▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in NJ
Hospitals
12
Min
$64.29
Median
$85.4
Max
$206.44
Range multiplier
3.2×
By payer (23 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 9 | 59 | $33.15 | $73 | $3,777 | 113.9× |
| UnitedHealthcare | 10 | 43 | $12.16 | $7,601 | $11,045 | 908.3× |
| Aetna | 10 | 29 | $13.32 | $8,587 | $11,654 | 874.9× |
| Cigna | 9 | 25 | $48.04 | $64.29 | $162.62 | 3.4× |
| amerihealth | 9 | 18 | $204.55 | $7,404 | $9,698 | 47.4× |
| qualcare inc | 9 | 17 | $83.4 | $3,218 | $5,564 | 66.7× |
| fidelis care | 9 | 9 | $12.51 | $16.14 | $206.44 | 16.5× |
| First Health | 9 | 9 | $60 | $60 | $162 | 2.7× |
| Self-Pay (Cash) | 8 | 8 | $16.39 | $20.76 | $21.88 | 1.3× |
| wellpoint | 7 | 7 | $55.73 | $1,295 | $1,750 | 31.4× |
| horizon nj health | 2 | 2 | $110 | $110 | $110 | 1.0× |
| jeff nj amerihealth_ibc | 1 | 2 | $85.4 | $85.4 | $85.4 | 1.0× |
| Medicare | 2 | 2 | $78.54 | $81.97 | $85.4 | 1.1× |
| Humana | 1 | 1 | $82.46 | $82.46 | $82.46 | 1.0× |
| Ambetter | 1 | 1 | $161 | $161 | $161 | 1.0× |
| jefferson health plan | 1 | 1 | $84.03 | $84.03 | $84.03 | 1.0× |
| wellpoint full dual advantage | 1 | 1 | $78.54 | $78.54 | $78.54 | 1.0× |
| Emblem Health | 1 | 1 | $183.6 | $183.6 | $183.6 | 1.0× |
| clover health | 1 | 1 | $78.54 | $78.54 | $78.54 | 1.0× |
| braven health | 1 | 1 | $78.54 | $78.54 | $78.54 | 1.0× |
| WellCare | 1 | 1 | $78.54 | $78.54 | $78.54 | 1.0× |
| healthspring | 1 | 1 | $78.54 | $78.54 | $78.54 | 1.0× |
| horizon nj total care | 1 | 1 | $78.54 | $78.54 | $78.54 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MONMOUTH MEDICAL CENTER | LONG BRANCE | NJ | 10 | — | — | $21.88 | $95.43 | $11,042 |
| ROBERT WOOD JOHNSON UNIV HOSP @ SOM | SOMERVILLE | NJ | 10 | — | — | $14.45 | $91.48 | $11,330 |
| COMMUNITY MEDICAL CENTER | TOMS RIVER | NJ | 10 | — | — | $12.41 | $88.25 | $9,781 |
| KENNEDY UNIVERSITY HOSPITAL | CHERRY HILL | NJ | 2 | — | — | $85.4 | $85.4 | $85.4 |
| COOPERMAN BARNABAS MEDICAL CENTER | LIVINGSTON | NJ | 10 | — | — | $15.83 | $85 | $11,654 |
| NEWARK BETH ISRAEL MEDICAL CENTER | NEWARK | NJ | 10 | — | — | $20.83 | $85 | $9,494 |
| INSPIRA MEDICAL CENTER VINELAND | VINELAND | NJ | 13 | — | — | $78.54 | $78.54 | $161 |
| JERSEY CITY MEDICAL CENTER | JERSEY CITY | NJ | 10 | — | — | $20.78 | $77.5 | $10,257 |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPI | NEW BRUNSWICK | NJ | 9 | — | — | $12.16 | $64.29 | $10,735 |
| ROBERT WOOD JOHNSON HOSPITAL @ HAMI | HAMILTON | NJ | 9 | — | — | $12.16 | $64.29 | $10,735 |
| CHILDRENS SPECIALIZED HOPSITAL | MOUNTAINSIDE | NJ | 10 | $270 | $135 | $162 | $206.44 | $300.82 |
| INSPIRA MEDICAL CENTER ELMER | ELMER | NJ | 1 | — | — | $110 | $110 | $110 |
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.