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Fractures of femur w/o MCC

MS-DRG 533 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$13,490
Median
$21,626
Max
$29,395
Range multiplier
2.2×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85.00$19,510$47,106554.2×
Aetna2179$12,018$37,987$91,9307.6×
UnitedHealthcare2173$12,391$32,633$70,4415.7×
horizon971$5,778.00$32,595$87,95915.2×
Cigna2147$15,491$36,061$68,9224.4×
amerihealth2037$10,357$24,424$45,1054.4×
WellCare2029$12,018$16,415$31,6022.6×
qualcare inc815$5,565.00$6,765.00$26,4554.8×
Humana1212$12,148$15,229$18,8861.6×
wellpoint812$1,885.00$12,395$15,8818.4×
clover health1111$12,148$15,266$18,5271.5×
amerigroup910$12,018$13,871$19,4831.6×
clover99$13,220$15,230$21,4311.6×
oxford99$48,335$49,468$65,1011.3×
brighton health plan99$52,042$52,042$64,3741.2×
seoul medical group99$13,461$15,507$21,8211.6×
vaccn99$11,057$12,586$18,3491.7×
karna99$17,700$20,137$27,6531.6×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$18,572$23,510$30,0361.6×
fidelis care88$12,148$13,825$15,8811.3×
qualcare26$35,227$47,382$47,3821.3×
Medicare46$14,895$15,201$17,9871.2×
optum health36$11,077$13,489$16,4151.5×
Ambetter44$19,019$31,180$36,8731.9×
jefferson health plan33$16,274$16,274$19,2461.2×
wellpoint full dual advantage33$15,210$15,210$17,9871.2×
oxford health plans33$39,332$39,332$39,3321.0×
braven health33$15,210$15,210$17,9871.2×
horizon nj total care33$15,210$15,210$17,9871.2×
healthspring33$15,666$15,666$18,5271.2×
horizon nj health33$8,295.00$8,295.00$8,295.001.0×
ubh22$12,044$12,945$13,8461.1×
geisinger health plan12$16,695$29,912$43,1292.6×
jeff nj amerihealth_ibc12$23,144$25,364$27,5851.2×
point of comfort refugee resettlement11$14,895$14,895$14,8951.0×
provider partners health plan11$15,938$15,938$15,9381.0×
optum va ccn11$14,895$14,895$14,8951.0×
naphcare11$23,832$23,832$23,8321.0×
Medicare Advantage11$15,350$15,350$15,3501.0×
st agnes11$14,895$14,895$14,8951.0×
inspira life11$14,895$14,895$14,8951.0×
innovage11$15,193$15,193$15,1931.0×
va_champus_tricare11$14,895$14,895$14,8951.0×
ibc main line health11$18,619$18,619$18,6191.0×
ibc employee benefit11$18,619$18,619$18,6191.0×
devoted health participation11$15,640$15,640$15,6401.0×
allwell pa health_wellness ma11$16,385$16,385$16,3851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jfk University Medical CenterEdisonNJ16$8,479.00$29,395$91,930
Hackensack University Medical CenterHackensackNJ16$8,479.00$29,395$91,930
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$28,131$49,481
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$26,573$46,005
Community Medical CenterToms RiverNJ13$2,426.00$60.00$26,409$40,698
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$25,693$40,698
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$25,357$41,326
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$25,157$54,305
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$24,928$38,775
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$24,928$38,775
Palisades Medical CenterNorth BergenNJ14$18,349$8,479.00$21,626$57,617
Inspira Medical Center VinelandVinelandNJ17$8,295.00$19,246$47,106
Hmh -Ocean Medical CenterBrickNJ14$12,586$9,963.00$16,675$58,405
Kennedy University HospitalCherry HillNJ22$16,779$14,895$16,385$43,129
Inspira Medical Center ElmerElmerNJ17$8,295.00$16,274$47,106
Inspira Medical Center Woodbury IncWoodburyNJ17$8,295.00$16,122$47,106
Jersey Shore University Med CtrNeptuneNJ16$12,936$11,077$15,369$87,959
Southern Ocean Medical CenterManahawkinNJ14$11,057$5,778.00$13,941$58,103
Bayshore Medical CenterHolmdelNJ14$12,936$5,778.00$13,580$64,827
Raritan Bay Medical CenterPerth AmboyNJ14$12,936$5,778.00$13,580$64,827
Riverview Medical CenterRed BankNJ15$12,936$10,357$13,490$57,646
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.