,7281.5×
Ambetter44$29,082$48,457$54,5731.9×
jefferson health plan33$25,292$25,292$28,4841.1×
wellpoint full dual advantage33$23,638$23,638$26,6211.1×
oxford health plans33$60,143$60,143$60,1431.0×
braven health33$23,638$23,638$26,6211.1×
horizon nj total care33$23,638$23,638$26,6211.1×
healthspring33$24,347$24,347$27,4201.1×
horizon nj health33$14,931$14,931$14,9311.0×
ubh22$18,670$19,943$21,2171.1×
geisinger health plan12$25,529$52,902$80,2743.1×
jeff nj amerihealth_ibc12$35,389$38,785$42,1801.2×
point of comfort refugee resettlement11$22,777$22,777$22,7771.0×
provider partners health plan11$24,371$24,371$24,3711.0×
optum va ccn11$22,777$22,777$22,7771.0×
naphcare11$36,442$36,442$36,4421.0×
Medicare Advantage11$23,473$23,473$23,4731.0×
st agnes11$22,777$22,777$22,7771.0×
inspira life11$22,777$22,777$22,7771.0×
innovage11$23,232$23,232$23,2321.0×
va_champus_tricare11$22,777$22,777$22,7771.0×
ibc main line health11$28,471$28,471$28,4711.0×
ibc employee benefit11$28,471$28,471$28,4711.0×
devoted health participation11$23,915$23,915$23,9151.0×
allwell pa health_wellness ma11$25,054$25,054$25,0541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$3,470$60$43,991$76,700
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$2,486$60$43,714$84,176
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,589$60$42,942$71,310
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$2,426$60$41,092$70,566
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$3,319$60$40,478$70,700
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$3,629$60$40,306$63,085
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$3,233$60$39,564$60,262
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$3,233$60$39,564$60,262
JFK UNIVERSITY MEDICAL CENTEREDISONNJ16$11,497$34,647$142,498
HACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACKNJ16$11,497$34,647$142,498
PALISADES MEDICAL CENTERNORTH BERGENNJ14$28,442$11,497$31,842$93,279
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ17$14,931$28,484$84,795
INSPIRA MEDICAL CENTER ELMERELMERNJ17$14,931$25,292$84,795
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ17$14,931$25,056$84,795
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$25,515$22,777$25,054$80,274
HMH -OCEAN MEDICAL CENTERBRICKNJ14$19,509$15,110$24,986$90,532
JERSEY SHORE UNIVERSITY MED CTRNEPTUNENJ16$20,052$16,183$23,339$145,017
RARITAN BAY MEDICAL CENTERPERTH AMBOYNJ14$20,052$6,542$21,050$106,879
BAYSHORE MEDICAL CENTERHOLMDELNJ14$20,052$6,542$21,050$106,879
RIVERVIEW MEDICAL CENTERRED BANKNJ15$20,052$14,547$20,910$89,355
SOUTHERN OCEAN MEDICAL CENTERMANAHAWKINNJ14$17,140$6,542$20,865$90,064
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.