CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Mary's General Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$84
about 0.9× the $95 Medicare rate · typically $62–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
Below the fair price — a good deal
about $16 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $84 This hospital $68 Hospital's list price $543

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 2 charge more and 4 charge less, among the 9 NJ hospitals compared.

Cheapest $42 Priciest $74

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $84 (about 0.9× the $95 Medicare rate). St Mary's General Hospital charges insurers about $68 — below the fair price — a good deal. Located in Passaic, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
AmeriHealth $68 71%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 350 Boulevard, Passaic, NJ 07055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals