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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in NJ

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Hospitals
14
Min
$8.98
Median
$165.27
Max
$238.56
Range multiplier
26.6×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1270$16.00$211.60$301.5418.8×
UnitedHealthcare1255$12.45$88.93$1,239.0099.5×
Aetna1237$26.31$166.32$253.159.6×
Cigna1228$130.09$196.08$249.351.9×
amerihealth1221$148.04$210.81$301.542.0×
qualcare inc917$42.34$231.80$254.376.0×
wellpoint1010$12.81$119.83$173.8513.6×
fidelis care99$38.15$49.22$165.154.3×
First Health99$129.60$183.00$183.001.4×
horizon nj health24$16.00$22.27$28.531.8×
fidelis care of nj33$69.03$69.03$72.981.1×
braven health33$26.31$41.00$51.472.0×
oxford health plans33$1,239.00$1,239.00$1,239.001.0×
Medicare22$8.98$17.65$26.312.9×
jeff nj amerihealth_ibc12$8.98$8.98$8.981.0×
wellpoint full dual advantage11$26.31$26.31$26.311.0×
jefferson health plan11$28.16$28.16$28.161.0×
horizon nj total care11$26.31$26.31$26.311.0×
Emblem Health11$146.88$146.88$146.881.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
clover health11$26.31$26.31$26.311.0×
healthspring11$27.10$27.10$27.101.0×
WellCare11$26.31$26.31$26.311.0×
Ambetter11$53.95$53.95$53.951.0×
Humana11$27.63$27.63$27.631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Kennedy University HospitalCherry HillNJ3$251.20$8.98$8.98$78.00
Inspira Medical Center VinelandVinelandNJ19$360.91$360.91$16.00$41.24$1,239.00
Inspira Medical Center Woodbury IncWoodburyNJ9$360.91$360.91$49.44$238.56$1,239.00
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$305.00$51.54$12.81$193.10$279.01
Monmouth Medical CenterLong BranceNJ9$305.00$66.73$16.00$183.00$294.96
Community Medical CenterToms RiverNJ9$305.00$63.25$16.00$183.00$279.04
Cooperman Barnabas Medical CenterLivingstonNJ9$305.00$64.62$16.00$176.96$259.25
Newark Beth Israel Medical CenterNewarkNJ9$305.00$63.53$12.45$174.86$284.65
Jersey City Medical CenterJersey CityNJ9$305.00$63.37$15.66$165.27$276.84
Childrens Specialized HopsitalMountainsideNJ10$216.00$108.00$43.76$164.16$211.68
Robert Wood Johnson University HospiNew BrunswickNJ8$305.00$49.98$16.00$158.02$259.25
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$305.00$49.98$16.00$158.02$259.25
Inspira Medical Center ElmerElmerNJ10$360.91$360.91$16.00$156.53$1,239.00
West Jersey Health SystemVoorheesNJ0$566.00$56.60

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.