CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Newton Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$118
about 1.0× the $118 Medicare rate · typically $91–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$122
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $118 This hospital $122 Cash price $97 Hospital's list price $709

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 $61 Priciest $122

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

A fair price for a New patient office visit (30-44 min) is about $118 (about 1.0× the $118 Medicare rate). Newton Medical Center charges insurers about $122, or about $97 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 $215 - $593 183%
Blue Cross Blue Shieldmajor $32 - $911 27%
Aetnamajor $50 - $797 43%
Cignamajor $81 - $452 69%
Humanamajor $266 - $731 226%
Kaiser Permanentemajor $266 - $731 226%
Ambetter (Centene) $178 151%
AmeriHealth $72 - $407 61%
GEHA $215 - $593 183%
Harvard Pilgrim $215 - $593 183%
Health Net $242 - $1,130 206%
MagnaCare $242 - $1,063 206%
MVP Health Care $81 - $411 69%
Oscar Health $266 - $731 226%
Tufts Health Plan $81 - $411 69%
UPMC Health Plan $150 128%
WellCare $150 128%
+ 78 smaller / regional plans $36 - $12,000
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