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CPT 99281 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$99.61
Median
$476
Max
$605
Range multiplier
6.1×

By payer (28 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1175$96.23$1,366$3,56137.0×
UnitedHealthcare1261$5.86$564$2,535432.6×
Aetna1144$94.87$222.07$4,10543.3×
Cigna1126$315$400$3,94312.5×
amerihealth1119$1,196$1,750$3,3112.8×
wellpoint1117$6.03$98.79$620102.8×
fidelis care816$96.23$109.08$295.713.1×
qualcare inc815$747.97$861.58$1,7092.3×
Humana1111$96.23$98.79$103.691.1×
clover health1111$94.87$97.46$103.691.1×
WellCare1111$94.87$191.5$206.342.2×
Emblem Health88$345$345$3981.2×
First Health88$549$631.2$631.21.1×
wellpoint full dual advantage33$94.87$98.31$98.311.0×
Ambetter33$194.48$201.54$201.541.0×
braven health33$94.87$98.31$98.311.0×
fidelis care of nj33$97.12$97.12$102.671.1×
healthspring33$97.72$101.26$101.261.0×
horizon nj health33$140$140$1401.0×
horizon nj total care33$94.87$98.31$98.311.0×
jefferson health plan33$101.51$105.19$105.191.0×
Medicare33$94.87$98.31$98.311.0×
oxford health plans33$2,478$2,478$2,4781.0×
pa health_wellness chc12$20.8$24.05$27.31.3×
new jersey amerigroup12$140$345$5503.9×
jeff nj amerihealth_ibc12$1,579$1,678.5$1,7781.1×
horizon nj health nj11$140$140$1401.0×
geisinger health plan11$2,391.15$2,391.15$2,391.151.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ19$507.74$507.74$87.41$99.61$4,105
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$1,052$222.91$98.79$605$2,912
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$1,052$219.13$5.86$570$2,958
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$1,052$230.17$97.46$564.5$2,838
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$1,052$218.18$96.23$564$2,675
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ6$2,580$109.1$20.8$550$2,391.15
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$1,052$218.6$7.37$476$1,964
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$915$154.63$6.03$421$2,409
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$915$149.96$96.23$400$2,279
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$915$149.96$96.23$400$2,279
INSPIRA MEDICAL CENTER ELMERELMERNJ19$507.74$507.74$92.4$104.21$4,105
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ19$507.74$507.74$87.41$102.25$4,105
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$3,283$328.3

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.