CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Robert Wood Johnson University Hospital at Rahway

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 0.9× the $95 Medicare rate · typically $62–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $87 This hospital $82 Cash price $66 Hospital's list price $513

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 $82

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 $87 (about 0.9× the $95 Medicare rate). Robert Wood Johnson University Hospital at Rahway charges insurers about $82, or about $66 in cash — about the fair price. Located in Rahway, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $57 - $176 60%
Blue Cross Blue Shieldmajor $82 - $282 86%
Aetnamajor $62 - $200 65%
Cignamajor $250 - $335 263%
AmeriHealth $243 - $288 255%
Fidelis Care $58 61%
+ 1 smaller / regional plan $345
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 865 Stone St, Rahway, NJ 07065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals