▸ New Jersey · MS-DRG 469
Major joint replacement w MCC in New Jersey
What New Jersey hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
22
Rate rows
704
Neg. median
$38,617
Min
$60
Max
$197,057
Cash median
$14,646
Across 22 New Jersey hospitals, the negotiated rate for Major joint replacement w MCC ranges from $60 to $197,057, with a median of $38,617. The interquartile range is $28,819 to $80,577. Cash-pay patients typically pay $14,646; gross charges median —.
By payer in New Jersey
Top 30 payers for Major joint replacement w MCC in New Jersey.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 21 | 47 | $77,298 |
| Aetna | 21 | 74 | $75,311 |
| Blue Cross Blue Shield | 21 | 95 | $39,503 |
| UnitedHealthcare | 21 | 73 | $69,950 |
| amerihealth | 20 | 37 | $53,329 |
| WellCare | 20 | 29 | $33,241 |
| Humana | 12 | 12 | $31,159 |
| clover health | 11 | 11 | $31,003 |
| oxford | 9 | 9 | $106,037 |
| amerigroup | 9 | 10 | $29,479 |
| brighton health plan | 9 | 9 | $107,932 |
| clover | 9 | 9 | $32,088 |
| horizon | 9 | 71 | $67,601 |
| vaccn | 9 | 9 | $26,979 |
| seoul medical group | 9 | 9 | $32,671 |
| karna | 9 | 9 | $40,570 |
| Emblem Health | 8 | 8 | $50,394 |
| qualcare inc | 8 | 15 | $6,765 |
| First Health | 8 | 8 | $60 |
| wellpoint | 8 | 12 | $26,569 |
| fidelis care | 8 | 8 | $29,634 |
| Medicare | 4 | 6 | $29,748 |
| Ambetter | 4 | 4 | $61,704 |
| jefferson health plan | 3 | 3 | $32,207 |
| wellpoint full dual advantage | 3 | 3 | $30,100 |
| optum health | 3 | 6 | $28,064 |
| horizon nj health | 3 | 3 | $18,074 |
| horizon nj total care | 3 | 3 | $30,100 |
| braven health | 3 | 3 | $30,100 |
| healthspring | 3 | 3 | $31,003 |
Hospital comparison — Major joint replacement w MCC in New Jersey
Sorted by lowest negotiated median rate. Up to 100 hospitals.