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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$391.30$596.825.0×
UnitedHealthcare1255$68.58$164.46$1,239.0018.1×
Aetna1237$75.12$310.20$471.576.3×
Cigna1228$270.94$366.80$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$338.40$338.40$365.401.1×
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$1,239.00$1,239.00$1,239.001.0×
Medicare22$100.02$122.40$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$78.00$78.00$78.001.0×
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$609.00$304.50$289.00$462.84$596.82
Inspira Medical Center Woodbury IncWoodburyNJ9$673.67$673.67$92.29$445.30$1,239.00
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$564.00$95.31$72.14$357.07$515.94
Monmouth Medical CenterLong BranceNJ9$564.00$123.40$119.85$338.40$545.44
Community Medical CenterToms RiverNJ9$564.00$116.97$69.99$338.40$516.00
Cooperman Barnabas Medical CenterLivingstonNJ9$564.00$119.51$89.28$327.23$479.40
Newark Beth Israel Medical CenterNewarkNJ9$564.00$117.48$70.14$323.34$526.38
Jersey City Medical CenterJersey CityNJ9$564.00$117.19$88.18$305.63$511.94
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$564.00$92.43$68.58$292.21$479.40
Robert Wood Johnson University HospiNew BrunswickNJ8$564.00$92.43$68.58$292.21$479.40
Inspira Medical Center VinelandVinelandNJ19$673.67$673.67$115.97$144.77$1,239.00
Inspira Medical Center ElmerElmerNJ10$673.67$673.67$76.53$142.43$1,239.00
Kennedy University HospitalCherry HillNJ3$418.50$78.00$100.02$100.02
West Jersey Health SystemVoorheesNJ0$859.00$85.90

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.