▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in NJ
Hospitals
12
Min
$64.29
Median
$85.40
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 | $73.00 | $3,777.00 | 113.9× |
| UnitedHealthcare | 10 | 43 | $12.16 | $7,601.00 | $11,045 | 908.3× |
| Aetna | 10 | 29 | $13.32 | $8,587.00 | $11,654 | 874.9× |
| Cigna | 9 | 25 | $48.04 | $64.29 | $162.62 | 3.4× |
| amerihealth | 9 | 18 | $204.55 | $7,404.00 | $9,698.00 | 47.4× |
| qualcare inc | 9 | 17 | $83.40 | $3,218.00 | $5,564.00 | 66.7× |
| fidelis care | 9 | 9 | $12.51 | $16.14 | $206.44 | 16.5× |
| First Health | 9 | 9 | $60.00 | $60.00 | $162.00 | 2.7× |
| Self-Pay (Cash) | 8 | 8 | $16.39 | $20.76 | $21.88 | 1.3× |
| wellpoint | 7 | 7 | $55.73 | $1,295.00 | $1,750.00 | 31.4× |
| horizon nj health | 2 | 2 | $110.00 | $110.00 | $110.00 | 1.0× |
| jeff nj amerihealth_ibc | 1 | 2 | $85.40 | $85.40 | $85.40 | 1.0× |
| Medicare | 2 | 2 | $78.54 | $81.97 | $85.40 | 1.1× |
| Humana | 1 | 1 | $82.46 | $82.46 | $82.46 | 1.0× |
| Ambetter | 1 | 1 | $161.00 | $161.00 | $161.00 | 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 | $183.60 | $183.60 | $183.60 | 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 | $9,781.00 |
| Kennedy University Hospital | Cherry Hill | NJ | 2 | — | — | $85.40 | $85.40 | $85.40 |
| Cooperman Barnabas Medical Center | Livingston | NJ | 10 | — | — | $15.83 | $85.00 | $11,654 |
| Newark Beth Israel Medical Center | Newark | NJ | 10 | — | — | $20.83 | $85.00 | $9,494.00 |
| Inspira Medical Center Vineland | Vineland | NJ | 13 | — | — | $78.54 | $78.54 | $161.00 |
| Jersey City Medical Center | Jersey City | NJ | 10 | — | — | $20.78 | $77.50 | $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 | $270.00 | $135.00 | $162.00 | $206.44 | $300.82 |
| Inspira Medical Center Elmer | Elmer | NJ | 1 | — | — | $110.00 | $110.00 | $110.00 |
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.