▸ Hospital · NJ · CCN 310081

Inspira Medical Center Woodbury

509 NORTH BOARD STREET, WOODBURY, NJ, 08096

233 beds2
Compliance grade
A
100/100
Procedures tracked
193
of 209 target codes
Payers
19
with negotiated rates
Rates published
67,561
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88517$3,992$13,473$41,138
Psychiatric diagnostic evaluationCPT9079118$976.43$976.43$84$190.15$815.81
Psychiatric eval with medical servicesCPT9079218$976.43$976.43$84$190.15$815.81
Psychotherapy 30 minutesCPT9083218$1,197.22$1,197.22$179.39$206.1$1,000.28
Psychotherapy 45 minutesCPT9083418$1,476.9$1,476.9$179.39$254.25$1,233.95
Psychotherapy 60 minutesCPT9083718$1,476.9$1,476.9$179.39$254.25$1,233.95
Crisis psychotherapy 60 minutesCPT9083918$1,476.9$1,476.9$179.39$254.25$1,233.95
emergency
ED visit level 1CPT9928119$507.74$507.74$87.41$102.25$4,105
ED visit level 2CPT9928219$748.31$748.31$128.82$179.46$4,105
ED visit level 3CPT9928319$1,282.85$1,282.85$220.85$321.52$4,105
ED visit level 4CPT9928419$2,244.94$2,244.94$386.47$494.45$4,105
ED visit level 5CPT9928519$3,875.2$3,875.2$667.12$736.85$4,105
Critical care, first hourCPT9929119$3,829.2$3,829.2$659.2$978.4$4,105
imaging
CT head without contrastCPT7045019$536.26$536.26$92.32$126.45$626.17
CT head with contrastCPT7046019$1,055.86$1,055.86$181.77$211.68$953.47
CT head with and without contrastCPT7047019$1,189.03$1,189.03$198.76$229.81$1,070.6
CT neck with contrastCPT7049119$1,055.86$1,055.86$181.77$211.68$1,042.45
MRI brain without contrastCPT7055119$1,249.97$1,249.97$215.18$280.68$990
MRI brain with contrastCPT7055219$1,808.5$1,808.5$311.34$414.69$1,329.25
MRI brain with and without contrastCPT7055319$2,090.18$2,090.18$359.83$414.69$1,632.27
Chest X-ray single viewCPT7104519$243.45$243.45$20.26$98.31$201.54
Chest X-ray 2 viewsCPT7104619$309.16$309.16$37.25$98.31$213.6
Chest X-ray 3 viewsCPT7104719$243.45$243.45$41.91$98.31$201.54
CT chest without contrastCPT7125019$536.26$536.26$92.32$123.48$437.91
CT chest with contrastCPT7126019$1,055.86$1,055.86$181.77$207.44$4,257
CT chest with and without contrastCPT7127019$1,189.03$1,189.03$198.76$220.06$873.94
MRI chest without contrastCPT7155019$1,249.97$1,249.97$215.18$280.68$918.73
MRI chest with contrastCPT7155114$612.85$882.1$1,808.31
MRI chest with and without contrastCPT7155219$2,090.18$2,090.18$359.83$414.69$1,536.28
Lumbosacral spine X-rayCPT7210019$243.15$243.15$41.86$118.73$243.4
CT cervical spine without contrastCPT7212519$536.26$536.26$92.32$123.48$429.35
CT thoracic spine without contrastCPT7212819$536.26$536.26$92.32$123.48$429.35
CT lumbar spine without contrastCPT7213119$536.26$536.26$92.32$123.48$437.91
MRI cervical spine without contrastCPT7214119$1,249.97$1,249.97$215.18$280.68$990
MRI thoracic spine without contrastCPT7214619$1,249.97$1,249.97$215.18$280.68$990
MRI lumbar spine without contrastCPT7214819$1,249.97$1,249.97$215.18$280.68$990
MRI lumbar spine with and without contrastCPT7214919$1,808.5$1,808.5$311.34$414.69$1,329.25
MRI cervical spine with and without contrastCPT7215619$2,090.18$2,090.18$359.83$414.69$1,536.28
MRI lumbar spine with contrastCPT7215819$2,090.18$2,090.18$359.83$414.69$1,632.27
CT pelvis without contrastCPT7219219$536.26$536.26$92.32$123.48$430.92
CT pelvis with contrastCPT7219319$1,055.86$1,055.86$181.77$207.44$776.06
Shoulder X-rayCPT7303019$486.34$486.34$36.17$98.31$336.01
Humerus X-rayCPT7306019$486.34$486.34$36.17$98.31$336.01
Hand X-ray 3 viewsCPT7313019$486.34$486.34$40.96$98.31$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$414.69$1,536.28
Knee X-ray 1-2 viewsCPT7356019$486.34$486.34$36.17$98.31$336.01
Ankle X-ray 3 viewsCPT7361019$486.34$486.34$40.96$98.31$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$414.69$1,536.28
CT abdomen without contrastCPT7415019$536.26$536.26$92.32$123.48$4,257
CT abdomen with contrastCPT7416019$1,055.86$1,055.86$181.77$207.44$776.06
CT abdomen with and without contrastCPT7417019$1,189.03$1,189.03$198.76$220.06$873.94
CT abdomen and pelvis without contrastCPT7417619$1,025.28$1,025.28$176.5$280.68$753.58
CT abdomen and pelvis with contrastCPT7417719$1,654.33$1,654.33$284.8$414.69$1,215.93
CT abdomen and pelvis with and without contrastCPT7417819$1,654.33$1,654.33$284.8$414.69$1,215.93
MRI abdomen without contrastCPT7418119$1,249.97$1,249.97$215.18$280.68$990
MRI abdomen with and without contrastCPT7418319$2,090.18$2,090.18$359.83$414.69$1,536.28
Abdominal ultrasound completeCPT7670019$570.61$570.61$98.23$123.48$600.83
Abdominal ultrasound limitedCPT7670519$570.61$570.61$98.23$123.48$4,257
Retroperitoneal ultrasound completeCPT7677019$570.61$570.61$98.23$123.48$566.51
Obstetric ultrasound first trimesterCPT7680119$570.61$570.61$98.23$123.48$533.92
Obstetric ultrasound after first trimesterCPT7680519$570.61$570.61$98.23$123.48$419.4
Obstetric ultrasound with fetal anatomyCPT7681119$1,201.55$1,201.55$197.38$273.93$883.14
Transvaginal ultrasoundCPT7683019$570.61$570.61$98.23$123.48$538.12
Pelvic ultrasound completeCPT7685619$570.61$570.61$98.23$123.48$528.9
Scrotal ultrasoundCPT7687019$570.61$570.61$98.23$123.48$419.4
Diagnostic mammography unilateralCPT7706510$954.09$954.09$96.1$189.84$701.26
Diagnostic mammography bilateralCPT7706610$1,908.19$1,908.19$122.45$362.62$1,402.52
Screening mammography bilateralCPT7706710$572.45$572.45$78.43$149.39$420.75
EKG completeCPT930002$148.5$172.37$196.24
EKG tracing onlyCPT9300519$461.85$461.85$66.32$83.93$339.46
EKG interpretation onlyCPT930101$12.27$12.27$12.27
Transthoracic echocardiogram completeCPT9330619$5,580.78$5,580.78$612.18$1,014.12$4,101.87
Transthoracic echocardiogramCPT9330714$269.88$273.93$2,023
Stress echocardiogramCPT9335019$2,772.39$2,772.39$477.27$636.67$2,813
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06417$11,239$20,897$63,826
Intracranial hemorrhage/CVA w CCMS-DRG06517$5,974$10,119$33,927
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06617$4,168$6,609.13$23,669
Respiratory infections & inflammations w MCCMS-DRG17717$10,830$16,068$61,505
COPD w MCCMS-DRG19017$6,590$11,168$37,423
COPD w CCMS-DRG19117$5,179$8,317.25$29,414
COPD w/o CC/MCCMS-DRG19217$4,074$6,152.49$23,137
Simple pneumonia & pleurisy w CCMS-DRG19417$5,060$7,917.68$28,735
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19517$3,900$6,007.09$22,146
AMI discharged alive w MCCMS-DRG28017$9,412$16,514$53,449
AMI discharged alive w CCMS-DRG28117$5,450$9,136.83$30,954
AMI discharged alive w/o CC/MCCMS-DRG28217$4,253$7,025.94$24,152
Heart failure & shock w MCCMS-DRG29117$7,428$13,065$42,186
Heart failure & shock w CCMS-DRG29217$5,057$8,381.88$28,722
Heart failure & shock w/o CC/MCCMS-DRG29317$3,455$5,333.97$19,621
Cardiac arrhythmia w MCCMS-DRG30817$7,034$12,205$39,944
Cardiac arrhythmia w CCMS-DRG30917$4,396$7,161.64$24,963
Cardiac arrhythmia w/o CC/MCCMS-DRG31017$3,275$5,335.03$18,600
GI hemorrhage w CCMS-DRG37817$5,819$9,800.28$33,046
GI hemorrhage w/o CC/MCCMS-DRG37917$3,732$6,027.55$21,195
Esophagitis/gastroenteritis w/o MCCMS-DRG39217$4,485$7,634.43$25,737
Fractures of femur w/o MCCMS-DRG53317$8,295$16,122$47,106
Kidney/UTI w MCCMS-DRG68917$6,526$11,735$37,061
Kidney/UTI w/o MCCMS-DRG69017$4,650$7,956.46$26,410
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87117$10,965$20,159$62,273
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87217$6,011$10,259$34,137
lab
Basic metabolic panel (BMP)CPT8004819$28.63$28.63$5.48$8.59$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$10.72$48.6
Lipid panelCPT8006119$45.35$45.35$8.67$13.59$61.6
Renal function panelCPT8006919$29.45$29.45$5.63$8.81$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$17.05$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$59.65$159.94
maternity
Fetal non-stress testCPT5902519$1,395.32$1,395.32$224.61$253.62$1,165.79
Routine obstetric care including vaginal deliveryCPT594001$1,137.3$1,137.3$1,137.3
Vaginal delivery onlyCPT5940919$10,394$10,394$932.07$3,549.95$7,277.4
Vaginal delivery with postpartumCPT594102$889.46$3,880.73$6,872
Routine obstetric care with C-sectionCPT595101$1,333.54$1,333.54$1,333.54
C-section delivery onlyCPT595141$958.9$958.9$958.9
C-section with postpartumCPT595152$1,061.64$6,967.82$12,874
office
Office visit, established patient, 5 minCPT992119$360.91$360.91$49.44$238.56$1,239
Office visit, established patient, 10-19 minCPT992129$421.18$421.18$57.7$290.99$3,867
Office visit, established patient, 20-29 minutesCPT992139$449.1$449.1$61.53$296.86$1,239
Office visit, established patient, 30-39 minutesCPT992149$673.67$673.67$92.29$445.3$1,239
preventive
Upper GI endoscopy diagnosticCPT4323519$2,727.68$2,727.68$336.73$1,062.49$4,105
Upper GI endoscopy with biopsyCPT4323913$447.25$1,046.79$8,155
Sigmoidoscopy diagnosticCPT4533013$105.93$1,017.92$6,872
Sigmoidoscopy with biopsyCPT4533113$120.42$1,017.92$6,872
Colonoscopy diagnosticCPT4537813$370.4$1,017.92$8,155
Colonoscopy with biopsyCPT4538013$446.45$1,316.44$8,155
Colonoscopy with polyp removalCPT4538513$604.33$1,316.44$8,155
surgery
Total shoulder arthroplastyCPT2347212$12,874$20,532$42,092
PCI w drug-eluting stent w MCCMS-DRG2463$18,299$93,442$103,920
PCI w drug-eluting stent w/o MCCMS-DRG2473$11,557$59,757$65,633
Hip hemiarthroplastyCPT271252$1,077.09$7,231.05$13,385
Total hip replacementCPT2713013$1,884.35$14,366$29,450
Total knee replacementCPT2744713$1,465.18$14,366$29,450
Knee revision arthroplasty single componentCPT274862$1,616.75$7,500.88$13,385
Knee revision arthroplasty all componentsCPT274872$1,696.63$7,540.82$13,385
Shoulder arthroscopy with decompressionCPT298262$668.35$5,938.18$11,208
Shoulder arthroscopy with rotator cuff repairCPT2982713$992.35$7,975.97$16,351
Knee arthroscopy with meniscectomyCPT2988113$633.32$3,622.61$13,320
ACL reconstructionCPT2988813$976.61$7,975.97$16,351
Major small/large bowel procedures w MCCMS-DRG32917$28,618$48,742$162,525
Major small/large bowel procedures w CCMS-DRG33017$14,931$25,056$84,795
Major small/large bowel procedures w/o CC/MCCMS-DRG33117$10,018$17,363$56,895
CABG single arterial graftCPT335331$2,285.75$2,285.75$2,285.75
CABG 2 arterial graftsCPT335341$2,921.3$2,921.3$2,921.3
CABG 3 arterial graftsCPT335351$3,478.8$3,478.8$3,478.8
CABG 4+ arterial graftsCPT335361$3,478.8$3,478.8$3,478.8
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41817$9,892$17,457$56,180
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41917$7,704$13,948$43,750
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42017$20,596$35,932$116,966
Open appendectomyCPT4495013$568.63$6,966.68$14,282
Laparoscopic appendectomyCPT4497013$507.79$6,514.06$13,354
Spinal fusion (non-cervical) w MCCMS-DRG4593$39,438$202,988$223,970
Spinal fusion (non-cervical) w/o MCCMS-DRG4603$23,022$117,559$130,743
Major joint replacement w MCCMS-DRG46917$18,074$31,906$102,643
Major joint replacement w/o MCCMS-DRG47017$11,130$20,012$63,208
Laparoscopic cholecystectomyCPT4756212$6,514.06$6,514.06$13,354
Lap cholecystectomy with cholangiographyCPT4756312$6,514.06$6,514.06$13,354
Hip & femur procedures except major joint w MCCMS-DRG48017$17,722$30,603$100,644
Hip & femur procedures except major joint w CCMS-DRG48117$12,277$21,796$69,720
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48217$9,639$16,804$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$6,514.06$13,354
Total abdominal hysterectomyCPT581502$814.4$7,270.7$13,727
Vaginal hysterectomyCPT5826013$777.16$5,511.55$12,874
Lap-assisted vaginal hysterectomyCPT5855013$848.78$6,514.06$13,385
Lap-assisted vaginal hysterectomy >250gCPT5855213$795.11$11,624$23,829
Lap salpingo-oophorectomyCPT5866113$638.58$6,514.06$13,354
OR procedure for obesity w MCCMS-DRG61917$17,932$30,335$101,838
OR procedure for obesity w CCMS-DRG62017$10,324$16,473$58,631
OR procedure for obesity w/o CC/MCCMS-DRG62117$9,354$15,484$53,123
Complex cataract surgeryCPT6698213$1,494.1$2,546.44$12,874
Cataract surgery with lens implantCPT6698413$1,143.99$2,546.44$12,874
Intravitreal injectionCPT6702813$178.4$370.33$6,872
Vitrectomy mechanicalCPT6704212$4,491.52$4,491.52$12,874
Uterine & adnexa procedures w CC/MCCMS-DRG74317$6,635$12,600$37,679
Uterine & adnexa procedures w/o CC/MCCMS-DRG74417$10,516$21,307$59,719
PCI single major coronary arteryCPT9292019$28,748$28,748$3,378$6,556.72$158,133
PCI with drug-eluting stentCPT9292819$55,474$55,474$3,378$12,662$158,133
PCI bypass graftCPT9293719$55,474$55,474$3,378$12,662$158,133
Left heart catheterizationCPT9345219$17,050$17,050$2,935.23$3,698.85$158,133
Coronary angiography with cathCPT9345519$17,050$17,050$2,935.23$3,698.85$158,133
Coronary angiography with bypass cathCPT9345819$17,050$17,050$2,935.23$3,698.85$158,133

Payer mix (top 19)

PayerCodes coveredMedian rate
horizon nj health179$932.07
Aetna178$478.19
braven health171$398.74
UnitedHealthcare171$371.5
wellpoint full dual advantage163$398.74
Ambetter163$817.42
horizon nj total care163$398.74
Humana163$418.68
jefferson health plan163$426.65
Medicare163$398.74
WellCare163$398.74
clover health163$398.74
healthspring163$410.7
amerihealth151$1,000.28
Blue Cross Blue Shield148$1,473.16
oxford health plans144$1,075.31
Cigna143$740.4
fidelis care of nj100$143.14
wellpoint100$146.12