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Laparoscopic cholecystectomy w/o CDE w CC

MS-DRG 419 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$11,631
Median
$19,101
Max
$24,522
Range multiplier
2.1×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85.00$19,659$43,750514.7×
Aetna2174$10,385$31,056$79,4337.6×
UnitedHealthcare2173$10,707$28,197$60,8655.7×
horizon971$6,542.00$27,776$74,95411.5×
Cigna2147$13,496$31,159$59,5534.4×
amerihealth2037$9,642.68$22,740$41,4264.3×
WellCare2029$10,385$14,360$27,3062.6×
qualcare inc815$5,565.00$6,765.00$21,6493.9×
Humana1212$10,497$13,213$16,6801.6×
wellpoint812$1,885.00$10,710$13,7227.3×
clover health1111$10,497$13,190$16,3621.6×
amerigroup910$10,385$12,015$17,2081.7×
clover99$11,423$13,208$18,9291.7×
oxford99$41,764$42,743$56,2511.3×
brighton health plan99$44,347$44,347$54,8561.2×
seoul medical group99$11,631$13,448$19,2731.7×
vaccn99$9,554.27$10,875$15,8551.7×
karna99$15,522$17,685$24,6201.6×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$16,047$20,314$25,9531.6×
fidelis care88$10,497$11,945$13,7221.3×
qualcare26$30,613$41,176$41,1761.3×
Medicare46$12,977$13,197$15,8861.2×
optum health36$9,619.03$11,756$14,3601.5×
Ambetter44$16,569$26,974$32,5652.0×
jefferson health plan33$14,079$14,079$16,9981.2×
wellpoint full dual advantage33$13,158$13,158$15,8861.2×
oxford health plans33$34,267$34,267$34,2671.0×
braven health33$13,158$13,158$15,8861.2×
horizon nj total care33$13,158$13,158$15,8861.2×
healthspring33$13,553$13,553$16,3621.2×
horizon nj health33$7,704.00$7,704.00$7,704.001.0×
ubh22$10,407$11,215$12,0241.2×
geisinger health plan12$14,545$26,455$38,3642.6×
jeff nj amerihealth_ibc12$20,163$22,098$24,0321.2×
point of comfort refugee resettlement11$12,977$12,977$12,9771.0×
provider partners health plan11$13,885$13,885$13,8851.0×
optum va ccn11$12,977$12,977$12,9771.0×
naphcare11$20,763$20,763$20,7631.0×
Medicare Advantage11$13,373$13,373$13,3731.0×
st agnes11$12,977$12,977$12,9771.0×
inspira life11$12,977$12,977$12,9771.0×
innovage11$13,236$13,236$13,2361.0×
va_champus_tricare11$12,977$12,977$12,9771.0×
ibc main line health11$16,221$16,221$16,2211.0×
ibc employee benefit11$16,221$16,221$16,2211.0×
devoted health participation11$13,626$13,626$13,6261.0×
allwell pa health_wellness ma11$14,275$14,275$14,2751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$24,522$42,755
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$23,855$39,751
Community Medical CenterToms RiverNJ13$2,426.00$60.00$22,906$36,553
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$22,740$46,922
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$22,491$36,622
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$22,468$35,165
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$21,269$33,504
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$21,269$33,504
Hackensack University Medical CenterHackensackNJ16$9,792.00$20,823$79,433
Jfk University Medical CenterEdisonNJ16$9,792.00$20,823$79,433
Palisades Medical CenterNorth BergenNJ14$15,855$7,847.00$19,101$49,784
Inspira Medical Center VinelandVinelandNJ17$7,704.00$16,998$43,750
Hmh -Ocean Medical CenterBrickNJ14$10,875$9,986.64$14,759$50,465
Kennedy University HospitalCherry HillNJ22$14,653$12,977$14,275$38,364
Inspira Medical Center ElmerElmerNJ17$7,704.00$14,079$43,750
Inspira Medical Center Woodbury IncWoodburyNJ17$7,704.00$13,948$43,750
Jersey Shore University Med CtrNeptuneNJ16$11,178$9,619.03$13,467$74,954
Riverview Medical CenterRed BankNJ15$11,178$9,628.39$12,488$49,809
Raritan Bay Medical CenterPerth AmboyNJ14$11,178$6,542.00$11,734$55,242
Bayshore Medical CenterHolmdelNJ14$11,178$6,542.00$11,734$55,242
Southern Ocean Medical CenterManahawkinNJ14$9,554.27$6,542.00$11,631$50,205
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.