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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
$463.8
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$235.9$769.387.8×
Aetna1029$107.75$477.31$752.297.0×
Cigna925$388.64$520.1$643.151.7×
amerihealth918$392.68$559.18$740.171.9×
qualcare inc917$539.6$662.57$762.061.4×
fidelis care99$101.2$130.57$747.017.4×
First Health99$485.4$485.4$586.21.2×
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$78$781.0×
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$488.5$344.63$742.52$957.46
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ9$809$136.72$116.9$512.18$740.07
MONMOUTH MEDICAL CENTERLONG BRANCENJ9$809$177$126.02$485.4$782.38
COMMUNITY MEDICAL CENTERTOMS RIVERNJ9$809$167.78$100.39$485.4$740.15
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ9$809$171.42$126.02$469.38$687.65
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ9$809$168.51$120.34$463.8$755.03
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ8$809$132.59$98.37$448.1$687.65
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ8$809$132.59$98.37$448.1$687.65
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ9$809$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$78$187.26$187.26
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$1,444$144.4

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.