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▸ Hospital · · CCN 319801

Robert Wood Johnson University Hospital

Compliance grade
A
100/100
Rates published
15,774
last crawl 2026-05-22
Procedures tracked
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Payers
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The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/210634572_robert-wood-johnson-university-hospital-hamilton_standardcharges.json · JSON

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Procedures & rates

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).

ProcedureTypeCodePayersGrossCashNeg minNeg medianvs nat'lNeg max
behavioral
PsychosesMS-DRG88512—$3,233$60$11,2300.88×$33,244
Psychiatric diagnostic evaluationCPT9079112$866$141.93$108.33$463.052.6×$776.85
Psychiatric eval with medical servicesCPT9079212$915$149.96$114.46$510.622.9×$777.75
Psychotherapy 30 minutesCPT9083214——$12.16$73.850.50×$776.85
Psychotherapy 45 minutesCPT9083414——$12.16$73.850.46×$776.85
Psychotherapy 60 minutesCPT9083714——$12.16$73.850.39×$776.85
Crisis psychotherapy 60 minutesCPT9083914——$12.16$73.850.46×$776.85
emergency
ED visit level 1CPT9928113$915$149.96$96.23$4002.9×$2,279
ED visit level 2CPT9928213$1,575$258.14$140$4802.0×$2,804
ED visit level 3CPT9928313$2,428$397.94$248$1,230.933.0×$2,804
ED visit level 4CPT9928413$3,145$515.46$379$1,7532.6×$2,830
ED visit level 5CPT9928513$4,155$681$494$1,7571.7×$3,531.75
Critical care, first hourCPT9929113$5,512$903.41$631$1,832.531.7×$4,685.2
imaging
CT head without contrastCPT7045013$2,085$341.73$116.22$231.281.1×$2,995
CT head with contrastCPT7046013$2,305$377.78$194.55$287.911.2×$2,995
CT head with and without contrastCPT7047013$2,934$480.88$194.55$298.341.1×$2,995
CT neck with contrastCPT7049113$3,096$507.43$194.55$312.871.1×$2,995
MRI brain without contrastCPT7055113$3,279$537.42$264.17$4141.0×$3,493
MRI brain with contrastCPT7055213$3,615$592.49$327$493.71.0×$3,493
MRI brain with and without contrastCPT7055313$5,038$825.72$327$612.621.0×$4,282.3
Chest X-ray single viewCPT7104513$426$69.82$20.09$96.231.0×$425.74
Chest X-ray 2 viewsCPT7104613$493$80.8$30.85$116.421.2×$425.74
Chest X-ray 3 viewsCPT7104713$629$103.09$39.46$116.421.2×$534.65
CT chest without contrastCPT7125013$3,358$550.37$116.22$239.391.1×$2,995
CT chest with contrastCPT7126013$4,261$698.37$194.55$2961.1×$3,621.85
CT chest with and without contrastCPT7127013$4,620$757.21$194.55$359.911.2×$3,927
MRI chest without contrastCPT7155013$1,464$239.94$178.02$4371.0×$3,493
MRI chest with contrastCPT7155113$3,550$581.84$327$863.441.1×$3,820.03
MRI chest with and without contrastCPT7155213$4,042$662.48$327$603.321.0×$3,493
Lumbosacral spine X-rayCPT7210013$533$87.35$36.08$143.221.4×$514.18
CT cervical spine without contrastCPT7212513$4,652$762.46$116.22$231.281.1×$3,954.2
CT thoracic spine without contrastCPT7212813$3,418$560.21$116.22$231.281.2×$2,995
CT lumbar spine without contrastCPT7213113$3,681$603.31$116.22$239.391.2×$3,128.85
MRI cervical spine without contrastCPT7214113$2,756$451.7$264.17$368.20.93×$3,493
MRI thoracic spine without contrastCPT7214613$2,996$491.04$264.17$399.061.1×$3,493
MRI lumbar spine without contrastCPT7214813$2,854$467.77$264.17$380.151.0×$3,493
MRI lumbar spine with and without contrastCPT7214913$3,356$550.04$327$493.71.1×$3,493
MRI cervical spine with and without contrastCPT7215613$4,909$804.58$327$603.321.1×$4,172.65
MRI lumbar spine with contrastCPT7215813$4,859$796.39$327$603.321.1×$4,130.15
CT pelvis without contrastCPT7219213$2,020$331.07$116.22$235.571.2×$2,995
CT pelvis with contrastCPT7219313$2,563$420.07$194.55$320.631.1×$2,995
Shoulder X-rayCPT7303014$1,656—$12.16$96.231.0×$425.74
Humerus X-rayCPT7306014$713—$12.16$96.231.1×$425.74
Hand X-ray 3 viewsCPT7313014$1,732—$12.16$96.231.0×$425.74
MRI upper extremity joint without contrastCPT7322114$5,654—$12.16$346.860.83×$3,493
MRI upper extremity joint with and without contrastCPT7322314$6,234—$12.16$465.350.76×$3,493
Knee X-ray 1-2 viewsCPT7356014$1,398—$12.16$96.231.0×$425.74
Ankle X-ray 3 viewsCPT7361014$1,588—$12.16$96.231.0×$425.74
MRI lower extremity joint without contrastCPT7372114$2,458—$12.16$346.430.74×$3,493
MRI lower extremity joint with and without contrastCPT7372314$4,353—$12.16$465.350.73×$3,493
CT abdomen without contrastCPT7415013$1,895$310.59$116.22$231.281.2×$2,995
CT abdomen with contrastCPT7416013$2,766$453.34$194.55$340.461.2×$2,995
CT abdomen with and without contrastCPT7417013$3,279$537.42$194.55$387.151.2×$2,995
CT abdomen and pelvis without contrastCPT7417613$3,040$498.25$155.96$368.21.0×$2,995
CT abdomen and pelvis with contrastCPT7417713$3,605$590.85$221$493.70.90×$3,064.25
CT abdomen and pelvis with and without contrastCPT7417813$4,549$745.58$221$569.070.99×$3,866.65
MRI abdomen without contrastCPT7418113$4,238$694.6$264.17$462.31.2×$3,602.3
MRI abdomen with and without contrastCPT7418313$6,568$1,076.49$327$683.031.2×$5,582.8
Abdominal ultrasound completeCPT7670013$1,091$178.81$108.24$177.091.2×$927.35
Abdominal ultrasound limitedCPT7670513$942$154.39$72.16$151.311.0×$800.7
Retroperitoneal ultrasound completeCPT7677013$1,278$209.46$108.24$177.091.2×$1,086.3
Obstetric ultrasound first trimesterCPT7680113$743$121.77$90.2$177.091.3×$631.55
Obstetric ultrasound after first trimesterCPT7680514——$12.16$124.320.81×$514.18
Obstetric ultrasound with fetal anatomyCPT7681114——$12.16$264.171.1×$1,168.74
Transvaginal ultrasoundCPT7683013$1,069$175.2$116.22$177.091.2×$908.65
Pelvic ultrasound completeCPT7685613$1,715$281.08$108.24$203.391.4×$1,457.75
Scrotal ultrasoundCPT7687013$1,646$269.77$84.79$200.151.5×$1,399.1
Diagnostic mammography unilateralCPT770659$619—$12.16$83.40.56×$454.85
Diagnostic mammography bilateralCPT770668$783$128.33$95.21$339.521.8×$665.55
Screening mammography bilateralCPT770678$634$103.91$77.09$277.391.8×$538.9
EKG completeCPT930009——$12.16$602.5×$334
EKG tracing onlyCPT9300513$359$58.84$43.65$205.741.7×$334
EKG interpretation onlyCPT930109——$8.69$53.473.0×$85
Transthoracic echocardiogram completeCPT9330613$4,961$813.1$548.41$2,395.664.0×$4,216.85
Transthoracic echocardiogramCPT9330713$2,070$339.27$228.85$999.64.0×$1,759.5
Stress echocardiogramCPT9335013$2,698$442.2$298.28$1,310.612.6×$2,651.11
inpatient
Respiratory infections & inflammations w MCCMS-DRG17713—$3,233$60$26,1661.7×$43,797
COPD w MCCMS-DRG19013—$3,233$60$17,5761.6×$28,556
COPD w CCMS-DRG19113—$3,233$60$13,4921.5×$21,845
COPD w/o CC/MCCMS-DRG19213—$3,233$60$10,1821.5×$16,493
Simple pneumonia & pleurisy w CCMS-DRG19413—$3,233$60$12,9721.5×$20,851
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19513—$3,233$60$9,860.131.5×$15,834
AMI discharged alive w MCCMS-DRG28013—$3,233$60$25,4541.6×$41,738
AMI discharged alive w CCMS-DRG28113—$3,233$60$14,4931.5×$23,440
AMI discharged alive w/o CC/MCCMS-DRG28213—$3,233$60$11,4001.5×$18,438
Heart failure & shock w MCCMS-DRG29113—$3,233$60$20,4481.6×$33,179
Heart failure & shock w CCMS-DRG29213—$3,233$60$13,5681.5×$21,899
Heart failure & shock w/o CC/MCCMS-DRG29313—$3,233$60$8,769.011.4×$15,489
Cardiac arrhythmia w MCCMS-DRG30813—$3,233$60$19,0211.6×$30,664
Cardiac arrhythmia w CCMS-DRG30913—$3,233$60$11,7221.5×$18,799
Cardiac arrhythmia w/o CC/MCCMS-DRG31013—$3,233$60$8,787.721.4×$14,227
GI hemorrhage w CCMS-DRG37813—$3,233$60$15,5591.6×$25,070
GI hemorrhage w/o CC/MCCMS-DRG37913—$3,233$60$10,0311.5×$16,190
Esophagitis/gastroenteritis w/o MCCMS-DRG39213—$3,233$60$12,3691.5×$19,842
Fractures of femur w/o MCCMS-DRG53313—$3,233$60$24,9281.6×$38,775
Kidney/UTI w MCCMS-DRG68913—$3,233$60$18,5201.6×$29,758
Kidney/UTI w/o MCCMS-DRG69013—$3,233$60$12,7131.5×$20,409
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87113—$3,233$60$31,1581.7×$49,892
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87213—$3,233$60$16,2791.6×$26,216
Initial hospital care, low complexityCPT992219——$12.16$64.290.69×$10,735
Initial hospital care, moderate complexityCPT9922210——$12.16$7944.7×$11,069
Initial hospital care, high complexityCPT9922310——$12.16$7943.5×$11,069
Hospital discharge, <30 minCPT9923810——$12.16$7949.3×$11,069
Hospital discharge, >30 minCPT9923910——$12.16$7946.5×$11,069
lab
Basic metabolic panel (BMP)CPT8004813$164$9.31$3.98$15.250.47×$139.4
General health panelCPT800509——$13.32$590.55×$161.56
Electrolyte panelCPT8005113$133$7.71$3.29$12.270.52×$113.05
Comprehensive metabolic panelCPT8005313$328$11.62$4.96$21.010.47×$278.8
Lipid panelCPT8006113$247$14.73$6.29$24.60.64×$209.95
Renal function panelCPT8006913$210$9.55$4.08$15.190.56×$178.5
Hepatic function panelCPT8007613$180$8.99$3.84$14.30.54×$153
Urinalysis non-automatedCPT8100213—$3.83$1.64$6.090.88×$85
Urinalysis automatedCPT8100313$77$2.48$1.06$3.940.28×$65.45
Glucose quantitativeCPT8294713$64$4.32$1.85$4.720.27×$54.4
Hemoglobin A1cCPT8303613$242$10.68$4.56$16.990.63×$205.7
Thyroid stimulating hormone (TSH)CPT8444313$275$18.48$7.9$33.430.71×$233.75
Complete blood count with automated differentialCPT8502513$146$8.55$3.65$13.60.51×$124.1
Complete blood count without differentialCPT8502713$102$7.12$3.04$11.320.52×$86.7
Urine culture bacterialCPT8708613$257$8.88$3.79$14.120.61×$218.45
Urine culture identificationCPT8708813$123$8.9$3.8$14.160.64×$104.55
Tissue exam by pathologist level IVCPT8830513$819$134.23$23.57$102.181.00×$696.15
maternity
Fetal non-stress testCPT5902513—$5,110$12.16$219.851.2×$4,174
Routine obstetric care including vaginal deliveryCPT594008—$5,110$12.16$57.510.03×$4,174
Vaginal delivery onlyCPT5940913—$5,110$12.16$3,474.841.6×$15,373
Vaginal delivery with postpartumCPT594108—$5,110$12.16$60.790.06×$4,174
Routine obstetric care with C-sectionCPT595108—$5,110$12.16$57.510.02×$4,174
C-section delivery onlyCPT595148—$5,110$12.16$60.790.06×$4,174
C-section with postpartumCPT595158—$5,110$12.16$57.510.05×$7,514
office
Office visit, new patient, 15-29 minCPT992028$391$64.08$42.02$216.572.5×$332.35
Office visit, new patient, 30-44 minutesCPT992038$578$94.73$64.24$299.462.4×$491.3
Office visit, new patient, 45-59 minCPT992048$697$114.23$84.75$361.112.1×$592.45
Office visit, new patient, 60-74 minCPT992058$809$132.59$98.37$448.12.0×$687.65
Office visit, established patient, 5 minCPT992118$305$49.98$16$158.022.5×$259.25
Office visit, established patient, 10-19 minCPT992128$465$76.21$49.06$257.563.2×$395.25
Office visit, established patient, 20-29 minutesCPT992138$513$84.08$62.38$265.782.3×$436.05
Office visit, established patient, 30-39 minutesCPT992148$564$92.43$68.58$292.211.9×$479.4
Office visit, established patient, 40-54 minCPT992158$665$108.99$80.86$368.342.0×$565.25
preventive
Upper GI endoscopy diagnosticCPT4323513—$5,110$12.16$1,024.641.1×$4,533.21
Upper GI endoscopy with biopsyCPT4323913—$5,110$12.16$1,024.641.1×$5,009
Sigmoidoscopy diagnosticCPT4533013—$5,110$12.16$996.391.2×$4,408.23
Sigmoidoscopy with biopsyCPT4533113—$5,110$12.16$996.391.1×$4,408.23
Colonoscopy diagnosticCPT4537813—$5,110$12.16$996.391.1×$5,009
Colonoscopy with biopsyCPT4538013—$5,110$12.16$1,288.591.1×$5,700.98
Colonoscopy with polyp removalCPT4538513—$5,110$12.16$1,288.591.1×$5,700.98
surgery
Total shoulder arthroplastyCPT2347213—$5,110$12.16$20,5005.0×$88,918
PCI w drug-eluting stent w MCCMS-DRG2463——$20,375$56,7112.1×$74,187
PCI w drug-eluting stent w/o MCCMS-DRG2473——$13,067$35,7722.0×$47,189
Hip hemiarthroplastyCPT271258—$5,110$12.16$4,402.53.5×$26,500
Total hip replacementCPT2713013—$5,110$12.16$16,3403.8×$62,213
Total knee replacementCPT2744713—$5,110$12.16$16,3403.9×$62,213
Knee revision arthroplasty single componentCPT274868—$5,110$12.16$4,402.52.6×$26,500
Knee revision arthroplasty all componentsCPT274878—$5,110$12.16$4,402.52.2×$26,500
Shoulder arthroscopy with decompressionCPT298268—$5,110$12.16$830.25×$21,868
Shoulder arthroscopy with rotator cuff repairCPT2982713—$5,110$12.16$7,807.242.4×$34,541
Knee arthroscopy with meniscectomyCPT2988113—$5,110$12.16$3,545.971.7×$21,868
ACL reconstructionCPT2988813—$5,110$12.16$7,807.242.3×$34,541
Major small/large bowel procedures w MCCMS-DRG32913—$3,233$60$76,8021.8×$116,763
Major small/large bowel procedures w CCMS-DRG33013—$3,233$60$39,5641.7×$60,262
Major small/large bowel procedures w/o CC/MCCMS-DRG33113—$3,233$60$27,6351.7×$41,982
CABG single arterial graftCPT335338—$5,110$12.16$63.410.03×$4,174
CABG 2 arterial graftsCPT335348—$5,110$12.16$63.410.03×$4,174
CABG 3 arterial graftsCPT335358—$5,110$12.16$63.410.03×$4,174
CABG 4+ arterial graftsCPT335368—$5,110$12.16$63.410.03×$4,174
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41813—$3,233$60$27,7591.7×$42,170
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41913—$3,233$60$21,2691.6×$33,504
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42013—$3,233$60$56,6091.7×$89,748
Open appendectomyCPT4495013—$5,110$12.16$5,0974.5×$30,170
Laparoscopic appendectomyCPT4497013—$5,110$12.16$6,376.264.1×$28,210
Spinal fusion (non-cervical) w MCCMS-DRG4593——$44,002$118,6522.4×$159,775
Spinal fusion (non-cervical) w/o MCCMS-DRG4603——$25,433$67,9422.0×$93,340
Major joint replacement w MCCMS-DRG46913—$3,233$60$54,7121.8×$83,117
Major joint replacement w/o MCCMS-DRG47013—$3,233$60$27,9421.5×$41,323
Laparoscopic cholecystectomyCPT4756213—$5,110$12.16$6,376.263.6×$28,210
Lap cholecystectomy with cholangiographyCPT4756313—$5,110$12.16$6,376.263.4×$28,210
Hip & femur procedures except major joint w MCCMS-DRG48013—$3,233$60$49,2271.8×$74,784
Hip & femur procedures except major joint w CCMS-DRG48113—$3,233$60$33,8251.7×$52,761
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48213—$3,233$60$26,5541.7×$40,339
Lap inguinal hernia repairCPT4965013—$5,110$12.16$6,376.265.7×$28,210
Total abdominal hysterectomyCPT581508—$5,110$12.16$70.090.07×$9,184
Vaginal hysterectomyCPT5826013—$5,110$12.16$5,394.953.0×$23,868
Lap-assisted vaginal hysterectomyCPT5855013—$5,110$12.16$6,376.264.3×$28,210
Lap-assisted vaginal hysterectomy >250gCPT5855213—$5,110$12.16$7,5753.4×$50,339
Lap salpingo-oophorectomyCPT5866113—$5,110$12.16$6,376.263.1×$28,210
OR procedure for obesity w MCCMS-DRG61913—$3,233$60$32,3001.2×$62,658
OR procedure for obesity w CCMS-DRG62013—$3,233$60$22,8671.4×$42,226
OR procedure for obesity w/o CC/MCCMS-DRG62113—$3,233$60$22,7221.5×$42,226
Complex cataract surgeryCPT6698213—$5,110$12.16$2,492.561.1×$11,028
Cataract surgery with lens implantCPT6698413—$5,110$12.16$2,492.561.1×$11,028
Intravitreal injectionCPT6702813—$5,110$12.16$362.51.1×$4,174
Vitrectomy mechanicalCPT6704213—$5,110$12.16$4,440.471.8×$19,451
Uterine & adnexa procedures w CC/MCCMS-DRG74313—$3,233$60$18,2711.5×$30,481
Uterine & adnexa procedures w/o CC/MCCMS-DRG74413—$3,233$60$29,6951.6×$49,686
PCI single major coronary arteryCPT9292014$12,587—$12.16$11,6522.1×$47,944
PCI with drug-eluting stentCPT9292814$21,044—$12.16$18,8171.9×$54,833
PCI bypass graftCPT9293714$19,654—$12.16$18,8171.7×$54,833
Left heart catheterizationCPT9345213$14,112$2,312.95$1,716.01$6,151.512.0×$17,890
Coronary angiography with cathCPT9345513$20,940$3,432.06$2,546.3$6,151.512.0×$17,890
Coronary angiography with bypass cathCPT9345813$21,415$3,509.91$2,604.06$6,151.512.0×$18,203
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 14)

PayerCodes coveredMedian rate
amerihealth198$412.4
qualcare inc198$763.11
Blue Cross Blue Shield198$688.57
Aetna194$411.23
Cigna194$437
fidelis care194$183.14
First Health194$60
UnitedHealthcare191$398.11
Emblem Health164$922.33
WellCare160$776.7
Humana160$390.3
clover health160$390.3
wellpoint160$390.3
Self-Pay (Cash)27$16.39
Procedures tracked
198
of 209 target codes
Payers
14
with negotiated rates