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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$650.00
Median
$1,485.00
Max
$1,776.00
Range multiplier
2.7×

By payer (27 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1175$494.00$1,964.00$4,259.588.6×
UnitedHealthcare1261$93.07$1,753.00$6,580.0070.7×
Aetna1144$553.44$972.51$4,105.007.4×
Cigna1126$1,465.00$2,237.00$3,943.002.7×
amerihealth1119$1,916.00$2,877.00$3,685.001.9×
wellpoint1117$95.73$670.04$799.898.4×
fidelis care816$519.79$683.24$1,224.752.4×
qualcare inc815$1,387.00$3,465.27$3,737.912.7×
clover health1111$670.02$678.62$722.021.1×
WellCare1111$670.02$1,333.38$1,436.822.1×
Humana1111$670.04$687.85$722.021.1×
First Health88$2,493.00$2,614.20$3,070.201.2×
Emblem Health88$1,273.00$1,326.00$1,485.001.2×
wellpoint full dual advantage33$670.02$684.53$684.531.0×
Ambetter33$1,373.53$1,403.29$1,403.291.0×
braven health33$670.02$684.53$684.531.0×
fidelis care of nj33$741.25$741.25$783.571.1×
healthspring33$690.12$705.07$705.071.0×
horizon nj health33$1,404.00$1,404.00$1,404.001.0×
horizon nj total care33$670.02$684.53$684.531.0×
jefferson health plan33$716.92$732.45$732.451.0×
Medicare33$670.02$684.53$684.531.0×
oxford health plans33$2,478.00$2,478.00$2,478.001.0×
pa health_wellness chc12$244.40$247.65$250.901.0×
new jersey amerigroup12$140.00$395.00$650.004.6×
jeff nj amerihealth_ibc12$1,579.00$1,678.50$1,778.001.1×
horizon nj health nj12$140.00$650.50$1,161.008.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Inspira Medical Center ElmerElmerNJ19$3,875.20$3,875.20$684.53$783.57$4,105.00
Inspira Medical Center VinelandVinelandNJ19$3,875.20$3,875.20$667.12$741.25$4,105.00
Inspira Medical Center Woodbury IncWoodburyNJ19$3,875.20$3,875.20$667.12$736.85$4,105.00
Kennedy University HospitalCherry HillNJ5$5,313.00$770.52$140.00$650.00$6,580.00
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$5,117.00$864.77$95.73$1,776.00$3,339.00
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$4,155.00$681.00$494.00$1,757.00$3,531.75
Robert Wood Johnson University HospiNew BrunswickNJ13$4,155.00$681.00$494.00$1,757.00$3,531.75
Monmouth Medical CenterLong BranceNJ13$4,357.00$953.31$620.00$1,571.50$4,213.65
Community Medical CenterToms RiverNJ13$4,357.00$903.64$540.70$1,508.50$3,976.63
Cooperman Barnabas Medical CenterLivingstonNJ13$4,564.00$967.11$620.00$1,485.00$3,879.40
Newark Beth Israel Medical CenterNewarkNJ13$4,564.00$950.68$93.07$1,485.00$4,259.58
Jersey City Medical CenterJersey CityNJ13$4,357.00$905.38$117.00$1,414.41$3,954.84
West Jersey Health SystemVoorheesNJ0$4,035.00$403.50

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.