CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Newton Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$11,020
about 1.9× the $5,676 Medicare rate · typically $7,092–$20,563
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,769
Above the fair price
about $6,749 over the fair price · 3.1× Medicare
Medicare pays $5,676 Fair price $11,020 This hospital $17,769 Cash price $7,848 Hospital's list price $79,131

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 $6,120 Priciest $17,769

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $11,020 (about 1.9× the $5,676 Medicare rate). Newton Medical Center charges insurers about $17,769, or about $7,848 in cash — above the fair price. Located in Newton, 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 $11,020. 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.

5 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 $19,602 - $20,209 345%
Blue Cross Blue Shieldmajor $6,907 - $17,484 122%
Aetnamajor $5,651 - $20,450 100%
Cignamajor $6,279 - $20,001 111%
Humanamajor $17,769 313%
Ambetter (Centene) $12,934 228%
AmeriHealth $6,404 113%
GEHA $20,209 356%
Harvard Pilgrim $20,209 356%
Health Net $8,682 - $20,450 153%
MagnaCare $3,891 69%
MVP Health Care $18,183 320%
Oscar Health $17,769 313%
Tufts Health Plan $18,183 320%
UPMC Health Plan $6,907 122%
WellCare $6,718 118%
+ 36 smaller / regional plans $5,023 - $20,450
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals