CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Morristown Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$106

about 1.1× the $95 Medicare rate · typically $76–$151

modeled estimate · not a bill or quote

What this hospital charges insurers

$150

Above the fair price

about $44 over the fair price · 1.6× Medicare

Medicare pays $95 Fair price $106 This hospital $150 Cash price $78 Hospital's list price $517

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 $42 Priciest $150

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 $106 (about 1.1× the $95 Medicare rate). Morristown Medical Center charges insurers about $150, or about $78 in cash — above the fair price. Located in Morristown, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $106. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$148 - $827	155%
Blue Cross Blue Shieldmajor	$40 - $974	42%
Aetnamajor	$48 - $845	50%
Cignamajor	$67 - $1,032	70%
Humanamajor	$182 - $774	191%
Kaiser Permanentemajor	$182 - $774	191%
Ambetter (Centene)	$144	151%
AmeriHealth	$130 - $151	137%
GEHA	$148 - $827	155%
Harvard Pilgrim	$148 - $827	155%
Health Net	$166 - $1,197	174%
MagnaCare	$166 - $1,150	174%
MVP Health Care	$67 - $938	70%
Oscar Health	$182 - $774	191%
Tufts Health Plan	$67 - $938	70%
UPMC Health Plan	$150	158%
WellCare	$150	158%
+ 95 smaller / regional plans	$30 - $1,408

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 26 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 78), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Morristown Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Morristown Medical Center

Compare: Office visit, established patient (20-29 min) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.