▸ Hospital · NJ · CCN 310032

Inspira Medical center Vineland

1505 WEST SHERMAN AVE, VINELAND, NJ, 08360

280 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
203
of 209 target codes
Payers
19
with negotiated rates
Rates published
73,133
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88517$3,992$16,208$41,138
Psychiatric diagnostic evaluationCPT9079119$976.43$976.43$84$207.69$815.81
Psychiatric eval with medical servicesCPT9079219$976.43$976.43$51.79$213.67$815.81
Psychotherapy 30 minutesCPT9083219$1,197.22$1,197.22$72.1$211.68$1,000.28
Psychotherapy 45 minutesCPT9083419$1,476.9$1,476.9$95.4$213.67$1,233.95
Psychotherapy 60 minutesCPT9083719$1,476.9$1,476.9$43.21$233.96$1,233.95
Crisis psychotherapy 60 minutesCPT9083919$1,476.9$1,476.9$72.89$233.96$1,233.95
emergency
ED visit level 1CPT9928119$507.74$507.74$87.41$99.61$4,105
ED visit level 2CPT9928219$748.31$748.31$128.82$177.93$4,105
ED visit level 3CPT9928319$1,282.85$1,282.85$220.85$322.48$4,105
ED visit level 4CPT9928419$2,244.94$2,244.94$386.47$492.92$4,105
ED visit level 5CPT9928519$3,875.2$3,875.2$667.12$741.25$4,105
Critical care, first hourCPT9929119$3,829.2$3,829.2$659.2$975.81$4,105
imaging
CT head without contrastCPT7045019$536.26$536.26$92.32$125.85$626.17
CT head with contrastCPT7046019$1,055.86$1,055.86$181.77$211.15$953.47
CT head with and without contrastCPT7047019$1,189.03$1,189.03$197.34$232.18$1,070.6
CT neck with contrastCPT7049119$1,055.86$1,055.86$181.77$211.15$1,042.45
MRI brain without contrastCPT7055119$1,249.97$1,249.97$215.18$281.87$990
MRI brain with contrastCPT7055219$1,808.5$1,808.5$311.34$412.13$1,329.25
MRI brain with and without contrastCPT7055319$2,090.18$2,090.18$359.83$412.13$1,632.27
Chest X-ray single viewCPT7104519$243.45$243.45$20.26$97.91$200.71
Chest X-ray 2 viewsCPT7104619$309.16$309.16$37.25$97.91$213.6
Chest X-ray 3 viewsCPT7104719$243.45$243.45$41.91$97.91$200.71
CT chest without contrastCPT7125019$536.26$536.26$92.32$123.5$437.91
CT chest with contrastCPT7126019$1,055.86$1,055.86$181.77$207.21$4,427
CT chest with and without contrastCPT7127019$1,189.03$1,189.03$197.34$227.44$873.94
MRI chest without contrastCPT7155019$1,249.97$1,249.97$215.18$281.87$918.73
MRI chest with contrastCPT7155115$612.85$881.97$1,808.03
MRI chest with and without contrastCPT7155219$2,090.18$2,090.18$359.83$412.13$1,536.28
Lumbosacral spine X-rayCPT7210019$243.15$243.15$41.86$117.62$241.12
CT cervical spine without contrastCPT7212519$536.26$536.26$92.32$123.5$429.35
CT thoracic spine without contrastCPT7212819$536.26$536.26$92.32$123.5$429.35
CT lumbar spine without contrastCPT7213119$536.26$536.26$92.32$123.5$437.91
MRI cervical spine without contrastCPT7214119$1,249.97$1,249.97$215.18$281.87$990
MRI thoracic spine without contrastCPT7214619$1,249.97$1,249.97$215.18$281.87$990
MRI lumbar spine without contrastCPT7214819$1,249.97$1,249.97$215.18$281.87$990
MRI lumbar spine with and without contrastCPT7214919$1,808.5$1,808.5$311.34$412.13$1,329.25
MRI cervical spine with and without contrastCPT7215619$2,090.18$2,090.18$359.83$412.13$1,536.28
MRI lumbar spine with contrastCPT7215819$2,090.18$2,090.18$359.83$412.13$1,632.27
CT pelvis without contrastCPT7219219$536.26$536.26$92.32$123.5$430.92
CT pelvis with contrastCPT7219319$1,055.86$1,055.86$181.77$207.21$776.06
Shoulder X-rayCPT7303019$486.34$486.34$36.17$97.91$336.01
Humerus X-rayCPT7306019$486.34$486.34$36.17$97.91$336.01
Hand X-ray 3 viewsCPT7313019$486.34$486.34$40.96$97.91$336.01
MRI upper extremity joint without contrastCPT7322119$2,499.93$2,499.93$215.18$478.19$1,837.45
MRI upper extremity joint with and without contrastCPT7322319$2,090.18$2,090.18$359.83$412.13$1,536.28
Knee X-ray 1-2 viewsCPT7356019$486.34$486.34$36.17$97.91$336.01
Ankle X-ray 3 viewsCPT7361019$486.34$486.34$40.96$97.91$336.01
MRI lower extremity joint without contrastCPT7372119$2,499.93$2,499.93$215.18$478.19$1,837.45
MRI lower extremity joint with and without contrastCPT7372319$2,090.18$2,090.18$359.83$412.13$1,536.28
CT abdomen without contrastCPT7415019$536.26$536.26$92.32$123.5$4,427
CT abdomen with contrastCPT7416019$1,055.86$1,055.86$181.77$207.21$776.06
CT abdomen with and without contrastCPT7417019$1,189.03$1,189.03$197.34$227.44$873.94
CT abdomen and pelvis without contrastCPT7417619$1,025.28$1,025.28$176.5$281.87$753.58
CT abdomen and pelvis with contrastCPT7417719$1,654.33$1,654.33$284.8$412.13$1,215.93
CT abdomen and pelvis with and without contrastCPT7417819$1,654.33$1,654.33$284.8$412.13$1,215.93
MRI abdomen without contrastCPT7418119$1,249.97$1,249.97$215.18$281.87$990
MRI abdomen with and without contrastCPT7418319$2,090.18$2,090.18$359.83$412.13$1,536.28
Abdominal ultrasound completeCPT7670019$570.61$570.61$98.23$123.5$600.83
Abdominal ultrasound limitedCPT7670519$570.61$570.61$98.23$123.5$4,427
Retroperitoneal ultrasound completeCPT7677019$570.61$570.61$98.23$123.5$566.51
Obstetric ultrasound first trimesterCPT7680119$570.61$570.61$98.23$123.5$533.92
Obstetric ultrasound after first trimesterCPT7680519$570.61$570.61$98.23$123.5$419.4
Obstetric ultrasound with fetal anatomyCPT7681119$1,201.55$1,201.55$197.38$268.44$883.14
Transvaginal ultrasoundCPT7683019$570.61$570.61$98.23$123.5$538.12
Pelvic ultrasound completeCPT7685619$570.61$570.61$98.23$123.5$528.9
Scrotal ultrasoundCPT7687019$570.61$570.61$98.23$123.5$419.4
Diagnostic mammography unilateralCPT7706519$954.09$954.09$96.1$143.33$701.26
Diagnostic mammography bilateralCPT7706619$1,908.19$1,908.19$122.45$181.62$1,402.52
Screening mammography bilateralCPT7706719$572.45$572.45$93$136.59$420.75
EKG completeCPT9300015$16.49$16.74$196.24
EKG tracing onlyCPT9300519$461.85$461.85$66.37$88.34$339.46
EKG interpretation onlyCPT9301013$8.82$8.82$18.09
Transthoracic echocardiogram completeCPT9330619$5,580.78$5,580.78$614.76$1,067.49$4,101.87
Transthoracic echocardiogramCPT9330715$268.44$276.5$2,104
Stress echocardiogramCPT9335019$2,772.39$2,772.39$477.27$645.49$2,813
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06417$11,239$24,183$63,826
Intracranial hemorrhage/CVA w CCMS-DRG06517$5,974$13,038$33,927
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06617$4,168$9,408.71$23,669
Respiratory infections & inflammations w MCCMS-DRG17717$10,830$19,190$61,505
COPD w MCCMS-DRG19017$6,590$14,123$37,423
COPD w CCMS-DRG19117$5,179$11,175$29,414
COPD w/o CC/MCCMS-DRG19217$4,074$8,936.48$23,137
Simple pneumonia & pleurisy w CCMS-DRG19417$5,060$10,762$28,735
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19517$3,900$8,786.14$22,146
AMI discharged alive w MCCMS-DRG28017$9,412$19,652$53,449
AMI discharged alive w CCMS-DRG28117$5,450$12,023$30,954
AMI discharged alive w/o CC/MCCMS-DRG28217$4,253$9,839.72$24,152
Heart failure & shock w MCCMS-DRG29117$7,428$16,084$42,186
Heart failure & shock w CCMS-DRG29217$5,057$11,242$28,722
Heart failure & shock w/o CC/MCCMS-DRG29317$3,455$8,090.07$19,621
Cardiac arrhythmia w MCCMS-DRG30817$7,034$15,196$39,944
Cardiac arrhythmia w CCMS-DRG30917$4,396$9,980.04$24,963
Cardiac arrhythmia w/o CC/MCCMS-DRG31017$3,275$8,091.2$18,600
GI hemorrhage w CCMS-DRG37817$5,819$12,709$33,046
GI hemorrhage w/o CC/MCCMS-DRG37917$3,732$8,807.31$21,195
Esophagitis/gastroenteritis w/o MCCMS-DRG39217$4,485$10,469$25,737
Fractures of femur w/o MCCMS-DRG53317$8,295$19,246$47,106
Kidney/UTI w MCCMS-DRG68917$6,526$14,709$37,061
Kidney/UTI w/o MCCMS-DRG69017$4,650$10,802$26,410
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87117$10,965$23,420$62,273
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87217$6,011$13,183$34,137
Initial hospital care, low complexityCPT9922113$78.54$78.54$161
Initial hospital care, moderate complexityCPT9922213$110$123.18$252.52
Initial hospital care, high complexityCPT9922313$110$164.67$337.56
Hospital discharge, <30 minCPT9923813$41.5$79.12$162.19
Hospital discharge, >30 minCPT9923913$60.01$112.64$230.92
lab
Basic metabolic panel (BMP)CPT8004819$28.63$28.63$5.48$8.71$38.91
General health panelCPT8005010$447.05$447.05$38.88$85.51$183.02
Electrolyte panelCPT8005119$17.89$17.89$3.42$7.01$32.26
Comprehensive metabolic panelCPT8005319$32.37$32.37$6.19$10.88$48.6
Lipid panelCPT8006119$45.35$45.35$8.67$13.79$61.6
Renal function panelCPT8006919$29.45$29.45$5.63$8.94$39.9
Hepatic function panelCPT8007619$27.7$27.7$5.3$8.17$37.56
Urinalysis non-automatedCPT8100216$1.08$3.48$11.75
Urinalysis automatedCPT8100319$7.59$7.59$1.45$2.25$10.34
Glucose quantitativeCPT8294719$13.3$13.3$2.54$3.93$18.04
Hemoglobin A1cCPT8303619$32.86$32.86$6.29$9.71$44.62
Thyroid stimulating hormone (TSH)CPT8444319$56.92$56.92$10.89$17.3$77.23
Complete blood count with automated differentialCPT8502519$26.34$26.34$5.04$7.77$35.76
Complete blood count without differentialCPT8502719$21.94$21.94$4.2$6.47$29.76
Urine culture bacterialCPT8708619$27.33$27.33$5.23$8.07$37.14
Urine culture identificationCPT8708819$27.42$27.42$2.92$8.09$37.24
Tissue exam by pathologist level IVCPT8830519$154.9$154.9$29.63$58.63$159.94
maternity
Fetal non-stress testCPT5902519$1,395.32$1,395.32$227.46$266.9$1,165.79
Routine obstetric care including vaginal deliveryCPT5940013$1,137.3$2,355.71$4,829.2
Vaginal delivery onlyCPT5940919$10,394$10,394$932.07$3,642$7,466.1
Vaginal delivery with postpartumCPT5941013$889.46$1,034.44$6,872
Routine obstetric care with C-sectionCPT5951013$1,333.54$2,631.76$5,395.1
C-section delivery onlyCPT5951413$872.26$872.26$1,788.14
C-section with postpartumCPT5951513$1,061.64$1,299.12$12,874
office
Office visit, new patient, 15-29 minCPT9920213$42.02$80.46$164.95
Office visit, new patient, 30-44 minutesCPT9920313$64.24$125.64$257.55
Office visit, new patient, 45-59 minCPT9920413$95.55$189.2$387.86
Office visit, new patient, 60-74 minCPT9920513$126.02$252.58$517.79
Office visit, established patient, 5 minCPT9921119$360.91$360.91$16$41.24$1,239
Office visit, established patient, 10-19 minCPT9921219$421.18$421.18$49.06$72.51$3,867
Office visit, established patient, 20-29 minutesCPT9921319$449.1$449.1$77.31$101.71$1,239
Office visit, established patient, 30-39 minutesCPT9921419$673.67$673.67$115.97$144.77$1,239
Office visit, established patient, 40-54 minCPT9921513$161.06$205.26$420.78
preventive
Upper GI endoscopy diagnosticCPT4323519$2,727.68$2,727.68$336.73$1,051.04$4,105
Upper GI endoscopy with biopsyCPT4323913$447.25$1,020.42$8,155
Sigmoidoscopy diagnosticCPT4533013$105.93$1,046.27$6,872
Sigmoidoscopy with biopsyCPT4533113$120.42$1,046.27$6,872
Colonoscopy diagnosticCPT4537813$370.4$1,046.27$8,155
Colonoscopy with biopsyCPT4538013$446.45$1,346.31$8,155
Colonoscopy with polyp removalCPT4538513$604.33$1,346.31$8,155
surgery
Total shoulder arthroplastyCPT2347212$12,874$19,727$40,440
PCI w drug-eluting stent w MCCMS-DRG2463$18,299$93,063$103,920
PCI w drug-eluting stent w/o MCCMS-DRG2473$11,557$59,757$65,633
Hip hemiarthroplastyCPT2712513$1,077.09$14,444$29,611
Total hip replacementCPT2713013$1,884.35$14,444$29,611
Total knee replacementCPT2744713$1,465.18$14,444$29,611
Knee revision arthroplasty single componentCPT2748613$1,616.75$14,444$29,611
Knee revision arthroplasty all componentsCPT2748713$1,696.63$19,727$40,440
Shoulder arthroscopy with decompressionCPT2982613$156.22$156.22$11,208
Shoulder arthroscopy with rotator cuff repairCPT2982713$992.35$8,163.76$16,736
Knee arthroscopy with meniscectomyCPT2988113$633.32$3,681.24$13,320
ACL reconstructionCPT2988813$976.61$8,163.76$16,736
Major small/large bowel procedures w MCCMS-DRG32917$28,618$52,978$162,525
Major small/large bowel procedures w CCMS-DRG33017$14,931$28,484$84,795
Major small/large bowel procedures w/o CC/MCCMS-DRG33117$10,018$20,529$56,895
CABG single arterial graftCPT3353313$1,863.81$1,863.81$3,820.82
CABG 2 arterial graftsCPT3353413$2,184.87$2,184.87$4,478.99
CABG 3 arterial graftsCPT3353513$2,421.91$2,421.91$4,964.92
CABG 4+ arterial graftsCPT3353613$2,606.96$2,606.96$5,344.26
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41817$9,892$20,626$56,180
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41917$7,704$16,998$43,750
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42017$20,596$39,732$116,966
Open appendectomyCPT4495013$568.63$7,283.51$14,931
Laparoscopic appendectomyCPT4497013$507.79$6,801.65$13,943
Spinal fusion (non-cervical) w MCCMS-DRG4593$39,438$202,988$223,970
Spinal fusion (non-cervical) w/o MCCMS-DRG4603$23,022$116,805$130,743
Major joint replacement w MCCMS-DRG46917$18,074$35,568$102,643
Major joint replacement w/o MCCMS-DRG47017$11,130$23,269$63,208
Laparoscopic cholecystectomyCPT4756212$6,801.65$6,801.65$13,943
Lap cholecystectomy with cholangiographyCPT4756312$6,801.65$6,801.65$13,943
Hip & femur procedures except major joint w MCCMS-DRG48017$17,722$34,221$100,644
Hip & femur procedures except major joint w CCMS-DRG48117$12,277$25,113$69,720
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48217$9,639$19,951$54,743
Open umbilical hernia repairCPT495601$614.65$614.65$614.65
Umbilical hernia repair age 5+CPT495851$405.86$405.86$405.86
Lap inguinal hernia repairCPT4965013$405.86$6,801.65$13,943
Total abdominal hysterectomyCPT5815013$814.4$990.33$13,727
Vaginal hysterectomyCPT5826013$777.16$5,628.12$12,874
Lap-assisted vaginal hysterectomyCPT5855013$848.78$6,801.65$13,943
Lap-assisted vaginal hysterectomy >250gCPT5855213$795.11$11,959$24,517
Lap salpingo-oophorectomyCPT5866113$638.58$6,801.65$13,943
OR procedure for obesity w MCCMS-DRG61917$17,932$33,944$101,838
OR procedure for obesity w CCMS-DRG62017$10,324$19,609$58,631
OR procedure for obesity w/o CC/MCCMS-DRG62117$9,354$18,586$53,123
Complex cataract surgeryCPT6698213$1,494.1$2,596.47$12,874
Cataract surgery with lens implantCPT6698413$1,143.99$2,596.47$12,874
Intravitreal injectionCPT6702813$178.4$371.62$6,872
Vitrectomy mechanicalCPT6704212$4,650.4$4,650.4$12,874
Uterine & adnexa procedures w CC/MCCMS-DRG74317$6,635$15,604$37,679
Uterine & adnexa procedures w/o CC/MCCMS-DRG74417$10,516$24,608$59,719
PCI single major coronary arteryCPT9292019$28,748$28,748$3,378$6,723.59$158,133
PCI with drug-eluting stentCPT9292819$55,474$55,474$3,378$12,988$158,133
PCI bypass graftCPT9293719$55,474$55,474$3,378$12,988$158,133
Left heart catheterizationCPT9345219$17,050$17,050$2,935.23$3,829.78$158,133
Coronary angiography with cathCPT9345519$17,050$17,050$2,935.23$3,829.78$158,133
Coronary angiography with bypass cathCPT9345819$17,050$17,050$2,935.23$3,829.78$158,133

Payer mix (top 19)

PayerCodes coveredMedian rate
horizon nj health199$519.2
Aetna197$449.43
braven health197$392.51
UnitedHealthcare197$371.86
Medicare196$392.51
WellCare196$392.51
clover health196$392.51
wellpoint full dual advantage196$392.51
healthspring196$404.28
Ambetter196$804.64
horizon nj total care196$392.51
Humana196$412.13
jefferson health plan196$419.98
Blue Cross Blue Shield151$1,381.61
amerihealth151$1,000.28
oxford health plans144$1,175.53
Cigna143$740.4
fidelis care of nj100$143.14
wellpoint100$146.12