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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$4,396.5
Median
$4,491.52
Max
$9,875.5
Range multiplier
2.2×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield856$33.15$85$19,451586.8×
UnitedHealthcare1254$12.16$5,948$13,4071102.5×
Aetna1242$13.32$4,845.22$12,874966.5×
Cigna925$7,208$10,274$14,7102.0×
amerihealth816$37.03$72.82$93.112.5×
fidelis care816$12.51$2,212.31$4,737.56378.7×
qualcare inc815$75.6$87$9,057119.8×
wellpoint814$609.79$4,396.5$4,737.567.8×
WellCare1111$4,491.52$8,749.04$9,427.742.1×
clover health1111$4,396.5$4,491.52$4,737.561.1×
Humana1111$4,396.5$4,513.33$4,882.921.1×
Emblem Health88$7,693.88$7,743.09$9,026.661.2×
First Health88$60$60$601.0×
wellpoint full dual advantage33$4,491.52$4,491.52$4,650.41.0×
Ambetter33$9,207.62$9,207.62$9,533.311.0×
braven health33$4,491.52$4,491.52$4,650.41.0×
healthspring33$4,626.27$4,626.27$4,789.911.0×
horizon nj total care33$4,491.52$4,491.52$4,650.41.0×
jefferson health plan33$4,805.93$4,805.93$4,975.921.0×
Medicare33$4,491.52$4,491.52$4,650.41.0×
pa health_wellness chc11$1,008.8$1,008.8$1,008.81.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ4$1,008.8$9,875.5$14,710
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,339$27.58$4,737.56$10,725
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ12$4,650.4$4,650.4$12,874
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$4,881$22.71$4,513.33$9,647
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$6,839$15.83$4,513.33$10,188
INSPIRA MEDICAL CENTER ELMERELMERNJ12$4,491.52$4,491.52$12,874
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ12$4,491.52$4,491.52$12,874
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$5,419$24.85$4,452.74$12,565
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$5,110$12.16$4,440.47$19,451
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$5,110$12.16$4,440.47$19,451
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$6,311$14.45$4,396.5$13,407
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$3,786$12.41$4,396.5$12,887

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.