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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$137.64
Median
$399.59
Max
$628.52
Range multiplier
4.6×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$95.55$438.13$810.468.5×
UnitedHealthcare1047$84.75$203.24$651.267.7×
Aetna1029$92.84$411.23$636.796.9×
Cigna925$334.83$448.10$554.111.7×
amerihealth918$338.32$481.76$626.531.9×
qualcare inc917$284.53$535.29$645.062.3×
fidelis care99$87.19$112.49$632.327.3×
First Health99$418.20$418.20$496.201.2×
wellpoint77$93.94$397.29$632.326.7×
horizon nj health24$95.55$146.50$197.442.1×
jeff nj amerihealth_ibc12$137.64$137.64$137.641.0×
Medicare22$137.64$163.42$189.201.4×
horizon nj total care11$189.20$189.20$189.201.0×
Humana11$198.66$198.66$198.661.0×
jefferson health plan11$202.44$202.44$202.441.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
clover health11$189.20$189.20$189.201.0×
braven health11$189.20$189.20$189.201.0×
WellCare11$189.20$189.20$189.201.0×
Ambetter11$387.86$387.86$387.861.0×
healthspring11$194.88$194.88$194.881.0×
wellpoint full dual advantage11$189.20$189.20$189.201.0×
Emblem Health11$562.36$562.36$562.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens Specialized HopsitalMountainsideNJ10$827.00$413.50$261.30$628.52$810.46
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$697.00$117.79$93.94$441.27$637.61
Monmouth Medical CenterLong BranceNJ9$697.00$152.50$95.55$418.20$674.06
Community Medical CenterToms RiverNJ9$697.00$144.55$86.49$418.20$637.68
Cooperman Barnabas Medical CenterLivingstonNJ9$697.00$147.69$95.55$404.40$592.45
Newark Beth Israel Medical CenterNewarkNJ9$697.00$145.18$91.33$399.59$650.51
Jersey City Medical CenterJersey CityNJ9$697.00$144.83$95.55$377.70$632.66
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$697.00$114.23$84.75$361.11$592.45
Robert Wood Johnson University HospiNew BrunswickNJ8$697.00$114.23$84.75$361.11$592.45
Inspira Medical Center VinelandVinelandNJ13$95.55$189.20$387.86
Inspira Medical Center ElmerElmerNJ1$95.55$146.50$197.44
Kennedy University HospitalCherry HillNJ3$506.00$78.00$137.64$137.64
West Jersey Health SystemVoorheesNJ0$1,152.00$115.20

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.