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Major joint replacement w/o MCC

MS-DRG 470 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$16,644
Median
$25,986
Max
$31,170
Range multiplier
1.9×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85$24,763$63,208743.6×
Aetna2174$14,860$38,166$113,6697.6×
UnitedHealthcare2173$15,322$32,300$87,0995.7×
horizon971$6,542$42,377$114,35617.5×
Cigna2147$19,060$34,236$85,2214.5×
amerihealth2037$13,930$29,239$59,8304.3×
WellCare2029$14,860$19,989$39,0752.6×
qualcare inc815$5,565$6,765$37,6446.8×
Humana1212$15,021$18,785$22,8341.5×
wellpoint812$1,885$15,326$19,63610.4×
clover health1111$15,021$18,876$22,3991.5×
amerigroup910$14,860$17,099$23,4401.6×
clover99$16,346$18,716$25,7831.6×
oxford99$59,765$61,166$80,4961.3×
brighton health plan99$67,659$67,659$83,6931.2×
seoul medical group99$16,644$19,056$26,2521.6×
vaccn99$13,672$15,562$22,6881.7×
karna99$21,490$24,362$32,9291.5×
First Health88$60$60$601.0×
Emblem Health88$22,964$29,069$37,1391.6×
fidelis care88$15,021$17,094$19,6361.3×
qualcare26$50,817$68,351$68,3511.3×
Medicare46$18,327$18,787$21,7471.2×
optum health36$13,612$16,503$19,9891.5×
jeff nj amerihealth_ibc14$25,236$26,856$33,9401.3×
Ambetter44$23,401$38,703$44,5811.9×
wellpoint full dual advantage33$18,880$18,880$21,7471.2×
oxford health plans33$48,394$48,394$48,3941.0×
braven health33$18,880$18,880$21,7471.2×
horizon nj total care33$18,880$18,880$21,7471.2×
healthspring33$19,446$19,446$22,3991.2×
horizon nj health33$11,130$11,130$11,1301.0×
jefferson health plan33$20,201$20,201$23,2691.2×
ubh22$14,893$15,954$17,0151.1×
geisinger health plan12$20,542$43,910$67,2783.3×
point of comfort refugee resettlement11$18,327$18,327$18,3271.0×
provider partners health plan11$19,610$19,610$19,6101.0×
optum va ccn11$18,327$18,327$18,3271.0×
naphcare11$29,323$29,323$29,3231.0×
Medicare Advantage11$18,887$18,887$18,8871.0×
st agnes11$18,327$18,327$18,3271.0×
inspira life11$18,327$18,327$18,3271.0×
innovage11$18,694$18,694$18,6941.0×
va_champus_tricare11$18,327$18,327$18,3271.0×
ibc main line health11$22,909$22,909$22,9091.0×
ibc employee benefit11$22,909$22,909$22,9091.0×
devoted health participation11$19,243$19,243$19,2431.0×
allwell pa health_wellness ma11$20,160$20,160$20,1601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$3,319$60$31,170$71,649
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,589$60$30,676$45,925
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$3,470$60$29,790$39,258
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$3,629$60$29,790$39,258
HACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACKNJ16$11,497$28,327$113,669
JFK UNIVERSITY MEDICAL CENTEREDISONNJ16$11,497$28,327$113,669
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$3,233$60$27,942$41,323
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$3,233$60$27,942$41,323
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$2,486$60$27,209$71,289
PALISADES MEDICAL CENTERNORTH BERGENNJ14$22,688$11,497$26,018$73,557
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$2,426$60$25,986$40,593
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ17$11,130$23,269$63,208
INSPIRA MEDICAL CENTER ELMERELMERNJ17$11,130$20,201$63,208
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$20,583$18,327$20,160$67,278
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ17$11,130$20,012$63,208
HMH -OCEAN MEDICAL CENTERBRICKNJ14$15,562$14,426$19,931$72,217
JERSEY SHORE UNIVERSITY MED CTRNEPTUNENJ16$15,996$13,612$18,716$114,356
RARITAN BAY MEDICAL CENTERPERTH AMBOYNJ14$15,996$6,542$16,792$84,282
BAYSHORE MEDICAL CENTERHOLMDELNJ14$15,996$6,542$16,792$84,282
RIVERVIEW MEDICAL CENTERRED BANKNJ15$15,996$13,778$16,680$71,278
SOUTHERN OCEAN MEDICAL CENTERMANAHAWKINNJ14$13,672$6,542$16,644$71,843
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.