Price Transparency 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 →

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Payer

Horizon BCBS of NJ

Negotiated rates filed under this payer name across every hospital in our index — the fee-schedule medians by code roll up across regional plans so one human payer is one row, not 47. Click any procedure or hospital row to drill into per-code detail.

$507 Overall median paid
124 hospitals
423,432 distinct codes
11,786,306 rate rows
→ search rates from this payer ← All payers

Top procedures

Procedures filed by this payer, sorted by what they pay. The vs national column is signed: green means below market, red means above.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Payer median National median vs national Hospitals Rates
       
J3391 HCPCS — $4,233,000 $4,505,000 ↓ 6.0% 11 30
J1411 HCPCS — $3,486,000 $3,710,000 ↓ 6.0% 30 129
J1414 HCPCS — $3,486,000 $3,710,000 ↓ 6.0% 21 97
J1413 HCPCS — $3,187,200 $3,325,455 ↓ 4.2% 30 129
J3394 HCPCS — $3,087,600 $3,286,000 ↓ 6.0% 30 133
J3393 HCPCS — $2,788,800 $3,006,423 ↓ 7.2% 30 132
J3399 HCPCS — $2,382,139 $2,469,189 ↓ 3.5% 31 151
J3392 HCPCS — $2,191,200 $2,448,600 ↓ 10.5% 26 105
Q2042 HCPCS — $614,056 $754,974 ↓ 18.7% 36 201
1 MS_DRG — $460,548 $265,286 ↑ 73.6% 56 345
3 MS_DRG — $346,205 $202,986 ↑ 70.6% 68 412
C1882 HCPCS — $32,327 $27,112 ↑ 19.2% 41 7,365
C1767 HCPCS — $27,747 $22,478 ↑ 23.4% 48 6,682
C1721 HCPCS — $26,002 $22,210 ↑ 17.1% 37 5,563
C1722 HCPCS — $23,871 $20,768 ↑ 14.9% 37 6,397
C1820 HCPCS — $23,313 $22,013 ↑ 5.9% 47 5,766
C1874 HCPCS — $5,246 $4,694 ↑ 11.8% 52 43,437
C1776 HCPCS — $2,790 $3,432 ↓ 18.7% 53 265,317
C1889 HCPCS — $2,256 $2,393 ↓ 5.7% 51 162,554
C1713 HCPCS — $874 $836 ↑ 4.5% 54 910,938

By state

Where this payer pays the most, by hospital state. IQR shows the middle 50% of rates within each state.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State Median paid p25 p75 Hospitals Rate rows
       
ID $676 $167 $2,261 1 33,856
TN $650 $650 $650 1 1
MA $628 $132 $2,316 1 34,902
NJ $507 $91 $2,814 69 10,642,210
DE $449 $167 $1,742 2 3,608
MI $423 $96 $1,192 2 70,587
NY $322 $63 $1,393 6 101,788
TX $307 $53 $3,581 3 4,186
IA $288 $53 $2,750 11 19,454
PA $132 $17 $1,086 27 875,710
WI $51 $39 $69 1 4
CA — — — 0 0

Hospitals where this payer pays most

One row per hospital. Default sort is descending by overall median — click any header to flip.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital State City Overall median p25 p75 Codes Rate rows
       
Kindred Hospital New Jersey - Morris County NJ Dover $340,080 $191,346 $488,814 2 2
Kindred Hospital New Jersey - Rahway NJ Rahway $98,258 $51,977 $119,475 3 3
Kindred Hospital Houston Medical Center TX Houston $85,321 $55,711 $108,867 3 4
Kindred Hospital East New Jersey NJ Passaic $72,383 $72,383 $72,383 1 1
Mount Sinai Behavioral Health Center NY New York $34,529 $22,105 $57,235 771 1,534
Encompass Health Rehab Hospital Of Tinton Falls NJ Tinton Falls $27,466 $21,843 $34,418 380 380
Encompass Health Rehab Hospital Of Toms River NJ Toms River $27,229 $21,654 $34,120 380 760
Encompass Health Rehab Hospital Of Vineland NJ Vineland $27,167 $21,605 $34,042 380 760
ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL PA Bensalem $23,887 $14,891 $38,671 36 64
CHRISTIANA HOSPITAL DE Newark $17,599 $12,638 $24,944 32 32
PHYSICIANS CARE SURGICAL HOSPITAL PA Royersford $7,267 $1,913 $18,753 4,864 16,096
DEBORAH HEART AND LUNG CENTER NJ Browns Mills $2,260 $418 $8,080 4,124 17,763
MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS NJ Lakewood $1,600 $113 $4,269 15,626 107,508
NEWTON MEDICAL CENTER NJ Newton $1,570 $123 $6,907 9,869 203,500
ENGLEWOOD HOSPITAL AND MEDICAL CENTER NJ Englewood $1,550 $300 $6,505 42,330 335,526
TRINITAS REGIONAL MEDICAL CENTER NJ Elizabeth $1,395 $153 $4,040 15,942 106,348
ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC NJ Paterson $1,305 $236 $5,820 14,276 211,864
ST LUKE'S WARREN HOSPITAL NJ Phillipsburg $1,274 $379 $5,172 18,606 119,919
ST LUKES HOSPITAL BETHLEHEM PA Bethlehem $1,243 $109 $6,056 4,807 4,819
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON NJ Hamilton $1,204 $144 $5,476 15,593 105,637

Source: payer name as filed in MRFs. UUIDs grouped by canonical name across 1 regional plan.