CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Hackensack University Medical Center
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$100
about 1.1× the $95 Medicare rate · typically $72–$175
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $100 Hospital's list price $385
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $85 - $278 | 89% |
| Aetnamajor | $97 - $367 | 102% |
| Cignamajor | $308 - $372 | 324% |
| AmeriHealth | $879 - $974 | 923% |
| Clover Health | $69 | 72% |
| + 10 smaller / regional plans | $110 - $375 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Hackensack University Medical Center
Compare: Office visit, established patient (20-29 min) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $42
- Trinitas Regional Medical Center · Elizabeth $65
- Newark Beth Israel Medical Center · Newark $66
- Robert Wood Johnson University Hospital - Somerset · Somerville $66
- St Mary's General Hospital · Passaic $68
- Jefferson Stratford Hospital · Stratford $68
- Saint Michael's Medical Center · Newark $68
- Jersey City Medical Center · Jersey City $72
Insurance negotiated median for the same procedure, sorted lowest first.