CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Newton Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$139
about 1.0× the $136 Medicare rate · typically $106–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $11 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $139 This hospital $128 Cash price $115 Hospital's list price $557

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 $65 Priciest $128

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 (30-39 min) is about $139 (about 1.0× the $136 Medicare rate). Newton Medical Center charges insurers about $128, or about $115 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 $235 - $942 173%
Blue Cross Blue Shieldmajor $37 - $1,447 27%
Aetnamajor $45 - $1,267 33%
Cignamajor $100 - $1,547 74%
Humanamajor $289 - $1,162 213%
Kaiser Permanentemajor $289 - $1,162 213%
Ambetter (Centene) $211 156%
AmeriHealth $142 - $192 105%
GEHA $235 - $942 173%
Harvard Pilgrim $235 - $942 173%
Health Net $263 - $1,795 194%
MagnaCare $263 - $1,690 194%
MVP Health Care $100 - $1,407 74%
Oscar Health $289 - $1,162 213%
Tufts Health Plan $100 - $1,407 74%
UPMC Health Plan $141 104%
WellCare $141 104%
+ 79 smaller / regional plans $39 - $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