▸ Payer

horizon nj total care

Negotiated rates published by hospitals for horizon nj total care across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

196

States

Rate rows

1,566

Median neg. rate

$398.74

Top procedures for horizon nj total care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	9	$3,642.15
Total hip replacement	CPT	27130	9	$14,392
Total knee replacement	CPT	27447	9	$14,392
Total shoulder arthroplasty	CPT	23472	9	$20,264
Shoulder arthroscopy with rotator cuff repair	CPT	29827	9	$8,038.57
ACL reconstruction	CPT	29888	9	$8,038.57
Heart failure & shock w MCC	MS-DRG	291	9	$13,227
Heart failure & shock w CC	MS-DRG	292	9	$8,773.77
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	$5,874.97
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	$8,062.89
Cardiac arrhythmia w MCC	MS-DRG	308	9	$12,410
Cardiac arrhythmia w CC	MS-DRG	309	9	$7,613.22
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	$5,875.99
AMI discharged alive w MCC	MS-DRG	280	9	$16,508
AMI discharged alive w CC	MS-DRG	281	9	$9,491.8
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	$7,484.16
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	9	$20,676
Intracranial hemorrhage/CVA w CC	MS-DRG	065	9	$10,426
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	9	$7,087.75
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	$8,332.28
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	$6,515.16
Respiratory infections & inflammations w MCC	MS-DRG	177	9	$16,084
COPD w MCC	MS-DRG	190	9	$11,424
COPD w CC	MS-DRG	191	9	$8,712.3
COPD w/o CC/MCC	MS-DRG	192	9	$6,653.44
GI hemorrhage w CC	MS-DRG	378	9	$10,123
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	$6,534.62
Major small/large bowel procedures w MCC	MS-DRG	329	9	$47,160
Major small/large bowel procedures w CC	MS-DRG	330	9	$24,632
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	$17,315

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Inspira Medical Center Elmer	—	—	$5,115.04
Inspira Medical Center Mannington	—	—	$5,115.04
Inspira Health Center Bridgeton	—	—	$5,115.04
Inspira Medical Center Woodbury Inc	Woodbury	NJ	$5,115.04
Inspira Medical Center Elmer	Elmer	NJ	$5,115.04
Inspira Health Center Woodbury	—	—	$5,115.04
Inspira Medical Center Vineland	—	—	$5,230.36
Inspira Medical Center Mullica Hill	—	—	$5,230.36
Inspira Medical Center Vineland	Vineland	NJ	$5,230.36

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States with hospitals publishing rates for horizon nj total care.

State	Hospitals	Avg rate
NJ	3	$5,158.34

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