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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$187.26
Median
$463.80
Max
$742.52
Range multiplier
4.0×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$126.02$508.53$957.467.6×
UnitedHealthcare1047$98.37$235.90$769.387.8×
Aetna1029$107.75$477.31$752.297.0×
Cigna925$388.64$520.10$643.151.7×
amerihealth918$392.68$559.18$740.171.9×
qualcare inc917$539.60$662.57$762.061.4×
fidelis care99$101.20$130.57$747.017.4×
First Health99$485.40$485.40$586.201.2×
wellpoint77$123.78$461.13$747.016.0×
horizon nj health24$126.02$187.54$249.052.0×
jeff nj amerihealth_ibc12$187.26$187.26$187.261.0×
Medicare22$187.26$219.92$252.581.3×
horizon nj total care11$252.58$252.58$252.581.0×
Humana11$265.21$265.21$265.211.0×
jefferson health plan11$270.26$270.26$270.261.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
clover health11$252.58$252.58$252.581.0×
braven health11$252.58$252.58$252.581.0×
WellCare11$252.58$252.58$252.581.0×
Ambetter11$517.79$517.79$517.791.0×
healthspring11$260.16$260.16$260.161.0×
wellpoint full dual advantage11$252.58$252.58$252.581.0×
Emblem Health11$664.36$664.36$664.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens Specialized HopsitalMountainsideNJ10$977.00$488.50$344.63$742.52$957.46
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$809.00$136.72$116.90$512.18$740.07
Monmouth Medical CenterLong BranceNJ9$809.00$177.00$126.02$485.40$782.38
Community Medical CenterToms RiverNJ9$809.00$167.78$100.39$485.40$740.15
Cooperman Barnabas Medical CenterLivingstonNJ9$809.00$171.42$126.02$469.38$687.65
Newark Beth Israel Medical CenterNewarkNJ9$809.00$168.51$120.34$463.80$755.03
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$809.00$132.59$98.37$448.10$687.65
Robert Wood Johnson University HospiNew BrunswickNJ8$809.00$132.59$98.37$448.10$687.65
Jersey City Medical CenterJersey CityNJ9$809.00$168.11$126.02$438.39$734.32
Inspira Medical Center VinelandVinelandNJ13$126.02$252.58$517.79
Inspira Medical Center ElmerElmerNJ1$126.02$187.54$249.05
Kennedy University HospitalCherry HillNJ3$673.00$78.00$187.26$187.26
West Jersey Health SystemVoorheesNJ0$1,444.00$144.40

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.