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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$84.64
Median
$331.37
Max
$456.76
Range multiplier
5.4×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$64.24$363.33$588.989.2×
UnitedHealthcare1047$61.09$168.54$473.287.7×
Aetna1029$76.98$341.02$479.746.2×
Cigna925$277.67$361.98$459.511.7×
amerihealth918$280.56$399.51$495.111.8×
qualcare inc917$181.09$443.90$482.052.7×
fidelis care99$72.30$93.28$459.526.4×
First Health99$346.80$346.80$360.601.0×
wellpoint77$62.83$329.46$459.527.3×
horizon nj health24$64.24$97.13$130.012.0×
jeff nj amerihealth_ibc12$84.64$84.64$84.641.0×
Medicare22$84.64$105.14$125.641.5×
horizon nj total care11$125.64$125.64$125.641.0×
Humana11$131.92$131.92$131.921.0×
jefferson health plan11$134.43$134.43$134.431.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
clover health11$125.64$125.64$125.641.0×
braven health11$125.64$125.64$125.641.0×
WellCare11$125.64$125.64$125.641.0×
Ambetter11$257.55$257.55$257.551.0×
healthspring11$129.40$129.40$129.401.0×
wellpoint full dual advantage11$125.64$125.64$125.641.0×
Emblem Health11$408.68$408.68$408.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Inspira Medical Center ElmerElmerNJ1$64.24$97.13$130.01
Kennedy University HospitalCherry HillNJ3$349.00$78.00$84.64$84.64
Childrens Specialized HopsitalMountainsideNJ10$601.00$300.50$175.68$456.76$588.98
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$578.00$97.68$62.83$365.93$528.75
Monmouth Medical CenterLong BranceNJ9$578.00$126.46$64.24$346.80$558.98
Community Medical CenterToms RiverNJ9$578.00$119.87$64.24$346.80$528.81
Cooperman Barnabas Medical CenterLivingstonNJ9$578.00$122.47$64.24$335.35$491.30
Newark Beth Israel Medical CenterNewarkNJ9$578.00$120.39$61.09$331.37$539.44
Jersey City Medical CenterJersey CityNJ9$578.00$120.10$64.24$313.21$524.65
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$578.00$94.73$64.24$299.46$491.30
Robert Wood Johnson University HospiNew BrunswickNJ8$578.00$94.73$64.24$299.46$491.30
Inspira Medical Center VinelandVinelandNJ13$64.24$125.64$257.55
West Jersey Health SystemVoorheesNJ0$859.00$85.90

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.