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Kidney/UTI w/o MCC

MS-DRG 690 · negotiated-rate distribution across hospitals in NJ

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Hospitals
22
Min
$7,607.16
Median
$12,713
Max
$16,564
Range multiplier
2.2×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2195$85.00$12,253$26,410310.7×
Aetna2179$6,325.60$19,994$48,3867.6×
UnitedHealthcare2173$6,521.91$17,176$37,0755.7×
horizon971$4,749.00$16,912$45,6389.6×
Cigna2147$7,998.93$18,980$36,2764.5×
amerihealth2037$5,808.19$13,697$25,9804.5×
WellCare2029$6,325.60$9,255.77$16,6332.6×
qualcare inc815$5,565.00$6,765.00$14,0312.5×
Humana1212$6,394.03$7,863.25$10,6001.7×
wellpoint812$1,885.00$6,523.88$8,358.414.4×
clover health1111$6,394.03$7,731.27$10,3981.6×
amerigroup910$6,325.60$7,405.88$11,5571.8×
clover99$6,958.16$8,045.38$12,7131.8×
oxford99$25,440$26,036$34,2651.3×
brighton health plan99$27,002$27,002$33,4011.2×
seoul medical group99$7,084.67$8,191.66$12,9441.8×
vaccn99$5,819.87$6,624.43$9,657.701.7×
karna99$10,110$11,428$17,0851.7×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$9,775.00$12,374$15,8091.6×
fidelis care88$6,394.03$7,276.32$8,358.411.3×
qualcare26$19,110$25,704$25,7041.3×
Medicare46$7,506.09$7,768.20$10,0951.3×
optum health36$5,998.22$7,451.20$9,255.771.5×
Ambetter44$9,820.46$15,387$20,6952.1×
jefferson health plan33$8,031.52$8,031.52$10,8021.3×
wellpoint full dual advantage33$7,506.09$7,506.09$10,0951.3×
oxford health plans33$20,310$20,310$20,3101.0×
braven health33$7,506.09$7,506.09$10,0951.3×
horizon nj total care33$7,506.09$7,506.09$10,0951.3×
healthspring33$7,731.27$7,731.27$10,3981.3×
horizon nj health33$4,650.00$4,650.00$4,650.001.0×
ubh22$6,339.30$6,918.54$7,497.771.2×
geisinger health plan12$8,620.88$16,368$24,1142.8×
jeff nj amerihealth_ibc12$11,951$13,097$14,2441.2×
point of comfort refugee resettlement11$7,691.28$7,691.28$7,691.281.0×
provider partners health plan11$8,229.67$8,229.67$8,229.671.0×
optum va ccn11$7,691.28$7,691.28$7,691.281.0×
naphcare11$12,306$12,306$12,3061.0×
Medicare Advantage11$7,926.31$7,926.31$7,926.311.0×
st agnes11$7,691.28$7,691.28$7,691.281.0×
inspira life11$7,691.28$7,691.28$7,691.281.0×
innovage11$7,845.11$7,845.11$7,845.111.0×
va_champus_tricare11$7,691.28$7,691.28$7,691.281.0×
ibc main line health11$9,614.10$9,614.10$9,614.101.0×
ibc employee benefit11$9,614.10$9,614.10$9,614.101.0×
devoted health participation11$8,075.84$8,075.84$8,075.841.0×
allwell pa health_wellness ma11$8,460.41$8,460.41$8,460.411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hmh -Ocean Medical CenterBrickNJ14$6,624.43$6,015.37$9,963.00$30,740
Jersey Shore University Med CtrNeptuneNJ16$6,808.84$5,998.22$8,697.41$45,638
Kennedy University HospitalCherry HillNJ22$8,794.62$7,691.28$8,460.41$24,114
Inspira Medical Center ElmerElmerNJ17$4,650.00$8,031.52$26,410
Inspira Medical Center Woodbury IncWoodburyNJ17$4,650.00$7,956.46$26,410
Raritan Bay Medical CenterPerth AmboyNJ14$6,808.84$5,778.00$7,658.28$33,636
Bayshore Medical CenterHolmdelNJ14$6,808.84$5,778.00$7,658.28$33,636
Southern Ocean Medical CenterManahawkinNJ14$5,819.87$5,636.00$7,649.36$30,581
Riverview Medical CenterRed BankNJ15$6,808.84$5,808.19$7,607.16$30,341
Jfk University Medical CenterEdisonNJ16$5,926.00$16,564$48,386
Hackensack University Medical CenterHackensackNJ16$5,926.00$16,564$48,386
Newark Beth Israel Medical CenterNewarkNJ13$3,470.00$60.00$14,937$26,044
Cooperman Barnabas Medical CenterLivingstonNJ13$3,319.00$60.00$14,822$22,059
Jersey City Medical CenterJersey CityNJ13$5,589.00$60.00$14,658$24,214
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$2,486.00$60.00$13,697$28,582
Monmouth Medical CenterLong BranceNJ13$3,629.00$60.00$13,390$21,421
Community Medical CenterToms RiverNJ13$2,426.00$60.00$13,062$22,017
Palisades Medical CenterNorth BergenNJ14$9,657.70$4,749.00$12,828$30,325
Robert Wood Johnson University HospiNew BrunswickNJ13$3,233.00$60.00$12,713$20,409
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$3,233.00$60.00$12,713$20,409
Inspira Medical Center VinelandVinelandNJ17$4,650.00$10,802$26,410
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.