▸ Hospital · NJ · CCN 310086
Jefferson Stratford Hospital
500 MARLBORO AVENUE, CHERRY HILL, NJ, 08034
546 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
205
of 209 target codes
Payers
26
with negotiated rates
Rates published
75,409
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 23 | — | $14,980 | $2,642 | $14,333 | $32,469 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 2 | $641 | $229.65 | $151.99 | $151.99 | $151.99 |
| Psychiatric eval with medical services | CPT | 90792 | 2 | $585 | $229.65 | $174.75 | $174.75 | $174.75 |
| Psychotherapy 30 minutes | CPT | 90832 | 2 | $585 | $229.65 | $70.34 | $70.34 | $70.34 |
| Psychotherapy 45 minutes | CPT | 90834 | 2 | $497 | $229.65 | $97.62 | $97.62 | $97.62 |
| Psychotherapy 60 minutes | CPT | 90837 | 2 | $641 | $229.65 | $137.23 | $137.23 | $137.23 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 2 | $158 | $229.65 | $132.9 | $132.9 | $132.9 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $2,580 | $109.1 | $20.8 | $550 | $2,391.15 |
| ED visit level 2 | CPT | 99282 | 6 | $2,921 | $198.66 | $39 | $550 | $2,391.15 |
| ED visit level 3 | CPT | 99283 | 6 | $3,426 | $353.19 | $96.2 | $613.5 | $2,391.15 |
| ED visit level 4 | CPT | 99284 | 6 | $4,264 | $539.87 | $140 | $833 | $3,605 |
| ED visit level 5 | CPT | 99285 | 5 | $5,313 | $770.52 | $140 | $650 | $6,580 |
| Critical care, first hour | CPT | 99291 | 7 | $5,313 | $1,068.75 | $140 | $3,305.5 | $7,623.86 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 22 | $3,323 | $135.26 | $100.75 | $113.8 | $1,268.02 |
| CT head with contrast | CPT | 70460 | 22 | $4,076 | $226.94 | $104 | $188.27 | $1,640.79 |
| CT head with and without contrast | CPT | 70470 | 22 | $4,974 | $226.94 | $130 | $190.93 | $2,019.65 |
| CT neck with contrast | CPT | 70491 | 22 | $4,263 | $226.94 | $107.25 | $188.27 | $1,949.33 |
| MRI brain without contrast | CPT | 70551 | 22 | $2,428 | $308.71 | $237.75 | $263.34 | $3,614.56 |
| MRI brain with contrast | CPT | 70552 | 22 | $4,994 | $451.38 | $349.7 | $379.75 | $3,984.32 |
| MRI brain with and without contrast | CPT | 70553 | 22 | $3,495 | $451.38 | $349.7 | $379.75 | $5,127.06 |
| Chest X-ray single view | CPT | 71045 | 22 | $602 | $112.6 | $10.54 | $89.88 | $144 |
| Chest X-ray 2 views | CPT | 71046 | 22 | $776 | $112.6 | $19.31 | $89.88 | $166.72 |
| Chest X-ray 3 views | CPT | 71047 | 22 | $890.5 | $112.6 | $24.57 | $89.88 | $212.29 |
| CT chest without contrast | CPT | 71250 | 22 | $4,028.95 | $135.26 | $104.59 | $113.8 | $1,640.79 |
| CT chest with contrast | CPT | 71260 | 22 | $4,345.95 | $226.94 | $113.75 | $189.37 | $2,034.91 |
| CT chest with and without contrast | CPT | 71270 | 22 | $6,079 | $226.94 | $134.55 | $190.93 | $2,566.58 |
| MRI chest without contrast | CPT | 71550 | 22 | $1,156 | $308.71 | $237.75 | $263.34 | $4,005.68 |
| MRI chest with contrast | CPT | 71551 | 22 | $1,665 | $1,014.26 | $405.86 | $829.49 | $4,460.94 |
| MRI chest with and without contrast | CPT | 71552 | 22 | $2,164.5 | $451.38 | $351.27 | $385.05 | $6,058.94 |
| Lumbosacral spine X-ray | CPT | 72100 | 22 | $819 | $135.26 | $29.25 | $107.98 | $223.04 |
| CT cervical spine without contrast | CPT | 72125 | 22 | $1,426 | $135.26 | $104.59 | $113.8 | $1,646.88 |
| CT thoracic spine without contrast | CPT | 72128 | 22 | $4,188 | $135.26 | $104.59 | $115.39 | $1,643.8 |
| CT lumbar spine without contrast | CPT | 72131 | 22 | $4,244 | $135.26 | $104.59 | $114.43 | $1,640.79 |
| MRI cervical spine without contrast | CPT | 72141 | 22 | $3,468 | $308.71 | $237.75 | $263.34 | $3,183.74 |
| MRI thoracic spine without contrast | CPT | 72146 | 22 | $3,468 | $308.71 | $237.75 | $259.71 | $3,260.15 |
| MRI lumbar spine without contrast | CPT | 72148 | 22 | $3,468 | $308.71 | $237.75 | $259.71 | $3,257.14 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 22 | $4,231 | $451.38 | $349.7 | $379.75 | $3,972.06 |
| MRI cervical spine with and without contrast | CPT | 72156 | 22 | $4,994 | $451.38 | $349.7 | $379.75 | $5,047.57 |
| MRI lumbar spine with contrast | CPT | 72158 | 22 | $4,994 | $451.38 | $349.7 | $379.75 | $5,041.48 |
| CT pelvis without contrast | CPT | 72192 | 22 | $3,069 | $135.26 | $87.75 | $113.8 | $1,555.21 |
| CT pelvis with contrast | CPT | 72193 | 22 | $3,507 | $226.94 | $112.45 | $188.27 | $1,931.06 |
| Shoulder X-ray | CPT | 73030 | 22 | $698 | $112.6 | $21.45 | $89.88 | $161.91 |
| Humerus X-ray | CPT | 73060 | 22 | $692 | $112.6 | $14.95 | $89.88 | $161.91 |
| Hand X-ray 3 views | CPT | 73130 | 22 | $1,191 | $112.6 | $14.95 | $89.88 | $183.34 |
| MRI upper extremity joint without contrast | CPT | 73221 | 22 | $3,468 | $308.71 | $237.75 | $263.34 | $3,428.22 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 22 | $4,994 | $451.38 | $351.27 | $385.05 | $5,047.57 |
| Knee X-ray 1-2 views | CPT | 73560 | 22 | $638 | $112.6 | $21.45 | $89.88 | $161.91 |
| Ankle X-ray 3 views | CPT | 73610 | 22 | $1,328 | $112.6 | $24.35 | $89.88 | $183.34 |
| MRI lower extremity joint without contrast | CPT | 73721 | 22 | $3,468 | $308.71 | $237.75 | $263.34 | $3,501.54 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 22 | $4,994 | $451.38 | $351.27 | $385.05 | $5,032.31 |
| CT abdomen without contrast | CPT | 74150 | 22 | $4,130 | $135.26 | $100.75 | $113.8 | $1,542.95 |
| CT abdomen with contrast | CPT | 74160 | 22 | $4,865 | $226.94 | $117 | $190.93 | $2,196.89 |
| CT abdomen with and without contrast | CPT | 74170 | 22 | $5,894 | $226.94 | $144.95 | $190.93 | $3,003.49 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 22 | $1,755 | $308.71 | $131.39 | $252.46 | $2,320.6 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 22 | $2,621 | $451.38 | $250.55 | $369.15 | $3,162.46 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 22 | $2,621 | $451.38 | $331.11 | $374.45 | $4,292.87 |
| MRI abdomen without contrast | CPT | 74181 | 22 | $3,468 | $308.71 | $237.75 | $263.34 | $3,189.91 |
| MRI abdomen with and without contrast | CPT | 74183 | 22 | $4,994 | $451.38 | $351.27 | $385.05 | $5,316.49 |
| Abdominal ultrasound complete | CPT | 76700 | 22 | $1,923 | $135.26 | $74.75 | $113.8 | $779.15 |
| Abdominal ultrasound limited | CPT | 76705 | 22 | $1,362 | $135.26 | $48.75 | $110.63 | $601.9 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 22 | $1,812 | $135.26 | $63.7 | $112.21 | $754.71 |
| Obstetric ultrasound first trimester | CPT | 76801 | 22 | $1,111 | $135.26 | $49.91 | $112.21 | $641.61 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 22 | $1,763.2 | $135.26 | $60.45 | $112.21 | $779.15 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 22 | $4,013 | $308.71 | $118.85 | $252.46 | $806.6 |
| Transvaginal ultrasound | CPT | 76830 | 22 | $531 | $135.26 | $60.45 | $112.21 | $699.66 |
| Pelvic ultrasound complete | CPT | 76856 | 22 | $1,556 | $135.26 | $60.45 | $112.21 | $699.66 |
| Scrotal ultrasound | CPT | 76870 | 22 | $1,461 | $135.26 | $57.2 | $112.21 | $708.84 |
| Diagnostic mammography unilateral | CPT | 77065 | 7 | $624 | $108.22 | $92.31 | $219.59 | $470.45 |
| Diagnostic mammography bilateral | CPT | 77066 | 7 | $1,138 | $138.84 | $118.08 | $281.69 | $589.64 |
| Screening mammography bilateral | CPT | 77067 | 7 | $397 | $114.52 | $97.53 | $220.97 | $433.83 |
| EKG complete | CPT | 93000 | 4 | — | — | $24.99 | $100.32 | $145.2 |
| EKG tracing only | CPT | 93005 | 5 | $217 | $76.33 | $13.6 | $21.85 | $145.2 |
| EKG interpretation only | CPT | 93010 | 2 | $90 | — | $6.27 | $13.79 | $21.31 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $2,970 | $706.97 | $127.58 | $674.88 | $1,426.84 |
| Transthoracic echocardiogram | CPT | 93307 | 6 | $1,468.5 | $308.71 | $123.5 | $371.64 | $892.17 |
| Stress echocardiogram | CPT | 93350 | 6 | $2,302 | $706.97 | $60.45 | $567.72 | $1,063.25 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 22 | — | $16,727 | $14,848 | $16,332 | $62,485 |
| COPD w MCC | MS-DRG | 190 | 22 | — | $11,935 | $10,525 | $11,577 | $36,700 |
| COPD w CC | MS-DRG | 191 | 22 | — | $9,147.41 | $8,009.57 | $8,810.53 | $29,287 |
| COPD w/o CC/MCC | MS-DRG | 192 | 22 | — | $7,030.66 | $6,099.82 | $6,709.8 | $22,318 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 22 | — | $8,756.71 | $7,657.08 | $8,422.78 | $30,628 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 22 | — | $6,888.49 | $5,971.55 | $6,568.71 | $21,933 |
| AMI discharged alive w MCC | MS-DRG | 280 | 22 | — | $17,163 | $4,692 | $16,695 | $54,639 |
| AMI discharged alive w CC | MS-DRG | 281 | 22 | — | $9,948.82 | $4,692 | $9,605.88 | $33,126 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 22 | — | $7,884.73 | $4,692 | $7,535.69 | $23,669 |
| Heart failure & shock w MCC | MS-DRG | 291 | 22 | — | $13,790 | $4,692 | $13,418 | $47,116 |
| Heart failure & shock w CC | MS-DRG | 292 | 22 | — | $9,210.6 | $4,692 | $8,873.24 | $31,152 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 22 | — | $6,230.3 | $4,692 | $5,915.49 | $21,074 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 22 | — | $12,949 | $4,692 | $12,469 | $37,891 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 22 | — | $8,017.42 | $4,692 | $7,674.27 | $24,660 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 22 | — | $6,231.35 | $4,692 | $5,862.75 | $17,278 |
| GI hemorrhage w CC | MS-DRG | 378 | 22 | — | $10,598 | $9,317.9 | $10,250 | $31,437 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 22 | — | $6,908.5 | $5,989.6 | $6,588.56 | $21,745 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 22 | — | $8,479.74 | $7,407.19 | $8,147.91 | $23,180 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 22 | — | $16,779 | $14,895 | $16,385 | $43,129 |
| Kidney/UTI w MCC | MS-DRG | 689 | 22 | — | $12,489 | $11,024 | $12,127 | $35,421 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 22 | — | $8,794.62 | $7,691.28 | $8,460.41 | $24,114 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 22 | — | $20,726 | $18,456 | $20,302 | $58,075 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 22 | — | $11,046 | $9,722.65 | $10,695 | $33,499 |
| Initial hospital care, low complexity | CPT | 99221 | 2 | — | — | $85.4 | $85.4 | $85.4 |
| Initial hospital care, moderate complexity | CPT | 99222 | 2 | — | — | $134.44 | $134.44 | $134.44 |
| Initial hospital care, high complexity | CPT | 99223 | 2 | — | — | $177.86 | $177.86 | $177.86 |
| Hospital discharge, <30 min | CPT | 99238 | 2 | — | — | $83.48 | $83.48 | $83.48 |
| Hospital discharge, >30 min | CPT | 99239 | 2 | — | — | $117.72 | $117.72 | $117.72 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 24 | $119 | $9.73 | $5.92 | $9.05 | $59.22 |
| General health panel | CPT | 80050 | 8 | $864 | — | $32.11 | $81 | $321.09 |
| Electrolyte panel | CPT | 80051 | 24 | $171 | $8.06 | $4.91 | $7.5 | $49.07 |
| Comprehensive metabolic panel | CPT | 80053 | 24 | $112 | $12.14 | $7.39 | $11.3 | $73.92 |
| Lipid panel | CPT | 80061 | 24 | $536 | $15.4 | $9.37 | $14.46 | $93.73 |
| Renal function panel | CPT | 80069 | 24 | $659 | $9.98 | $6.08 | $9.29 | $60.76 |
| Hepatic function panel | CPT | 80076 | 24 | $366 | $9.4 | $5.72 | $8.74 | $57.19 |
| Urinalysis non-automated | CPT | 81002 | 24 | $72 | $4 | $2.25 | $3.65 | $24.36 |
| Urinalysis automated | CPT | 81003 | 24 | $72 | $2.59 | $1.5 | $2.41 | $15.75 |
| Glucose quantitative | CPT | 82947 | 24 | $63 | $4.52 | $2.75 | $4.24 | $27.51 |
| Hemoglobin A1c | CPT | 83036 | 24 | $78 | $11.17 | $6.6 | $10.2 | $67.97 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 24 | $423 | $19.32 | $11.76 | $17.98 | $117.6 |
| Complete blood count with automated differential | CPT | 85025 | 24 | $81 | $8.94 | $5.44 | $8.16 | $54.39 |
| Complete blood count without differential | CPT | 85027 | 24 | $66 | $7.44 | $4.53 | $6.92 | $45.29 |
| Urine culture bacterial | CPT | 87086 | 24 | $152 | $9.28 | $5.65 | $8.63 | $56.49 |
| Urine culture identification | CPT | 87088 | 24 | $35 | $9.3 | $5.66 | $8.49 | $56.63 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $406 | $67.42 | $10 | $48.01 | $283.64 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 5 | $801 | $261.58 | $6.14 | $353 | $6,648 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 2 | — | — | $581.4 | $2,477.15 | $2,698.8 |
| Vaginal delivery only | CPT | 59409 | 4 | $4,241 | $4,188.3 | $476.49 | $5,973.5 | $7,200 |
| Vaginal delivery with postpartum | CPT | 59410 | 3 | — | — | $454.7 | $2,665 | $5,947 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $681.72 | $2,477.15 | $2,698.8 |
| C-section delivery only | CPT | 59514 | 2 | $5,643 | — | $490.2 | $6,000 | $7,200 |
| C-section with postpartum | CPT | 59515 | 3 | — | — | $542.72 | $2,665 | $10,000 |
| Cesarean section w CC/MCC | MS-DRG | 765 | 2 | — | — | $6,088 | $24,778 | $34,872 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 2 | — | — | $6,088 | $24,461 | $27,036 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 2 | — | — | $6,696 | $13,620 | $24,978 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 2 | — | — | $6,696 | $13,620 | $24,978 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 3 | $268 | — | $48.86 | $48.86 | $78 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 3 | $349 | — | $78 | $84.64 | $84.64 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 3 | $506 | — | $78 | $137.64 | $137.64 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 3 | $673 | — | $78 | $187.26 | $187.26 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $251.2 | — | $8.98 | $8.98 | $78 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 3 | $314 | — | $36.38 | $36.38 | $78 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 3 | $331 | — | $67.86 | $67.86 | $78 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 3 | $418.5 | — | $78 | $100.02 | $100.02 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 3 | $506 | — | $78 | $148.58 | $148.58 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | $4,281 | $1,173.48 | $162.79 | $4,400 | $6,648 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | $4,281 | $1,173.48 | $193.15 | $5,323 | $6,648 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 5 | $3,740 | $1,203.21 | $54.15 | $2,616 | $6,648 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 5 | $3,740 | $1,203.21 | $61.56 | $2,616 | $6,648 |
| Colonoscopy diagnostic | CPT | 45378 | 5 | $4,035 | $1,203.21 | $189.35 | $2,616 | $6,648 |
| Colonoscopy with biopsy | CPT | 45380 | 5 | $4,827 | $1,548.25 | $228.23 | $2,616 | $6,648 |
| Colonoscopy with polyp removal | CPT | 45385 | 5 | $4,827 | $1,548.25 | $308.94 | $2,616 | $7,237 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 5 | — | — | $6,000 | $11,061 | $19,229 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $32,492 | $40,307 | $99,774 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $20,837 | $25,850 | $63,971 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | — | — | $550.62 | $7,741.5 | $10,746 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $963.3 | $10,746 | $26,265 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $749.01 | $10,746 | $26,265 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $826.5 | $8,283 | $15,000 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $867.33 | $8,283 | $15,000 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $341.67 | $6,787.5 | $8,312 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | — | — | $507.3 | $9,751 | $11,768 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | — | — | $323.76 | $6,147 | $9,806 |
| ACL reconstruction | CPT | 29888 | 5 | — | — | $499.25 | $7,124 | $9,751 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 22 | — | $48,676 | $43,673 | $48,040 | $160,717 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 22 | — | $25,515 | $22,777 | $25,054 | $80,274 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 22 | — | $17,992 | $15,990 | $17,589 | $51,345 |
| CABG single arterial graft | CPT | 33533 | 3 | — | — | $1,168.5 | $6,000 | $7,200 |
| CABG 2 arterial grafts | CPT | 33534 | 3 | — | — | $1,493.4 | $6,000 | $7,200 |
| CABG 3 arterial grafts | CPT | 33535 | 3 | — | — | $1,778.4 | $6,000 | $7,200 |
| CABG 4+ arterial grafts | CPT | 33536 | 3 | — | — | $1,778.4 | $6,000 | $7,200 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 22 | — | $18,084 | $16,072 | $17,680 | $51,834 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 22 | — | $14,653 | $12,977 | $14,275 | $38,364 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 22 | — | $36,150 | $32,372 | $35,609 | $115,309 |
| Open appendectomy | CPT | 44950 | 5 | — | — | $290.69 | $6,000 | $8,675 |
| Laparoscopic appendectomy | CPT | 44970 | 5 | — | — | $259.59 | $8,172 | $9,806 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $64,052 | $79,459 | $213,664 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $40,504 | $50,247 | $126,077 |
| Major joint replacement w MCC | MS-DRG | 469 | 22 | — | $32,213 | $25,236 | $31,701 | $107,758 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 22 | — | $20,583 | $18,327 | $20,160 | $67,278 |
| Laparoscopic cholecystectomy | CPT | 47562 | 5 | — | — | $679.5 | $9,751 | $14,710 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 5 | — | — | $731.25 | $9,751 | $14,710 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 22 | — | $30,939 | $27,671 | $30,438 | $96,213 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 22 | — | $22,327 | $19,900 | $21,891 | $61,817 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 22 | — | $17,446 | $15,497 | $17,046 | $51,110 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $314.22 | $3,481.11 | $6,648 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $207.48 | $3,427.74 | $6,648 |
| Lap inguinal hernia repair | CPT | 49650 | 5 | — | — | $207.48 | $8,283 | $9,806 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $9,751 | $9,751 | $9,751 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $416.33 | $6,324 | $11,654 |
| Vaginal hysterectomy | CPT | 58260 | 5 | — | — | $397.29 | $6,648 | $14,710 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 5 | — | — | $433.91 | $9,751 | $14,710 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 5 | — | — | $406.47 | $9,751 | $11,768 |
| Lap salpingo-oophorectomy | CPT | 58661 | 5 | — | — | $326.45 | $9,751 | $11,768 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 22 | — | $30,677 | $27,434 | $30,177 | $113,473 |
| OR procedure for obesity w CC | MS-DRG | 620 | 22 | — | $17,123 | $15,205 | $16,725 | $60,808 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 22 | — | $16,155 | $14,332 | $15,765 | $49,439 |
| Complex cataract surgery | CPT | 66982 | 5 | — | — | $763.8 | $6,648 | $13,926 |
| Cataract surgery with lens implant | CPT | 66984 | 5 | — | — | $584.82 | $6,147 | $13,926 |
| Intravitreal injection | CPT | 67028 | 5 | — | — | $91.2 | $4,400 | $6,648 |
| Vitrectomy mechanical | CPT | 67042 | 4 | — | — | $1,008.8 | $9,875.5 | $14,710 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 22 | — | $13,336 | $11,192 | $12,967 | $31,042 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 22 | — | $21,849 | $16,957 | $21,036 | $47,282 |
| PCI single major coronary artery | CPT | 92920 | 5 | $15,951 | $7,363.92 | $333.97 | $8,023 | $11,654 |
| PCI with drug-eluting stent | CPT | 92928 | 5 | $29,393 | $14,936 | $370.92 | $8,023 | $11,654 |
| PCI bypass graft | CPT | 92937 | 5 | — | — | $370.49 | $8,023 | $11,654 |
| Left heart catheterization | CPT | 93452 | 5 | $12,342 | $4,194.51 | $301.34 | $8,449 | $11,654 |
| Coronary angiography with cath | CPT | 93455 | 5 | $5,413 | $4,194.51 | $367.91 | $8,449 | $11,654 |
| Coronary angiography with bypass cath | CPT | 93458 | 5 | $16,239 | $4,194.51 | $376.98 | $8,449 | $11,654 |
Payer mix (top 26)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 166 | $289.37 |
| Cigna | 160 | $881.21 |
| Aetna | 160 | $5,485.28 |
| jeff nj amerihealth_ibc | 151 | $1,145.35 |
| horizon nj health nj | 135 | $328.43 |
| Medicare | 131 | $241.59 |
| pa health_wellness chc | 131 | $173.67 |
| Blue Cross Blue Shield | 124 | $7,978.05 |
| ibc main line health | 109 | $301.99 |
| innovage | 109 | $241.59 |
| inspira life | 109 | $241.59 |
| Ambetter | 109 | $350.31 |
| naphcare | 109 | $386.55 |
| va_champus_tricare | 109 | $241.59 |
| devoted health participation | 109 | $253.67 |
| Humana | 109 | $246.43 |
| ibc employee benefit | 109 | $301.99 |
| point of comfort refugee resettlement | 109 | $241.59 |
| provider partners health plan | 109 | $258.5 |
| st agnes | 109 | $241.59 |
| allwell pa health_wellness ma | 109 | $265.75 |
| optum va ccn | 109 | $241.59 |
| geisinger health plan | 68 | $17,370 |
| Medicare Advantage | 55 | $8,999.47 |
| qualcare jnj | 7 | $10,436 |
| new jersey amerigroup | 6 | $140 |