Gloucester County Repricing Summary 02032026 file.xlsx

This document is a Cigna OAP (Open Access Plus) repricing summary for Gloucester County covering claims data from October 2024 through September 2025, paid through December 2025. The summary analyzes healthcare claim charges and network discounts across multiple service categories including inpatient facilities, outpatient facilities, physician services, injectables, laboratory services, radiology, and Healthcare Common Procedure Coding System (HCPCS) items. The data is segmented by three-digit zip codes and provider-specific arrangements, providing comparative analysis of network charges, discount percentages, discount amounts in dollars, and network-allowed amounts. The document does not contain information regarding response dates, due dates, site visits, bidders' meetings, award dates, or contract terms, as it functions as a historical financial analysis rather than a solicitation or contract award document.

The repricing summary reveals significant variation in network discount rates across service categories. The three-digit zip code approach achieved a 63.7% network discount rate on $7.96 billion in total charges for inpatient, outpatient, and physician services combined, resulting in $4.86 billion in discounts and $2.77 billion in network-allowed amounts. The provider-specific approach achieved a 60.5% discount rate, generating $4.63 billion in discounts and $3.02 billion in network-allowed amounts. Virginia accounts for nearly all claims activity, with minimal "All Other" state representation. Outpatient facility services represent the largest claim volume at $4.32 billion in charges, while inpatient services account for $1.24 billion and physician services $1.41 billion. Data quality issues totaling $128,326 were excluded from primary repricing analysis, with reconciliation confirming all source file totals matched the summary page figures.