▸ Hospital · · CCN 319801

Robert Wood Johnson University Hospital

Compliance grade

100/100

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Rates published

15,774

last crawl 2026-05-22

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

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

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	12	—	$3,233	$60	$11,230	$33,244
Psychiatric diagnostic evaluation	CPT	90791	12	$866	$141.93	$108.33	$463.05	$776.85
Psychiatric eval with medical services	CPT	90792	12	$915	$149.96	$114.46	$510.62	$777.75
Psychotherapy 30 minutes	CPT	90832	14	—	—	$12.16	$73.85	$776.85
Psychotherapy 45 minutes	CPT	90834	14	—	—	$12.16	$73.85	$776.85
Psychotherapy 60 minutes	CPT	90837	14	—	—	$12.16	$73.85	$776.85
Crisis psychotherapy 60 minutes	CPT	90839	14	—	—	$12.16	$73.85	$776.85
emergency
ED visit level 1	CPT	99281	13	$915	$149.96	$96.23	$400	$2,279
ED visit level 2	CPT	99282	13	$1,575	$258.14	$140	$480	$2,804
ED visit level 3	CPT	99283	13	$2,428	$397.94	$248	$1,230.93	$2,804
ED visit level 4	CPT	99284	13	$3,145	$515.46	$379	$1,753	$2,830
ED visit level 5	CPT	99285	13	$4,155	$681	$494	$1,757	$3,531.75
Critical care, first hour	CPT	99291	13	$5,512	$903.41	$631	$1,832.53	$4,685.2
imaging
CT head without contrast	CPT	70450	13	$2,085	$341.73	$116.22	$231.28	$2,995
CT head with contrast	CPT	70460	13	$2,305	$377.78	$194.55	$287.91	$2,995
CT head with and without contrast	CPT	70470	13	$2,934	$480.88	$194.55	$298.34	$2,995
CT neck with contrast	CPT	70491	13	$3,096	$507.43	$194.55	$312.87	$2,995
MRI brain without contrast	CPT	70551	13	$3,279	$537.42	$264.17	$414	$3,493
MRI brain with contrast	CPT	70552	13	$3,615	$592.49	$327	$493.7	$3,493
MRI brain with and without contrast	CPT	70553	13	$5,038	$825.72	$327	$612.62	$4,282.3
Chest X-ray single view	CPT	71045	13	$426	$69.82	$20.09	$96.23	$425.74
Chest X-ray 2 views	CPT	71046	13	$493	$80.8	$30.85	$116.42	$425.74
Chest X-ray 3 views	CPT	71047	13	$629	$103.09	$39.46	$116.42	$534.65
CT chest without contrast	CPT	71250	13	$3,358	$550.37	$116.22	$239.39	$2,995
CT chest with contrast	CPT	71260	13	$4,261	$698.37	$194.55	$296	$3,621.85
CT chest with and without contrast	CPT	71270	13	$4,620	$757.21	$194.55	$359.91	$3,927
MRI chest without contrast	CPT	71550	13	$1,464	$239.94	$178.02	$437	$3,493
MRI chest with contrast	CPT	71551	13	$3,550	$581.84	$327	$863.44	$3,820.03
MRI chest with and without contrast	CPT	71552	13	$4,042	$662.48	$327	$603.32	$3,493
Lumbosacral spine X-ray	CPT	72100	13	$533	$87.35	$36.08	$143.22	$514.18
CT cervical spine without contrast	CPT	72125	13	$4,652	$762.46	$116.22	$231.28	$3,954.2
CT thoracic spine without contrast	CPT	72128	13	$3,418	$560.21	$116.22	$231.28	$2,995
CT lumbar spine without contrast	CPT	72131	13	$3,681	$603.31	$116.22	$239.39	$3,128.85
MRI cervical spine without contrast	CPT	72141	13	$2,756	$451.7	$264.17	$368.2	$3,493
MRI thoracic spine without contrast	CPT	72146	13	$2,996	$491.04	$264.17	$399.06	$3,493
MRI lumbar spine without contrast	CPT	72148	13	$2,854	$467.77	$264.17	$380.15	$3,493
MRI lumbar spine with and without contrast	CPT	72149	13	$3,356	$550.04	$327	$493.7	$3,493
MRI cervical spine with and without contrast	CPT	72156	13	$4,909	$804.58	$327	$603.32	$4,172.65
MRI lumbar spine with contrast	CPT	72158	13	$4,859	$796.39	$327	$603.32	$4,130.15
CT pelvis without contrast	CPT	72192	13	$2,020	$331.07	$116.22	$235.57	$2,995
CT pelvis with contrast	CPT	72193	13	$2,563	$420.07	$194.55	$320.63	$2,995
Shoulder X-ray	CPT	73030	14	$1,656	—	$12.16	$96.23	$425.74
Humerus X-ray	CPT	73060	14	$713	—	$12.16	$96.23	$425.74
Hand X-ray 3 views	CPT	73130	14	$1,732	—	$12.16	$96.23	$425.74
MRI upper extremity joint without contrast	CPT	73221	14	$5,654	—	$12.16	$346.86	$3,493
MRI upper extremity joint with and without contrast	CPT	73223	14	$6,234	—	$12.16	$465.35	$3,493
Knee X-ray 1-2 views	CPT	73560	14	$1,398	—	$12.16	$96.23	$425.74
Ankle X-ray 3 views	CPT	73610	14	$1,588	—	$12.16	$96.23	$425.74
MRI lower extremity joint without contrast	CPT	73721	14	$2,458	—	$12.16	$346.43	$3,493
MRI lower extremity joint with and without contrast	CPT	73723	14	$4,353	—	$12.16	$465.35	$3,493
CT abdomen without contrast	CPT	74150	13	$1,895	$310.59	$116.22	$231.28	$2,995
CT abdomen with contrast	CPT	74160	13	$2,766	$453.34	$194.55	$340.46	$2,995
CT abdomen with and without contrast	CPT	74170	13	$3,279	$537.42	$194.55	$387.15	$2,995
CT abdomen and pelvis without contrast	CPT	74176	13	$3,040	$498.25	$155.96	$368.2	$2,995
CT abdomen and pelvis with contrast	CPT	74177	13	$3,605	$590.85	$221	$493.7	$3,064.25
CT abdomen and pelvis with and without contrast	CPT	74178	13	$4,549	$745.58	$221	$569.07	$3,866.65
MRI abdomen without contrast	CPT	74181	13	$4,238	$694.6	$264.17	$462.3	$3,602.3
MRI abdomen with and without contrast	CPT	74183	13	$6,568	$1,076.49	$327	$683.03	$5,582.8
Abdominal ultrasound complete	CPT	76700	13	$1,091	$178.81	$108.24	$177.09	$927.35
Abdominal ultrasound limited	CPT	76705	13	$942	$154.39	$72.16	$151.31	$800.7
Retroperitoneal ultrasound complete	CPT	76770	13	$1,278	$209.46	$108.24	$177.09	$1,086.3
Obstetric ultrasound first trimester	CPT	76801	13	$743	$121.77	$90.2	$177.09	$631.55
Obstetric ultrasound after first trimester	CPT	76805	14	—	—	$12.16	$124.32	$514.18
Obstetric ultrasound with fetal anatomy	CPT	76811	14	—	—	$12.16	$264.17	$1,168.74
Transvaginal ultrasound	CPT	76830	13	$1,069	$175.2	$116.22	$177.09	$908.65
Pelvic ultrasound complete	CPT	76856	13	$1,715	$281.08	$108.24	$203.39	$1,457.75
Scrotal ultrasound	CPT	76870	13	$1,646	$269.77	$84.79	$200.15	$1,399.1
Diagnostic mammography unilateral	CPT	77065	9	$619	—	$12.16	$83.4	$454.85
Diagnostic mammography bilateral	CPT	77066	8	$783	$128.33	$95.21	$339.52	$665.55
Screening mammography bilateral	CPT	77067	8	$634	$103.91	$77.09	$277.39	$538.9
EKG complete	CPT	93000	9	—	—	$12.16	$60	$334
EKG tracing only	CPT	93005	13	$359	$58.84	$43.65	$205.74	$334
EKG interpretation only	CPT	93010	9	—	—	$8.69	$53.47	$85
Transthoracic echocardiogram complete	CPT	93306	13	$4,961	$813.1	$548.41	$2,395.66	$4,216.85
Transthoracic echocardiogram	CPT	93307	13	$2,070	$339.27	$228.85	$999.6	$1,759.5
Stress echocardiogram	CPT	93350	13	$2,698	$442.2	$298.28	$1,310.61	$2,651.11
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	13	—	$3,233	$60	$26,166	$43,797
COPD w MCC	MS-DRG	190	13	—	$3,233	$60	$17,576	$28,556
COPD w CC	MS-DRG	191	13	—	$3,233	$60	$13,492	$21,845
COPD w/o CC/MCC	MS-DRG	192	13	—	$3,233	$60	$10,182	$16,493
Simple pneumonia & pleurisy w CC	MS-DRG	194	13	—	$3,233	$60	$12,972	$20,851
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	13	—	$3,233	$60	$9,860.13	$15,834
AMI discharged alive w MCC	MS-DRG	280	13	—	$3,233	$60	$25,454	$41,738
AMI discharged alive w CC	MS-DRG	281	13	—	$3,233	$60	$14,493	$23,440
AMI discharged alive w/o CC/MCC	MS-DRG	282	13	—	$3,233	$60	$11,400	$18,438
Heart failure & shock w MCC	MS-DRG	291	13	—	$3,233	$60	$20,448	$33,179
Heart failure & shock w CC	MS-DRG	292	13	—	$3,233	$60	$13,568	$21,899
Heart failure & shock w/o CC/MCC	MS-DRG	293	13	—	$3,233	$60	$8,769.01	$15,489
Cardiac arrhythmia w MCC	MS-DRG	308	13	—	$3,233	$60	$19,021	$30,664
Cardiac arrhythmia w CC	MS-DRG	309	13	—	$3,233	$60	$11,722	$18,799
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	13	—	$3,233	$60	$8,787.72	$14,227
GI hemorrhage w CC	MS-DRG	378	13	—	$3,233	$60	$15,559	$25,070
GI hemorrhage w/o CC/MCC	MS-DRG	379	13	—	$3,233	$60	$10,031	$16,190
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	13	—	$3,233	$60	$12,369	$19,842
Fractures of femur w/o MCC	MS-DRG	533	13	—	$3,233	$60	$24,928	$38,775
Kidney/UTI w MCC	MS-DRG	689	13	—	$3,233	$60	$18,520	$29,758
Kidney/UTI w/o MCC	MS-DRG	690	13	—	$3,233	$60	$12,713	$20,409
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	13	—	$3,233	$60	$31,158	$49,892
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	13	—	$3,233	$60	$16,279	$26,216
Initial hospital care, low complexity	CPT	99221	9	—	—	$12.16	$64.29	$10,735
Initial hospital care, moderate complexity	CPT	99222	10	—	—	$12.16	$794	$11,069
Initial hospital care, high complexity	CPT	99223	10	—	—	$12.16	$794	$11,069
Hospital discharge, <30 min	CPT	99238	10	—	—	$12.16	$794	$11,069
Hospital discharge, >30 min	CPT	99239	10	—	—	$12.16	$794	$11,069
lab
Basic metabolic panel (BMP)	CPT	80048	13	$164	$9.31	$3.98	$15.25	$139.4
General health panel	CPT	80050	9	—	—	$13.32	$59	$161.56
Electrolyte panel	CPT	80051	13	$133	$7.71	$3.29	$12.27	$113.05
Comprehensive metabolic panel	CPT	80053	13	$328	$11.62	$4.96	$21.01	$278.8
Lipid panel	CPT	80061	13	$247	$14.73	$6.29	$24.6	$209.95
Renal function panel	CPT	80069	13	$210	$9.55	$4.08	$15.19	$178.5
Hepatic function panel	CPT	80076	13	$180	$8.99	$3.84	$14.3	$153
Urinalysis non-automated	CPT	81002	13	—	$3.83	$1.64	$6.09	$85
Urinalysis automated	CPT	81003	13	$77	$2.48	$1.06	$3.94	$65.45
Glucose quantitative	CPT	82947	13	$64	$4.32	$1.85	$4.72	$54.4
Hemoglobin A1c	CPT	83036	13	$242	$10.68	$4.56	$16.99	$205.7
Thyroid stimulating hormone (TSH)	CPT	84443	13	$275	$18.48	$7.9	$33.43	$233.75
Complete blood count with automated differential	CPT	85025	13	$146	$8.55	$3.65	$13.6	$124.1
Complete blood count without differential	CPT	85027	13	$102	$7.12	$3.04	$11.32	$86.7
Urine culture bacterial	CPT	87086	13	$257	$8.88	$3.79	$14.12	$218.45
Urine culture identification	CPT	87088	13	$123	$8.9	$3.8	$14.16	$104.55
Tissue exam by pathologist level IV	CPT	88305	13	$819	$134.23	$23.57	$102.18	$696.15
maternity
Fetal non-stress test	CPT	59025	13	—	$5,110	$12.16	$219.85	$4,174
Routine obstetric care including vaginal delivery	CPT	59400	8	—	$5,110	$12.16	$57.51	$4,174
Vaginal delivery only	CPT	59409	13	—	$5,110	$12.16	$3,474.84	$15,373
Vaginal delivery with postpartum	CPT	59410	8	—	$5,110	$12.16	$60.79	$4,174
Routine obstetric care with C-section	CPT	59510	8	—	$5,110	$12.16	$57.51	$4,174
C-section delivery only	CPT	59514	8	—	$5,110	$12.16	$60.79	$4,174
C-section with postpartum	CPT	59515	8	—	$5,110	$12.16	$57.51	$7,514
office
Office visit, new patient, 15-29 min	CPT	99202	8	$391	$64.08	$42.02	$216.57	$332.35
Office visit, new patient, 30-44 minutes	CPT	99203	8	$578	$94.73	$64.24	$299.46	$491.3
Office visit, new patient, 45-59 min	CPT	99204	8	$697	$114.23	$84.75	$361.11	$592.45
Office visit, new patient, 60-74 min	CPT	99205	8	$809	$132.59	$98.37	$448.1	$687.65
Office visit, established patient, 5 min	CPT	99211	8	$305	$49.98	$16	$158.02	$259.25
Office visit, established patient, 10-19 min	CPT	99212	8	$465	$76.21	$49.06	$257.56	$395.25
Office visit, established patient, 20-29 minutes	CPT	99213	8	$513	$84.08	$62.38	$265.78	$436.05
Office visit, established patient, 30-39 minutes	CPT	99214	8	$564	$92.43	$68.58	$292.21	$479.4
Office visit, established patient, 40-54 min	CPT	99215	8	$665	$108.99	$80.86	$368.34	$565.25
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	—	$5,110	$12.16	$1,024.64	$4,533.21
Upper GI endoscopy with biopsy	CPT	43239	13	—	$5,110	$12.16	$1,024.64	$5,009
Sigmoidoscopy diagnostic	CPT	45330	13	—	$5,110	$12.16	$996.39	$4,408.23
Sigmoidoscopy with biopsy	CPT	45331	13	—	$5,110	$12.16	$996.39	$4,408.23
Colonoscopy diagnostic	CPT	45378	13	—	$5,110	$12.16	$996.39	$5,009
Colonoscopy with biopsy	CPT	45380	13	—	$5,110	$12.16	$1,288.59	$5,700.98
Colonoscopy with polyp removal	CPT	45385	13	—	$5,110	$12.16	$1,288.59	$5,700.98
surgery
Total shoulder arthroplasty	CPT	23472	13	—	$5,110	$12.16	$20,500	$88,918
PCI w drug-eluting stent w MCC	MS-DRG	246	3	—	—	$20,375	$56,711	$74,187
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	—	—	$13,067	$35,772	$47,189
Hip hemiarthroplasty	CPT	27125	8	—	$5,110	$12.16	$4,402.5	$26,500
Total hip replacement	CPT	27130	13	—	$5,110	$12.16	$16,340	$62,213
Total knee replacement	CPT	27447	13	—	$5,110	$12.16	$16,340	$62,213
Knee revision arthroplasty single component	CPT	27486	8	—	$5,110	$12.16	$4,402.5	$26,500
Knee revision arthroplasty all components	CPT	27487	8	—	$5,110	$12.16	$4,402.5	$26,500
Shoulder arthroscopy with decompression	CPT	29826	8	—	$5,110	$12.16	$83	$21,868
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	$5,110	$12.16	$7,807.24	$34,541
Knee arthroscopy with meniscectomy	CPT	29881	13	—	$5,110	$12.16	$3,545.97	$21,868
ACL reconstruction	CPT	29888	13	—	$5,110	$12.16	$7,807.24	$34,541
Major small/large bowel procedures w MCC	MS-DRG	329	13	—	$3,233	$60	$76,802	$116,763
Major small/large bowel procedures w CC	MS-DRG	330	13	—	$3,233	$60	$39,564	$60,262
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	13	—	$3,233	$60	$27,635	$41,982
CABG single arterial graft	CPT	33533	8	—	$5,110	$12.16	$63.41	$4,174
CABG 2 arterial grafts	CPT	33534	8	—	$5,110	$12.16	$63.41	$4,174
CABG 3 arterial grafts	CPT	33535	8	—	$5,110	$12.16	$63.41	$4,174
CABG 4+ arterial grafts	CPT	33536	8	—	$5,110	$12.16	$63.41	$4,174
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	13	—	$3,233	$60	$27,759	$42,170
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	13	—	$3,233	$60	$21,269	$33,504
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	13	—	$3,233	$60	$56,609	$89,748
Open appendectomy	CPT	44950	13	—	$5,110	$12.16	$5,097	$30,170
Laparoscopic appendectomy	CPT	44970	13	—	$5,110	$12.16	$6,376.26	$28,210
Spinal fusion (non-cervical) w MCC	MS-DRG	459	3	—	—	$44,002	$118,652	$159,775
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	3	—	—	$25,433	$67,942	$93,340
Major joint replacement w MCC	MS-DRG	469	13	—	$3,233	$60	$54,712	$83,117
Major joint replacement w/o MCC	MS-DRG	470	13	—	$3,233	$60	$27,942	$41,323
Laparoscopic cholecystectomy	CPT	47562	13	—	$5,110	$12.16	$6,376.26	$28,210
Lap cholecystectomy with cholangiography	CPT	47563	13	—	$5,110	$12.16	$6,376.26	$28,210
Hip & femur procedures except major joint w MCC	MS-DRG	480	13	—	$3,233	$60	$49,227	$74,784
Hip & femur procedures except major joint w CC	MS-DRG	481	13	—	$3,233	$60	$33,825	$52,761
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	13	—	$3,233	$60	$26,554	$40,339
Lap inguinal hernia repair	CPT	49650	13	—	$5,110	$12.16	$6,376.26	$28,210
Total abdominal hysterectomy	CPT	58150	8	—	$5,110	$12.16	$70.09	$9,184
Vaginal hysterectomy	CPT	58260	13	—	$5,110	$12.16	$5,394.95	$23,868
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	$5,110	$12.16	$6,376.26	$28,210
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	$5,110	$12.16	$7,575	$50,339
Lap salpingo-oophorectomy	CPT	58661	13	—	$5,110	$12.16	$6,376.26	$28,210
OR procedure for obesity w MCC	MS-DRG	619	13	—	$3,233	$60	$32,300	$62,658
OR procedure for obesity w CC	MS-DRG	620	13	—	$3,233	$60	$22,867	$42,226
OR procedure for obesity w/o CC/MCC	MS-DRG	621	13	—	$3,233	$60	$22,722	$42,226
Complex cataract surgery	CPT	66982	13	—	$5,110	$12.16	$2,492.56	$11,028
Cataract surgery with lens implant	CPT	66984	13	—	$5,110	$12.16	$2,492.56	$11,028
Intravitreal injection	CPT	67028	13	—	$5,110	$12.16	$362.5	$4,174
Vitrectomy mechanical	CPT	67042	13	—	$5,110	$12.16	$4,440.47	$19,451
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	13	—	$3,233	$60	$18,271	$30,481
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	13	—	$3,233	$60	$29,695	$49,686
PCI single major coronary artery	CPT	92920	14	$12,587	—	$12.16	$11,652	$47,944
PCI with drug-eluting stent	CPT	92928	14	$21,044	—	$12.16	$18,817	$54,833
PCI bypass graft	CPT	92937	14	$19,654	—	$12.16	$18,817	$54,833
Left heart catheterization	CPT	93452	13	$14,112	$2,312.95	$1,716.01	$6,151.51	$17,890
Coronary angiography with cath	CPT	93455	13	$20,940	$3,432.06	$2,546.3	$6,151.51	$17,890
Coronary angiography with bypass cath	CPT	93458	13	$21,415	$3,509.91	$2,604.06	$6,151.51	$18,203

Payer mix (top 14)

Payer	Codes covered	Median rate
amerihealth	198	$412.4
qualcare inc	198	$763.11
Blue Cross Blue Shield	198	$688.57
Aetna	194	$411.23
Cigna	194	$437
fidelis care	194	$183.14
First Health	194	$60
UnitedHealthcare	191	$398.11
Emblem Health	164	$922.33
WellCare	160	$776.7
Humana	160	$390.3
clover health	160	$390.3
wellpoint	160	$390.3
Self-Pay (Cash)	27	$16.39