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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$18,315
Median
$28,325
Max
$38,616
Range multiplier
2.1×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85.00$26,066$69,720820.2×
Aetna2174$16,353$48,906$125,0877.6×
UnitedHealthcare2173$16,861$44,403$95,8485.7×
horizon971$6,542.00$43,921$118,52218.1×
Cigna2147$20,696$49,067$93,7814.5×
amerihealth2037$15,364$36,231$65,9094.3×
WellCare2029$16,353$21,866$43,0012.6×
qualcare inc815$5,565.00$6,765.00$34,7556.2×
Humana1212$16,530$20,535$24,6441.5×
wellpoint812$1,885.00$16,866$21,60811.5×
clover health1111$16,530$20,772$24,1741.5×
amerigroup910$16,353$18,794$25,5181.6×
clover99$17,988$20,547$28,0701.6×
oxford99$65,768$67,310$88,5821.3×
brighton health plan99$70,124$70,124$86,7421.2×
seoul medical group99$18,315$20,921$28,5801.6×
vaccn99$15,046$17,126$24,9671.7×
karna99$23,480$26,582$35,7001.5×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$25,270$31,989$40,8691.6×
fidelis care88$16,530$18,811$21,6081.3×
qualcare26$48,313$64,982$64,9821.3×
Medicare46$19,900$20,430$23,4701.2×
optum health36$14,943$18,086$21,8661.5×
Ambetter44$25,409$42,152$48,1141.9×
jefferson health plan33$22,001$22,001$25,1131.1×
wellpoint full dual advantage33$20,562$20,562$23,4701.1×
oxford health plans33$52,549$52,549$52,5491.0×
braven health33$20,562$20,562$23,4701.1×
horizon nj total care33$20,562$20,562$23,4701.1×
healthspring33$21,179$21,179$24,1741.1×
horizon nj health33$12,277$12,277$12,2771.0×
ubh22$16,389$17,534$18,6791.1×
geisinger health plan12$22,306$42,062$61,8172.8×
jeff nj amerihealth_ibc12$30,921$33,887$36,8541.2×
point of comfort refugee resettlement11$19,900$19,900$19,9001.0×
provider partners health plan11$21,293$21,293$21,2931.0×
optum va ccn11$19,900$19,900$19,9001.0×
naphcare11$31,841$31,841$31,8411.0×
Medicare Advantage11$20,509$20,509$20,5091.0×
st agnes11$19,900$19,900$19,9001.0×
inspira life11$19,900$19,900$19,9001.0×
innovage11$20,298$20,298$20,2981.0×
va_champus_tricare11$19,900$19,900$19,9001.0×
ibc main line health11$24,876$24,876$24,8761.0×
ibc employee benefit11$24,876$24,876$24,8761.0×
devoted health participation11$20,895$20,895$20,8951.0×
allwell pa health_wellness ma11$21,891$21,891$21,8911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$38,616$67,328
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$37,628$62,598
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$36,231$73,891
Community Medical CenterToms RiverNJ13$2,426.00$60.00$36,071$58,240
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$35,474$58,350
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$35,381$55,377
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$33,825$52,761
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$33,825$52,761
Jfk University Medical CenterEdisonNJ16$11,497$30,830$125,087
Hackensack University Medical CenterHackensackNJ16$11,497$30,830$125,087
Palisades Medical CenterNorth BergenNJ14$24,967$11,497$28,325$78,398
Inspira Medical Center VinelandVinelandNJ17$12,277$25,113$69,720
Inspira Medical Center ElmerElmerNJ17$12,277$22,001$69,720
Hmh -Ocean Medical CenterBrickNJ14$17,126$15,110$21,934$79,471
Kennedy University HospitalCherry HillNJ22$22,327$19,900$21,891$61,817
Inspira Medical Center Woodbury IncWoodburyNJ17$12,277$21,796$69,720
Jersey Shore University Med CtrNeptuneNJ16$17,602$14,943$20,547$118,522
Raritan Bay Medical CenterPerth AmboyNJ14$17,602$6,542.00$18,479$87,353
Bayshore Medical CenterHolmdelNJ14$17,602$6,542.00$18,479$87,353
Riverview Medical CenterRed BankNJ15$17,602$14,547$18,355$78,437
Southern Ocean Medical CenterManahawkinNJ14$15,046$6,542.00$18,315$79,060
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.