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CPT 81003 · negotiated-rate distribution across hospitals in NJ

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Hospitals
15
Min
$2.25
Median
$2.46
Max
$47.40
Range multiplier
21.1×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1381$1.58$2.46$74.4647.3×
UnitedHealthcare1365$1.06$1.50$10.349.8×
Aetna1454$1.45$2.70$69.5247.9×
Cigna1331$2.34$9.34$21.689.3×
wellpoint1323$1.48$2.25$57.0038.5×
amerihealth1221$5.61$6.57$27.274.9×
fidelis care1018$1.80$2.21$13.667.6×
qualcare inc917$28.08$59.13$64.212.3×
Humana1212$2.25$2.25$2.361.0×
clover health1111$2.25$2.25$2.251.0×
WellCare1111$2.25$4.48$4.482.0×
First Health1010$21.60$46.20$47.402.2×
Emblem Health99$3.94$3.94$24.486.2×
Medicare47$1.58$2.25$2.301.5×
Ambetter44$3.26$4.61$4.611.4×
wellpoint full dual advantage33$2.25$2.25$2.251.0×
braven health33$2.25$2.25$2.251.0×
fidelis care of nj33$1.45$1.45$1.531.1×
healthspring33$2.32$2.32$2.321.0×
horizon nj health33$4.50$4.50$4.501.0×
horizon nj total care33$2.25$2.25$2.251.0×
jefferson health plan33$2.41$2.41$2.411.0×
oxford health plans33$10.34$10.34$10.341.0×
geisinger health plan12$2.59$5.88$9.173.5×
jeff nj amerihealth_ibc12$11.46$12.55$13.631.2×
ibc main line health11$2.81$2.81$2.811.0×
Medicare Advantage11$2.36$2.36$2.361.0×
naphcare11$3.60$3.60$3.601.0×
optum va ccn11$2.25$2.25$2.251.0×
allwell pa health_wellness ma11$2.48$2.48$2.481.0×
pa health_wellness chc11$4.03$4.03$4.031.0×
point of comfort refugee resettlement11$2.25$2.25$2.251.0×
provider partners health plan11$2.41$2.41$2.411.0×
ibc employee benefit11$2.81$2.81$2.811.0×
st agnes11$2.25$2.25$2.251.0×
horizon nj health nj11$3.38$3.38$3.381.0×
va_champus_tricare11$2.25$2.25$2.251.0×
innovage11$2.25$2.25$2.251.0×
inspira life11$2.25$2.25$2.251.0×
devoted health participation11$2.36$2.36$2.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Saint Barnabas Behavioral Health CenToms RiverNJ4$79.00$28.55$13.66$47.40$69.52
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$77.00$2.48$1.06$3.94$65.45
Robert Wood Johnson University HospiNew BrunswickNJ13$77.00$2.48$1.06$3.94$65.45
Childrens Specialized HopsitalMountainsideNJ10$36.00$18.00$1.80$27.27$35.28
Newark Beth Israel Medical CenterNewarkNJ13$77.00$2.48$1.06$2.46$71.86
Community Medical CenterToms RiverNJ13$77.00$2.48$1.06$2.46$70.44
Monmouth Medical CenterLong BranceNJ13$77.00$2.48$1.06$2.46$74.46
Kennedy University HospitalCherry HillNJ24$72.00$2.59$1.50$2.41$15.75
Cooperman Barnabas Medical CenterLivingstonNJ13$77.00$2.48$1.06$2.38$65.45
Jersey City Medical CenterJersey CityNJ13$77.00$2.48$1.06$2.34$69.89
Inspira Medical Center Woodbury IncWoodburyNJ19$7.59$7.59$1.45$2.25$10.34
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$77.00$2.48$1.06$2.25$70.43
Inspira Medical Center VinelandVinelandNJ19$7.59$7.59$1.45$2.25$10.34
Inspira Medical Center ElmerElmerNJ19$7.59$7.59$1.53$2.25$10.34
West Jersey Health SystemVoorheesNJ0$114.00$11.40

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.