CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Newton Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,512
about 1.8× the $14,117 Medicare rate · typically $17,537–$49,064
modeled estimate · not a bill or quote
What this hospital charges insurers
$44,275
Above the fair price
about $18,763 over the fair price · 3.1× Medicare
Medicare pays $14,117 Fair price $25,512 This hospital $44,275 Cash price $19,539 Hospital's list price $186,481

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 $15,248 Priciest $44,275

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

A fair price for a Sepsis treatment (inpatient stay) is about $25,512 (about 1.8× the $14,117 Medicare rate). Newton Medical Center charges insurers about $44,275, or about $19,539 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 $25,512. 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 $48,842 - $50,353 346%
Blue Cross Blue Shieldmajor $9,074 - $43,448 64%
Aetnamajor $14,068 - $50,954 100%
Cignamajor $15,631 - $49,835 111%
Humanamajor $44,275 314%
Ambetter (Centene) $32,201 228%
AmeriHealth $15,944 113%
GEHA $50,353 357%
Harvard Pilgrim $50,353 357%
Health Net $8,682 - $50,954 62%
MagnaCare $5,086 36%
MVP Health Care $45,305 321%
Oscar Health $44,275 314%
Tufts Health Plan $45,305 321%
UPMC Health Plan $17,195 122%
WellCare $16,726 118%
+ 36 smaller / regional plans $7,532 - $50,954
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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