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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$110.00
Median
$2,808.50
Max
$3,527.50
Range multiplier
32.1×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$33.15$73.00$3,777.00113.9×
UnitedHealthcare1043$12.16$7,601.00$11,045908.3×
Aetna1029$13.32$8,587.00$11,654874.9×
Cigna925$350.53$8,271.00$11,06931.6×
amerihealth918$440.92$7,404.00$9,698.0022.0×
qualcare inc917$83.40$3,218.00$5,564.0066.7×
Emblem Health99$395.76$5,305.00$5,835.0014.7×
fidelis care99$12.51$16.14$444.9935.6×
First Health99$60.00$60.00$349.205.8×
Self-Pay (Cash)88$16.39$20.76$21.881.3×
wellpoint77$116.40$1,295.00$1,750.0015.0×
horizon nj health22$110.00$110.00$110.001.0×
jeff nj amerihealth_ibc12$177.86$177.86$177.861.0×
Medicare22$164.67$171.27$177.861.1×
Ambetter11$337.56$337.56$337.561.0×
jefferson health plan11$176.19$176.19$176.191.0×
wellpoint full dual advantage11$164.67$164.67$164.671.0×
healthspring11$164.67$164.67$164.671.0×
clover health11$164.67$164.67$164.671.0×
braven health11$164.67$164.67$164.671.0×
WellCare11$164.67$164.67$164.671.0×
horizon nj total care11$164.67$164.67$164.671.0×
Humana11$172.90$172.90$172.901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Robert Wood Johnson University HospiNew BrunswickNJ10$12.16$794.00$11,069
Robert Wood Johnson Hospital @ HamiHamiltonNJ10$12.16$794.00$11,069
Childrens Specialized HopsitalMountainsideNJ10$582.00$291.00$300.82$444.99$570.36
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ11$14.45$3,527.50$11,330
Newark Beth Israel Medical CenterNewarkNJ11$20.83$3,317.00$9,494.00
Monmouth Medical CenterLong BranceNJ11$21.88$3,317.00$11,042
Jersey City Medical CenterJersey CityNJ11$20.78$3,218.00$10,257
Community Medical CenterToms RiverNJ11$12.41$3,047.00$10,382
Cooperman Barnabas Medical CenterLivingstonNJ11$15.83$2,808.50$11,654
Kennedy University HospitalCherry HillNJ2$177.86$177.86$177.86
Inspira Medical Center VinelandVinelandNJ13$110.00$164.67$337.56
Inspira Medical Center ElmerElmerNJ1$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.