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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
Median
$2,808.5
Max
$3,527.5
Range multiplier
32.1×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield959$33.15$73$3,777113.9×
UnitedHealthcare1043$12.16$7,601$11,045908.3×
Aetna1029$13.32$8,587$11,654874.9×
Cigna925$350.53$8,271$11,06931.6×
amerihealth918$440.92$7,404$9,69822.0×
qualcare inc917$83.4$3,218$5,56466.7×
Emblem Health99$395.76$5,305$5,83514.7×
fidelis care99$12.51$16.14$444.9935.6×
First Health99$60$60$349.25.8×
Self-Pay (Cash)88$16.39$20.76$21.881.3×
wellpoint77$116.4$1,295$1,75015.0×
horizon nj health22$110$110$1101.0×
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$172.9$172.9$172.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ10$12.16$794$11,069
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ10$12.16$794$11,069
CHILDRENS SPECIALIZED HOPSITALMOUNTAINSIDENJ10$582$291$300.82$444.99$570.36
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ11$14.45$3,527.5$11,330
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ11$20.83$3,317$9,494
MONMOUTH MEDICAL CENTERLONG BRANCENJ11$21.88$3,317$11,042
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ11$20.78$3,218$10,257
COMMUNITY MEDICAL CENTERTOMS RIVERNJ11$12.41$3,047$10,382
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ11$15.83$2,808.5$11,654
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ2$177.86$177.86$177.86
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ13$110$164.67$337.56
INSPIRA MEDICAL CENTER ELMERELMERNJ1$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.