CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Newton Medical Center

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$382
about 1.6× the $244 Medicare rate · typically $286–$530
modeled estimate · not a bill or quote
What this hospital charges insurers
$376
About the fair price
about $6 under the fair price · 1.5× Medicare
Medicare pays $244 Fair price $382 This hospital $376 Cash price $264 Hospital's list price $4,426

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 $230 Priciest $376

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

A fair price for a MRI, knee or other leg joint is about $382 (about 1.6× the $244 Medicare rate). Newton Medical Center charges insurers about $376, or about $264 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.

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 $376 154%
Blue Cross Blue Shieldmajor $264 - $3,005 108%
Aetnamajor $264 - $1,061 108%
Cignamajor $264 - $646 108%
Humanamajor $1,404 576%
Kaiser Permanentemajor $2,434 998%
Ambetter (Centene) $264 108%
AmeriHealth $264 - $2,390 108%
GEHA $376 154%
Harvard Pilgrim $376 154%
Health Net $540 - $3,762 222%
MagnaCare $1,852 - $3,541 760%
MVP Health Care $587 241%
Oscar Health $1,404 576%
Tufts Health Plan $587 241%
UPMC Health Plan $264 108%
WellCare $264 108%
+ 79 smaller / regional plans $260 - $4,426
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 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