▸ Hospital · NJ · CCN 310069

Inspira Medical Center Elmer

501 FRONT STREET, ELMER, NJ, 08318

301 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

203

of 209 target codes

Payers

with negotiated rates

Rates published

72,849

last crawl 2026-05-24

▸ Compare with other hospitals All NJ hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.inspirahealthnetwork.org/sites/default/files/price_transparency/210634484_inspira-medical-center-elmer_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	17	—	—	$3,992	$13,473	$39,939
Psychiatric diagnostic evaluation	CPT	90791	19	$976.43	$976.43	$88.8	$199.02	$815.81
Psychiatric eval with medical services	CPT	90792	19	$976.43	$976.43	$51.79	$201.55	$815.81
Psychotherapy 30 minutes	CPT	90832	19	$1,197.22	$1,197.22	$72.1	$191.95	$1,000.28
Psychotherapy 45 minutes	CPT	90834	19	$1,476.9	$1,476.9	$95.4	$191.95	$1,233.95
Psychotherapy 60 minutes	CPT	90837	19	$1,476.9	$1,476.9	$43.21	$230.36	$1,233.95
Crisis psychotherapy 60 minutes	CPT	90839	19	$1,476.9	$1,476.9	$72.89	$230.36	$1,233.95
emergency
ED visit level 1	CPT	99281	19	$507.74	$507.74	$92.4	$104.21	$4,105
ED visit level 2	CPT	99282	19	$748.31	$748.31	$136.18	$182.11	$4,105
ED visit level 3	CPT	99283	19	$1,282.85	$1,282.85	$233.45	$324.61	$4,105
ED visit level 4	CPT	99284	19	$2,244.94	$2,244.94	$408.53	$499.2	$4,105
ED visit level 5	CPT	99285	19	$3,875.2	$3,875.2	$684.53	$783.57	$4,105
Critical care, first hour	CPT	99291	19	$3,829.2	$3,829.2	$696.84	$987.81	$4,105
imaging
CT head without contrast	CPT	70450	19	$536.26	$536.26	$97.59	$127.04	$626.17
CT head with contrast	CPT	70460	19	$1,055.86	$1,055.86	$192.15	$217.94	$953.47
CT head with and without contrast	CPT	70470	19	$1,189.03	$1,189.03	$198.76	$245.43	$1,070.6
CT neck with contrast	CPT	70491	19	$1,055.86	$1,055.86	$192.15	$217.94	$1,042.45
MRI brain without contrast	CPT	70551	19	$1,249.97	$1,249.97	$227.47	$283.37	$990
MRI brain with contrast	CPT	70552	19	$1,808.5	$1,808.5	$329.11	$418.68	$1,329.25
MRI brain with and without contrast	CPT	70553	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,632.27
Chest X-ray single view	CPT	71045	19	$243.45	$243.45	$20.26	$98.31	$201.54
Chest X-ray 2 views	CPT	71046	19	$309.16	$309.16	$37.25	$98.31	$213.6
Chest X-ray 3 views	CPT	71047	19	$243.45	$243.45	$44.3	$98.31	$201.54
CT chest without contrast	CPT	71250	19	$536.26	$536.26	$97.59	$124.67	$437.91
CT chest with contrast	CPT	71260	19	$1,055.86	$1,055.86	$192.15	$213.49	$4,257
CT chest with and without contrast	CPT	71270	19	$1,189.03	$1,189.03	$198.76	$240.42	$873.94
MRI chest without contrast	CPT	71550	19	$1,249.97	$1,249.97	$227.47	$283.37	$918.73
MRI chest with contrast	CPT	71551	15	—	—	$612.85	$882.1	$1,808.31
MRI chest with and without contrast	CPT	71552	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,536.28
Lumbosacral spine X-ray	CPT	72100	19	$243.15	$243.15	$44.25	$118.73	$243.4
CT cervical spine without contrast	CPT	72125	19	$536.26	$536.26	$97.59	$124.67	$429.35
CT thoracic spine without contrast	CPT	72128	19	$536.26	$536.26	$97.59	$124.67	$429.35
CT lumbar spine without contrast	CPT	72131	19	$536.26	$536.26	$97.59	$124.67	$437.91
MRI cervical spine without contrast	CPT	72141	19	$1,249.97	$1,249.97	$227.47	$283.37	$990
MRI thoracic spine without contrast	CPT	72146	19	$1,249.97	$1,249.97	$227.47	$283.37	$990
MRI lumbar spine without contrast	CPT	72148	19	$1,249.97	$1,249.97	$227.47	$283.37	$990
MRI lumbar spine with and without contrast	CPT	72149	19	$1,808.5	$1,808.5	$329.11	$418.68	$1,329.25
MRI cervical spine with and without contrast	CPT	72156	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,536.28
MRI lumbar spine with contrast	CPT	72158	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,632.27
CT pelvis without contrast	CPT	72192	19	$536.26	$536.26	$97.59	$124.67	$430.92
CT pelvis with contrast	CPT	72193	19	$1,055.86	$1,055.86	$192.15	$213.49	$776.06
Shoulder X-ray	CPT	73030	19	$486.34	$486.34	$36.17	$98.31	$336.01
Humerus X-ray	CPT	73060	19	$486.34	$486.34	$36.17	$98.31	$336.01
Hand X-ray 3 views	CPT	73130	19	$486.34	$486.34	$40.96	$98.31	$336.01
MRI upper extremity joint without contrast	CPT	73221	19	$2,499.93	$2,499.93	$227.47	$505.49	$1,837.45
MRI upper extremity joint with and without contrast	CPT	73223	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,536.28
Knee X-ray 1-2 views	CPT	73560	19	$486.34	$486.34	$36.17	$98.31	$336.01
Ankle X-ray 3 views	CPT	73610	19	$486.34	$486.34	$40.96	$98.31	$336.01
MRI lower extremity joint without contrast	CPT	73721	19	$2,499.93	$2,499.93	$227.47	$505.49	$1,837.45
MRI lower extremity joint with and without contrast	CPT	73723	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,536.28
CT abdomen without contrast	CPT	74150	19	$536.26	$536.26	$97.59	$124.67	$4,257
CT abdomen with contrast	CPT	74160	19	$1,055.86	$1,055.86	$192.15	$213.49	$776.06
CT abdomen with and without contrast	CPT	74170	19	$1,189.03	$1,189.03	$198.76	$240.42	$873.94
CT abdomen and pelvis without contrast	CPT	74176	19	$1,025.28	$1,025.28	$186.58	$283.37	$753.58
CT abdomen and pelvis with contrast	CPT	74177	19	$1,654.33	$1,654.33	$301.05	$418.68	$1,215.93
CT abdomen and pelvis with and without contrast	CPT	74178	19	$1,654.33	$1,654.33	$301.05	$418.68	$1,215.93
MRI abdomen without contrast	CPT	74181	19	$1,249.97	$1,249.97	$227.47	$283.37	$990
MRI abdomen with and without contrast	CPT	74183	19	$2,090.18	$2,090.18	$380.37	$422.66	$1,536.28
Abdominal ultrasound complete	CPT	76700	19	$570.61	$570.61	$103.84	$124.67	$600.83
Abdominal ultrasound limited	CPT	76705	19	$570.61	$570.61	$103.84	$124.67	$4,257
Retroperitoneal ultrasound complete	CPT	76770	19	$570.61	$570.61	$103.84	$124.67	$566.51
Obstetric ultrasound first trimester	CPT	76801	19	$570.61	$570.61	$103.84	$124.67	$533.92
Obstetric ultrasound after first trimester	CPT	76805	19	$570.61	$570.61	$103.84	$124.67	$419.4
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$1,201.55	$1,201.55	$197.38	$269.88	$883.14
Transvaginal ultrasound	CPT	76830	19	$570.61	$570.61	$103.84	$124.67	$538.12
Pelvic ultrasound complete	CPT	76856	19	$570.61	$570.61	$103.84	$124.67	$528.9
Scrotal ultrasound	CPT	76870	19	$570.61	$570.61	$103.84	$124.67	$419.4
Diagnostic mammography unilateral	CPT	77065	10	$954.09	$954.09	$96.1	$193.38	$701.26
Diagnostic mammography bilateral	CPT	77066	10	$1,908.19	$1,908.19	$122.45	$385.84	$1,402.52
Screening mammography bilateral	CPT	77067	10	$572.45	$572.45	$65.03	$118.16	$420.75
EKG complete	CPT	93000	3	—	—	$148.5	$148.5	$196.24
EKG tracing only	CPT	93005	19	$461.85	$461.85	$66.32	$93.39	$339.46
EKG interpretation only	CPT	93010	1	—	—	$12.27	$12.27	$12.27
Transthoracic echocardiogram complete	CPT	93306	19	$5,580.78	$5,580.78	$612.18	$1,128.43	$4,101.87
Transthoracic echocardiogram	CPT	93307	15	—	—	$269.88	$277.98	$2,023
Stress echocardiogram	CPT	93350	19	$2,772.39	$2,772.39	$504.52	$642.79	$2,813
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	—	$11,239	$21,094	$63,826
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	—	$5,974	$10,215	$33,927
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	—	$4,168	$6,671.48	$23,669
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$10,830	$16,220	$61,505
COPD w MCC	MS-DRG	190	17	—	—	$6,590	$11,273	$37,423
COPD w CC	MS-DRG	191	17	—	—	$5,179	$8,395.71	$29,414
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$4,074	$6,210.53	$23,137
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$5,060	$7,992.37	$28,735
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$3,900	$6,063.76	$22,146
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$9,412	$16,670	$53,449
AMI discharged alive w CC	MS-DRG	281	17	—	—	$5,450	$9,223.03	$30,954
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$4,253	$7,092.22	$24,152
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$7,428	$13,188	$42,186
Heart failure & shock w CC	MS-DRG	292	17	—	—	$5,057	$8,460.95	$28,722
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$3,455	$5,384.29	$19,621
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$7,034	$12,320	$39,944
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$4,396	$7,229.2	$24,963
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$3,275	$5,385.36	$18,600
GI hemorrhage w CC	MS-DRG	378	17	—	—	$5,819	$9,892.73	$33,046
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$3,732	$6,084.41	$21,195
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$4,485	$7,706.45	$25,472
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$8,295	$16,274	$47,106
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$6,526	$11,845	$37,061
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$4,650	$8,031.52	$26,410
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$10,965	$20,349	$62,273
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$6,011	$10,356	$34,137
Initial hospital care, low complexity	CPT	99221	1	—	—	$110	$110	$110
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$110	$110	$110
Initial hospital care, high complexity	CPT	99223	1	—	—	$110	$110	$110
Hospital discharge, <30 min	CPT	99238	1	—	—	$41.5	$41.5	$41.5
Hospital discharge, >30 min	CPT	99239	1	—	—	$60.01	$60.01	$60.01
lab
Basic metabolic panel (BMP)	CPT	80048	19	$28.63	$28.63	$5.79	$8.71	$38.91
General health panel	CPT	80050	10	$447.05	$447.05	$38.88	$90.39	$183.02
Electrolyte panel	CPT	80051	19	$17.89	$17.89	$3.62	$7.01	$32.26
Comprehensive metabolic panel	CPT	80053	19	$32.37	$32.37	$6.55	$10.88	$48.6
Lipid panel	CPT	80061	19	$45.35	$45.35	$9.17	$13.79	$61.6
Renal function panel	CPT	80069	19	$29.45	$29.45	$5.95	$8.94	$39.9
Hepatic function panel	CPT	80076	19	$27.7	$27.7	$5.6	$8.17	$37.56
Urinalysis non-automated	CPT	81002	16	—	—	$1.08	$3.48	$11.75
Urinalysis automated	CPT	81003	19	$7.59	$7.59	$1.53	$2.25	$10.34
Glucose quantitative	CPT	82947	19	$13.3	$13.3	$2.69	$3.93	$18.04
Hemoglobin A1c	CPT	83036	19	$32.86	$32.86	$6.64	$9.71	$44.62
Thyroid stimulating hormone (TSH)	CPT	84443	19	$56.92	$56.92	$11.51	$17.3	$77.23
Complete blood count with automated differential	CPT	85025	19	$26.34	$26.34	$5.33	$7.77	$35.76
Complete blood count without differential	CPT	85027	19	$21.94	$21.94	$4.44	$6.47	$29.76
Urine culture bacterial	CPT	87086	19	$27.33	$27.33	$5.53	$8.07	$37.14
Urine culture identification	CPT	87088	19	$27.42	$27.42	$2.92	$8.09	$37.24
Tissue exam by pathologist level IV	CPT	88305	19	$154.9	$154.9	$31.32	$59.65	$159.94
maternity
Fetal non-stress test	CPT	59025	19	$1,395.32	$1,395.32	$224.61	$282.13	$1,165.79
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$1,137.3	$1,137.3	$1,137.3
Vaginal delivery only	CPT	59409	19	$10,394	$10,394	$932.07	$3,549.95	$7,277.4
Vaginal delivery with postpartum	CPT	59410	2	—	—	$889.46	$3,880.73	$6,872
Routine obstetric care with C-section	CPT	59510	1	—	—	$1,333.54	$1,333.54	$1,333.54
C-section delivery only	CPT	59514	1	—	—	$958.9	$958.9	$958.9
C-section with postpartum	CPT	59515	2	—	—	$1,061.64	$6,967.82	$12,874
office
Office visit, new patient, 15-29 min	CPT	99202	1	—	—	$42.02	$52.85	$92.13
Office visit, new patient, 30-44 minutes	CPT	99203	1	—	—	$64.24	$97.13	$130.01
Office visit, new patient, 45-59 min	CPT	99204	1	—	—	$95.55	$146.5	$197.44
Office visit, new patient, 60-74 min	CPT	99205	1	—	—	$126.02	$187.54	$249.05
Office visit, established patient, 5 min	CPT	99211	10	$360.91	$360.91	$16	$156.53	$1,239
Office visit, established patient, 10-19 min	CPT	99212	10	$421.18	$421.18	$47.85	$278.4	$3,867
Office visit, established patient, 20-29 minutes	CPT	99213	10	$449.1	$449.1	$51.02	$100.56	$1,239
Office visit, established patient, 30-39 minutes	CPT	99214	10	$673.67	$673.67	$76.53	$142.43	$1,239
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$161.06	$175.79	$198.34
preventive
Upper GI endoscopy diagnostic	CPT	43235	19	$2,727.68	$2,727.68	$336.73	$1,078.19	$4,105
Upper GI endoscopy with biopsy	CPT	43239	13	—	—	$447.25	$1,046.79	$8,155
Sigmoidoscopy diagnostic	CPT	45330	13	—	—	$105.93	$1,017.92	$6,872
Sigmoidoscopy with biopsy	CPT	45331	13	—	—	$120.42	$1,017.92	$6,872
Colonoscopy diagnostic	CPT	45378	13	—	—	$370.4	$1,017.92	$8,155
Colonoscopy with biopsy	CPT	45380	13	—	—	$446.45	$1,316.44	$8,155
Colonoscopy with polyp removal	CPT	45385	13	—	—	$604.33	$1,316.44	$8,155
surgery
Total shoulder arthroplasty	CPT	23472	12	—	—	$12,874	$20,532	$42,092
PCI w drug-eluting stent w MCC	MS-DRG	246	3	—	—	$18,299	$92,413	$103,920
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	—	—	$11,557	$58,768	$65,633
Hip hemiarthroplasty	CPT	27125	2	—	—	$1,077.09	$7,231.05	$13,385
Total hip replacement	CPT	27130	13	—	—	$1,884.35	$14,366	$29,450
Total knee replacement	CPT	27447	13	—	—	$1,465.18	$14,366	$29,450
Knee revision arthroplasty single component	CPT	27486	2	—	—	$1,616.75	$7,500.88	$13,385
Knee revision arthroplasty all components	CPT	27487	2	—	—	$1,696.63	$7,540.82	$13,385
Shoulder arthroscopy with decompression	CPT	29826	2	—	—	$668.35	$5,938.18	$11,208
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	—	$992.35	$7,975.97	$16,351
Knee arthroscopy with meniscectomy	CPT	29881	13	—	—	$633.32	$3,622.61	$13,320
ACL reconstruction	CPT	29888	13	—	—	$976.61	$7,975.97	$16,351
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$28,618	$49,202	$162,525
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$14,931	$25,292	$84,795
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$10,018	$17,527	$56,895
CABG single arterial graft	CPT	33533	1	—	—	$2,285.75	$2,285.75	$2,285.75
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,921.3	$2,921.3	$2,921.3
CABG 3 arterial grafts	CPT	33535	1	—	—	$3,478.8	$3,478.8	$3,478.8
CABG 4+ arterial grafts	CPT	33536	1	—	—	$3,478.8	$3,478.8	$3,478.8
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$9,892	$17,621	$56,180
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$7,704	$14,079	$43,750
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$20,596	$36,271	$116,966
Open appendectomy	CPT	44950	13	—	—	$568.63	$6,966.68	$14,282
Laparoscopic appendectomy	CPT	44970	13	—	—	$507.79	$6,514.06	$13,354
Spinal fusion (non-cervical) w MCC	MS-DRG	459	3	—	—	$39,438	$201,470	$223,970
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	3	—	—	$23,022	$116,132	$130,743
Major joint replacement w MCC	MS-DRG	469	17	—	—	$18,074	$32,207	$102,643
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$11,130	$20,201	$63,208
Laparoscopic cholecystectomy	CPT	47562	12	—	—	$6,514.06	$6,514.06	$13,354
Lap cholecystectomy with cholangiography	CPT	47563	12	—	—	$6,514.06	$6,514.06	$13,354
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$17,722	$30,892	$100,644
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$12,277	$22,001	$69,720
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$9,639	$16,962	$54,743
Open umbilical hernia repair	CPT	49560	1	—	—	$614.65	$614.65	$614.65
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$405.86	$405.86	$405.86
Lap inguinal hernia repair	CPT	49650	13	—	—	$405.86	$6,514.06	$13,354
Total abdominal hysterectomy	CPT	58150	2	—	—	$814.4	$7,270.7	$13,727
Vaginal hysterectomy	CPT	58260	13	—	—	$777.16	$5,511.55	$12,874
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	—	$848.78	$6,514.06	$13,385
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	—	$795.11	$11,624	$23,829
Lap salpingo-oophorectomy	CPT	58661	13	—	—	$638.58	$6,514.06	$13,354
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$17,932	$30,621	$101,838
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$10,324	$16,629	$58,631
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$9,354	$15,630	$53,123
Complex cataract surgery	CPT	66982	13	—	—	$1,494.1	$2,546.44	$12,874
Cataract surgery with lens implant	CPT	66984	13	—	—	$1,143.99	$2,546.44	$12,874
Intravitreal injection	CPT	67028	13	—	—	$178.4	$370.33	$6,872
Vitrectomy mechanical	CPT	67042	12	—	—	$4,491.52	$4,491.52	$12,874
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$6,635	$12,719	$37,679
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$10,516	$21,508	$59,719
PCI single major coronary artery	CPT	92920	19	$28,748	$28,748	$3,378	$6,684.04	$158,133
PCI with drug-eluting stent	CPT	92928	19	$55,474	$55,474	$3,378	$12,662	$158,133
PCI bypass graft	CPT	92937	19	$55,474	$55,474	$3,378	$12,662	$158,133
Left heart catheterization	CPT	93452	19	$17,050	$17,050	$3,102.8	$3,770.68	$158,133
Coronary angiography with cath	CPT	93455	19	$17,050	$17,050	$3,102.8	$3,770.68	$158,133
Coronary angiography with bypass cath	CPT	93458	19	$17,050	$17,050	$3,102.8	$3,770.68	$158,133

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 19)

Payer	Codes covered	Median rate
horizon nj health	199	$519.2
Aetna	178	$505.49
braven health	171	$398.74
UnitedHealthcare	171	$380.37
wellpoint full dual advantage	163	$398.74
Ambetter	163	$817.42
horizon nj total care	163	$398.74
Humana	163	$418.68
jefferson health plan	163	$426.65
Medicare	163	$398.74
WellCare	163	$398.74
clover health	163	$398.74
healthspring	163	$410.7
Blue Cross Blue Shield	151	$1,381.61
amerihealth	151	$1,000.28
oxford health plans	144	$1,175.53
Cigna	143	$740.4
fidelis care of nj	100	$151.31
wellpoint	100	$154.46