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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
$585.2
Range multiplier
3.9×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$161.06$418.01$754.64.7×
UnitedHealthcare1047$80.86$193.91$606.377.5×
Aetna1029$88.57$392.35$592.96.7×
Cigna925$319.46$427.52$528.671.7×
amerihealth918$322.79$459.64$583.351.8×
qualcare inc917$443.55$544.63$600.61.4×
fidelis care99$83.19$107.33$588.747.1×
First Health99$399$399$4621.2×
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$78$781.0×
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$523.6$523.6$523.61.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHILDRENS SPECIALIZED HOPSITALMOUNTAINSIDENJ10$770$385$366$585.2$754.6
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ9$665$112.38$96.09$421.01$608.34
MONMOUTH MEDICAL CENTERLONG BRANCENJ9$665$145.5$161.06$399$643.12
COMMUNITY MEDICAL CENTERTOMS RIVERNJ9$665$137.92$82.52$399$608.4
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ9$665$140.91$105.26$385.83$565.25
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ9$665$138.51$103.56$381.24$620.64
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ8$665$108.99$80.86$368.34$565.25
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ8$665$108.99$80.86$368.34$565.25
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ9$665$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$78$148.58$148.58
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$1,152$115.2

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.