Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 99221 · BELLE MEAD, NJ

99221 — Pr Hospital IP/Obs Care Initial Straightforward Or Low Level Per Day

What each payer pays HACKENSACK MERIDIAN HEALTH CARRIER CLINIC (CCN 314012) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$110 All-payer median here
$66 Cash / self-pay here
15 payer/plan-name variants
← This hospital National rates for 99221 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
BRIGHTON $270 146.2% 3
Amerigroup $147 33.9% 1
WORKFORCE ASSISTANCE $147 33.9% 1
ComPsych Corporation $147 33.9% 1
CONCERN PLUS $147 33.9% 1
Evernorth Health Services $147 33.9% 1
QualCare IPA $147 33.9% 1
TRISTATE $147 33.9% 1
United Behavioral Health (Optum) $147 33.9% 3
Horizon BCBS of NJ $129 17.0% 6
Aetna $110 -0.1% 7
Beacon Health Strategies $82 -25.4% 6
GHI BEACON $82 -25.4% 3
WellCare Health Plans $72 -34.3% 6
Clover Health $24 -78.4% 3

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.