CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Mary's General Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$112
about 0.8× the $136 Medicare rate · typically $82–$272
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
Below the fair price — a good deal
about $12 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $112 This hospital $100 Hospital's list price $554

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $100

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 (30-39 min) is about $112 (about 0.8× the $136 Medicare rate). St Mary's General Hospital charges insurers about $100 — 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 $100 74%

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