Inspira Medical Center Mullica Hill
501 West Front Street, Elmer, NJ 08318 · 128 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.03× fair market pricing.
Aligned Regional Benchmark Peer
Inspira Medical Center Mullica Hill prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 13% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 71% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (28.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 1.01× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 4.6× Medicare (22¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Inspira Medical Center Mullica Hill
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $36,352 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,420 | 1.2× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $23,269 | 1.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $20,821 | 1.2× |
| Total hip replacement CPT Code: 27130 | $14,444 | 1.1× |
| Total knee replacement CPT Code: 27447 | $14,444 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,469 | 1.3× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,802 | 1.1× |
| Breast lump removal CPT Code: 19120 | $4,405 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $4,028 | 1.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,681 | 1.1× |
| Bunion correction surgery CPT Code: 28296 | $3,681 | 1.1× |
| C-section delivery (full package) CPT Code: 59510 | $2,632 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,596 | 1.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,356 | 0.9× |
| Trauma team activation HCPCS Code: G0390 | $1,500 | 1.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,346 | 1.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,046 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,020 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,019 | 1.0× |
| Injection procedure for pain management HCPCS Code: G0260 | $794 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $649 | 1.1× |
| Hospital observation (per hour) HCPCS Code: G0378 | $589 | unverified |
| Blood transfusion CPT Code: 36430 | $496 | 1.0× |
| Psychological testing by technician CPT Code: 96138 | $503 | unverified |
Audit a Bill or Quote at Inspira Medical Center Mullica Hill (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $25,039
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (28.7% of gross = $25,039).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Inspira Medical Center Mullica Hill's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($87,245) is $56,470 above the denoised Fair BaseRate ($30,775) and 3.7× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (28.7% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Inspira Medical Center Mullica Hill. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-09·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (1,693 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Inspira Medical Center Mullica Hill.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.