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Hip & femur procedures except major joint w/o CC/MCC

MS-DRG 482 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$14,003
Median
$22,375
Max
$29,524
Range multiplier
2.1×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85$20,715$54,743644.0×
Aetna2174$12,503$37,392$95,6387.6×
UnitedHealthcare2173$12,891$33,949$73,2825.7×
horizon971$6,542$35,449$95,66014.6×
Cigna2147$16,116$37,515$71,7024.4×
amerihealth2037$12,074$28,473$51,7704.3×
WellCare2029$12,503$17,024$32,8772.6×
qualcare inc815$5,565$6,765$28,1355.1×
Humana1212$12,638$15,844$19,5781.5×
wellpoint812$1,885$12,895$16,5218.8×
clover health1111$12,638$15,881$19,2051.5×
amerigroup910$12,503$14,421$20,1581.6×
clover99$13,753$15,825$22,1731.6×
oxford99$50,284$51,463$67,7271.3×
brighton health plan99$56,598$56,598$70,0111.2×
seoul medical group99$14,003$16,112$22,5761.6×
vaccn99$11,503$13,094$19,0891.7×
karna99$18,347$20,857$28,5531.6×
First Health88$60$60$601.0×
Emblem Health88$19,321$24,458$31,2471.6×
fidelis care88$12,638$14,382$16,5211.3×
qualcare26$39,617$53,286$53,2861.3×
Medicare46$15,497$15,830$18,6461.2×
optum health36$11,509$14,003$17,0241.5×
Ambetter44$19,787$32,498$38,2241.9×
jefferson health plan33$16,962$16,962$19,9511.2×
wellpoint full dual advantage33$15,853$15,853$18,6461.2×
oxford health plans33$40,920$40,920$40,9201.0×
braven health33$15,853$15,853$18,6461.2×
horizon nj total care33$15,853$15,853$18,6461.2×
healthspring33$16,328$16,328$19,2051.2×
horizon nj health33$9,639$9,639$9,6391.0×
ubh22$12,530$13,458$14,3861.1×
geisinger health plan12$17,370$34,240$51,1102.9×
jeff nj amerihealth_ibc12$24,078$26,388$28,6991.2×
point of comfort refugee resettlement11$15,497$15,497$15,4971.0×
provider partners health plan11$16,581$16,581$16,5811.0×
optum va ccn11$15,497$15,497$15,4971.0×
naphcare11$24,795$24,795$24,7951.0×
Medicare Advantage11$15,970$15,970$15,9701.0×
st agnes11$15,497$15,497$15,4971.0×
inspira life11$15,497$15,497$15,4971.0×
innovage11$15,807$15,807$15,8071.0×
va_champus_tricare11$15,497$15,497$15,4971.0×
ibc main line health11$19,371$19,371$19,3711.0×
ibc employee benefit11$19,371$19,371$19,3711.0×
devoted health participation11$16,271$16,271$16,2711.0×
allwell pa health_wellness ma11$17,046$17,046$17,0461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$3,470$60$29,524$51,477
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,589$60$28,788$47,860
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$2,486$60$28,473$56,495
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$2,426$60$27,579$45,769
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$3,319$60$27,138$45,856
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$3,629$60$27,051$42,339
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$3,233$60$26,554$40,339
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$3,233$60$26,554$40,339
HACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACKNJ16$11,497$24,375$95,638
JFK UNIVERSITY MEDICAL CENTEREDISONNJ16$11,497$24,375$95,638
PALISADES MEDICAL CENTERNORTH BERGENNJ14$19,089$9,880$22,375$61,532
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ17$9,639$19,951$54,743
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$17,446$15,497$17,046$51,110
INSPIRA MEDICAL CENTER ELMERELMERNJ17$9,639$16,962$54,743
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ17$9,639$16,804$54,743
HMH -OCEAN MEDICAL CENTERBRICKNJ14$13,094$12,505$16,770$60,761
JERSEY SHORE UNIVERSITY MED CTRNEPTUNENJ16$13,458$11,509$16,112$95,660
RIVERVIEW MEDICAL CENTERRED BANKNJ15$13,458$11,593$14,547$59,971
RARITAN BAY MEDICAL CENTERPERTH AMBOYNJ14$13,458$6,542$14,128$70,503
BAYSHORE MEDICAL CENTERHOLMDELNJ14$13,458$6,542$14,128$70,503
SOUTHERN OCEAN MEDICAL CENTERMANAHAWKINNJ14$11,503$6,542$14,003$60,447
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.