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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in NJ

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Hospitals
14
Min
$100.02
Median
$323.34
Max
$462.84
Range multiplier
4.6×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1270$119.85$391.3$596.825.0×
UnitedHealthcare1255$68.58$164.46$1,23918.1×
Aetna1237$75.12$310.2$471.576.3×
Cigna1228$270.94$366.8$465.441.7×
amerihealth1221$273.76$420.18$562.852.1×
qualcare inc917$163.59$433.15$475.022.9×
wellpoint1010$72.14$230.27$465.646.5×
fidelis care99$70.55$91.02$465.646.6×
First Health99$338.4$338.4$365.41.1×
horizon nj health26$119.85$131.17$142.431.2×
fidelis care of nj33$128.86$128.86$136.221.1×
braven health33$76.53$96.07$144.771.9×
oxford health plans33$1,239$1,239$1,2391.0×
Medicare22$100.02$122.4$144.771.4×
jeff nj amerihealth_ibc12$100.02$100.02$100.021.0×
wellpoint full dual advantage11$144.77$144.77$144.771.0×
jefferson health plan11$154.91$154.91$154.911.0×
horizon nj total care11$144.77$144.77$144.771.0×
Emblem Health11$414.12$414.12$414.121.0×
pa health_wellness chc11$78$78$781.0×
clover health11$144.77$144.77$144.771.0×
healthspring11$149.12$149.12$149.121.0×
WellCare11$144.77$144.77$144.771.0×
Ambetter11$296.78$296.78$296.781.0×
Humana11$152.01$152.01$152.011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHILDRENS SPECIALIZED HOPSITALMOUNTAINSIDENJ10$609$304.5$289$462.84$596.82
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ9$673.67$673.67$92.29$445.3$1,239
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ9$564$95.31$72.14$357.07$515.94
MONMOUTH MEDICAL CENTERLONG BRANCENJ9$564$123.4$119.85$338.4$545.44
COMMUNITY MEDICAL CENTERTOMS RIVERNJ9$564$116.97$69.99$338.4$516
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ9$564$119.51$89.28$327.23$479.4
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ9$564$117.48$70.14$323.34$526.38
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ9$564$117.19$88.18$305.63$511.94
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ8$564$92.43$68.58$292.21$479.4
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ8$564$92.43$68.58$292.21$479.4
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ19$673.67$673.67$115.97$144.77$1,239
INSPIRA MEDICAL CENTER ELMERELMERNJ10$673.67$673.67$76.53$142.43$1,239
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ3$418.5$78$100.02$100.02
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$859$85.9

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.