Manahawkin, NJ, 08050
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 14 | — | $10,221 | $3,454 | $11,110 | 0.87× | $53,710 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | — | $14,424 | $5,778 | $37,648 | 1.9× | $75,794 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 7 | — | $7,373.82 | $5,778 | $20,776 | 1.9× | $38,747 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 7 | — | $4,991.05 | $4,991.05 | $14,639 | 1.9× | $26,226 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | $11,722 | $5,778 | $14,779 | 0.96× | $62,593 |
| COPD w MCC | MS-DRG | 190 | 14 | — | $8,143.18 | $5,778 | $10,267 | 0.91× | $42,790 |
| COPD w CC | MS-DRG | 191 | 14 | — | $6,229.57 | $5,778 | $7,916.54 | 0.90× | $32,734 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | $4,693.02 | $4,693.02 | $6,914.5 | 0.99× | $24,660 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | $5,946.04 | $5,778 | $7,731.65 | 0.91× | $31,244 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | $4,515.37 | $4,515.37 | $6,798.65 | 1.0× | $23,727 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | $11,902 | $5,778 | $15,006 | 0.96× | $62,542 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | $6,684.22 | $5,778 | $8,427.47 | 0.87× | $35,123 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | $5,257.9 | $5,257.9 | $7,282.88 | 0.93× | $27,628 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | $9,461.46 | $5,778 | $11,929 | 0.93× | $49,717 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | $6,244.79 | $5,778 | $7,926.47 | 0.89× | $32,814 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | $3,978.77 | $3,978.77 | $6,610.01 | 1.1× | $22,632 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | $8,744.31 | $5,778 | $11,025 | 0.91× | $45,948 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | $5,360.86 | $5,360.86 | $7,350.03 | 0.95× | $28,170 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | $4,057.09 | $3,986 | $6,666.75 | 1.1× | $21,319 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | $7,149.03 | $5,778 | $9,013.5 | 0.90× | $37,566 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | $4,616.88 | $4,602 | $6,864.85 | 1.0× | $24,260 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 14 | — | $5,658.17 | $5,427 | $7,543.91 | 0.94× | $29,732 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | $11,057 | $5,778 | $13,941 | 0.92× | $58,103 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | $8,486.16 | $5,778 | $10,699 | 0.92× | $44,592 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | $5,819.87 | $5,636 | $7,649.36 | 0.92× | $30,581 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | $14,228 | $5,778 | $17,938 | 0.96× | $74,762 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | $7,476.06 | $5,778 | $9,425.83 | 0.91× | $39,284 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $23,110 | $23,110 | 0.84× | $23,110 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $14,700 | $14,700 | 0.80× | $14,700 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | $33,297 | $6,542 | $40,533 | 0.94× | $174,965 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | $17,140 | $6,542 | $20,865 | 0.90× | $90,064 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | $11,972 | $6,542 | $14,574 | 0.89× | $62,908 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | $12,026 | $6,542 | $14,639 | 0.89× | $63,190 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | $9,554.27 | $6,542 | $11,631 | 0.86× | $50,205 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | $25,593 | $6,542 | $31,155 | 0.96× | $134,485 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $49,772 | $49,772 | 1.0× | $49,772 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $29,077 | $29,077 | 0.87× | $29,077 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | $23,702 | $6,542 | $28,853 | 0.98× | $124,547 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 14 | — | $13,672 | $6,542 | $16,644 | 0.88× | $71,843 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | $21,326 | $6,542 | $25,961 | 0.93× | $112,061 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | $15,046 | $6,542 | $18,315 | 0.90× | $79,060 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | $11,503 | $6,542 | $14,003 | 0.88× | $60,447 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | $19,771 | $6,542 | $28,057 | 1.0× | $99,313 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | $11,580 | $6,542 | $16,781 | 1.0× | $61,532 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | $10,600 | $6,542 | $15,431 | 1.0× | $53,667 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 14 | — | $8,692.1 | $6,542 | $10,581 | 0.86× | $45,674 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | $14,169 | $6,542 | $17,248 | 0.90× | $74,453 |
| Payer | Codes covered | Median rate |
|---|---|---|
| amerihealth | 47 | $9,914.08 |
| Aetna | 43 | $23,445 |
| brighton health plan | 43 | $40,926 |
| horizon | 43 | $17,915 |
| oxford | 43 | $42,634 |
| UnitedHealthcare | 43 | $16,170 |
| vaccn | 43 | $9,461.46 |
| clover | 40 | $11,367 |
| karna | 40 | $15,455 |
| WellCare | 40 | $10,334 |
| amerigroup | 40 | $10,334 |
| Blue Cross Blue Shield | 40 | $10,334 |
| seoul medical group | 40 | $11,574 |
| Cigna | 40 | $40,617 |
| qualcare | 3 | $44,530 |
