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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
Median
$1,485
Max
$1,776
Range multiplier
2.7×

By payer (27 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1175$494$1,964$4,259.588.6×
UnitedHealthcare1261$93.07$1,753$6,58070.7×
Aetna1144$553.44$972.51$4,1057.4×
Cigna1126$1,465$2,237$3,9432.7×
amerihealth1119$1,916$2,877$3,6851.9×
wellpoint1117$95.73$670.04$799.898.4×
fidelis care816$519.79$683.24$1,224.752.4×
qualcare inc815$1,387$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$2,614.2$3,070.21.2×
Emblem Health88$1,273$1,326$1,4851.2×
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$1,404$1,4041.0×
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$2,478$2,4781.0×
pa health_wellness chc12$244.4$247.65$250.91.0×
new jersey amerigroup12$140$395$6504.6×
jeff nj amerihealth_ibc12$1,579$1,678.5$1,7781.1×
horizon nj health nj12$140$650.5$1,1618.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
INSPIRA MEDICAL CENTER ELMERELMERNJ19$3,875.2$3,875.2$684.53$783.57$4,105
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ19$3,875.2$3,875.2$667.12$741.25$4,105
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ19$3,875.2$3,875.2$667.12$736.85$4,105
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ5$5,313$770.52$140$650$6,580
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$5,117$864.77$95.73$1,776$3,339
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$4,155$681$494$1,757$3,531.75
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$4,155$681$494$1,757$3,531.75
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$4,357$953.31$620$1,571.5$4,213.65
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$4,357$903.64$540.7$1,508.5$3,976.63
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$4,564$967.11$620$1,485$3,879.4
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$4,564$950.68$93.07$1,485$4,259.58
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$4,357$905.38$117$1,414.41$3,954.84
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$4,035$403.5

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.