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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in NJ

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Hospitals
14
Min
$36.38
Median
$266.58
Max
$294.39
Range multiplier
8.1×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1270$49.06$296.85$449.709.2×
UnitedHealthcare1258$31.14$135.59$3,867.00124.2×
Aetna1237$57.70$244.86$385.956.7×
Cigna1228$191.53$290.99$369.671.9×
amerihealth1221$225.71$321.40$398.311.8×
qualcare inc917$248.04$357.12$387.811.6×
wellpoint1010$32.03$165.04$265.058.3×
fidelis care99$58.17$75.05$243.144.2×
First Health99$190.80$279.00$279.001.5×
horizon nj health26$49.06$55.45$62.301.3×
oxford health plans36$1,239.00$2,553.00$3,867.003.1×
braven health33$47.85$60.06$63.721.3×
fidelis care of nj33$80.56$80.56$85.161.1×
Medicare22$36.38$50.05$63.721.8×
jeff nj amerihealth_ibc12$36.38$36.38$36.381.0×
jefferson health plan11$68.18$68.18$68.181.0×
healthspring11$65.63$65.63$65.631.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
clover health11$63.72$63.72$63.721.0×
WellCare11$63.72$63.72$63.721.0×
Ambetter11$130.62$130.62$130.621.0×
wellpoint full dual advantage11$63.72$63.72$63.721.0×
Emblem Health11$216.24$216.24$216.241.0×
horizon nj total care11$63.72$63.72$63.721.0×
Humana11$66.90$66.90$66.901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Inspira Medical Center VinelandVinelandNJ19$421.18$421.18$49.06$72.51$3,867.00
Kennedy University HospitalCherry HillNJ3$314.00$36.38$36.38$78.00
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$465.00$78.58$32.03$294.39$425.38
Inspira Medical Center Woodbury IncWoodburyNJ9$421.18$421.18$57.70$290.99$3,867.00
Monmouth Medical CenterLong BranceNJ9$465.00$101.74$49.06$279.00$449.70
Community Medical CenterToms RiverNJ9$465.00$96.44$49.06$279.00$425.42
Inspira Medical Center ElmerElmerNJ10$421.18$421.18$47.85$278.40$3,867.00
Cooperman Barnabas Medical CenterLivingstonNJ9$465.00$98.53$49.06$269.79$395.25
Newark Beth Israel Medical CenterNewarkNJ9$465.00$96.85$31.14$266.58$433.98
Robert Wood Johnson University HospiNew BrunswickNJ8$465.00$76.21$49.06$257.56$395.25
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$465.00$76.21$49.06$257.56$395.25
Jersey City Medical CenterJersey CityNJ9$465.00$96.62$39.15$251.98$422.08
Childrens Specialized HopsitalMountainsideNJ10$318.00$159.00$134.16$241.68$311.64
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.