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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$148.58
Median
$381.24
Max
$585.20
Range multiplier
3.9×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$161.06$418.01$754.604.7×
UnitedHealthcare1047$80.86$193.91$606.377.5×
Aetna1029$88.57$392.35$592.906.7×
Cigna925$319.46$427.52$528.671.7×
amerihealth918$322.79$459.64$583.351.8×
qualcare inc917$443.55$544.63$600.601.4×
fidelis care99$83.19$107.33$588.747.1×
First Health99$399.00$399.00$462.001.2×
wellpoint77$106.52$379.05$588.745.5×
horizon nj health26$161.06$175.79$198.341.2×
jeff nj amerihealth_ibc12$148.58$148.58$148.581.0×
Medicare22$148.58$176.92$205.261.4×
horizon nj total care11$205.26$205.26$205.261.0×
Humana11$215.52$215.52$215.521.0×
jefferson health plan11$219.63$219.63$219.631.0×
pa health_wellness chc11$78.00$78.00$78.001.0×
clover health11$205.26$205.26$205.261.0×
braven health11$205.26$205.26$205.261.0×
WellCare11$205.26$205.26$205.261.0×
Ambetter11$420.78$420.78$420.781.0×
healthspring11$211.42$211.42$211.421.0×
wellpoint full dual advantage11$205.26$205.26$205.261.0×
Emblem Health11$523.60$523.60$523.601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens Specialized HopsitalMountainsideNJ10$770.00$385.00$366.00$585.20$754.60
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ9$665.00$112.38$96.09$421.01$608.34
Monmouth Medical CenterLong BranceNJ9$665.00$145.50$161.06$399.00$643.12
Community Medical CenterToms RiverNJ9$665.00$137.92$82.52$399.00$608.40
Cooperman Barnabas Medical CenterLivingstonNJ9$665.00$140.91$105.26$385.83$565.25
Newark Beth Israel Medical CenterNewarkNJ9$665.00$138.51$103.56$381.24$620.64
Robert Wood Johnson Hospital @ HamiHamiltonNJ8$665.00$108.99$80.86$368.34$565.25
Robert Wood Johnson University HospiNew BrunswickNJ8$665.00$108.99$80.86$368.34$565.25
Jersey City Medical CenterJersey CityNJ9$665.00$138.18$130.19$360.36$603.62
Inspira Medical Center VinelandVinelandNJ13$161.06$205.26$420.78
Inspira Medical Center ElmerElmerNJ1$161.06$175.79$198.34
Kennedy University HospitalCherry HillNJ3$506.00$78.00$148.58$148.58
West Jersey Health SystemVoorheesNJ0$1,152.00$115.20

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.