CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Newton Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,192
about 1.7× the $14,044 Medicare rate · typically $15,372–$40,224
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,298
About the fair price
about $2,106 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $23,192 This hospital $25,298 Cash price $22,469 Hospital's list price $88,151

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 $15,142 Priciest $25,298

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

A fair price for a Hip or knee replacement (inpatient stay) is about $23,192 (about 1.7× the $14,044 Medicare rate). Newton Medical Center charges insurers about $25,298, or about $22,469 in cash — about the fair price. Located in Newton, NJ.

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 $28,530 - $29,412 203%
Blue Cross Blue Shieldmajor $5,941 - $42,442 42%
Aetnamajor $5,941 - $25,298 42%
Cignamajor $16,310 - $49,487 116%
Humanamajor $43,965 313%
Ambetter (Centene) $37,029 264%
AmeriHealth $16,636 118%
GEHA $29,412 209%
Harvard Pilgrim $29,412 209%
Health Net $8,682 - $25,298 62%
MagnaCare $3,891 28%
MVP Health Care $44,988 320%
Oscar Health $43,965 313%
Tufts Health Plan $44,988 320%
UPMC Health Plan $17,941 128%
WellCare $17,452 124%
+ 41 smaller / regional plans $5,203 - $49,487
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.

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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