CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Inspira Medical Center Vineland

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$91

about 1.0× the $95 Medicare rate · typically $73–$104

modeled estimate · not a bill or quote

What this hospital charges insurers

$102

About the fair price

about $11 over the fair price · 1.1× Medicare

Medicare pays $95 Fair price $91 This hospital $102 Cash price $449 Hospital's list price $449

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 $42 Priciest $102

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $91 (about 1.0× the $95 Medicare rate). Inspira Medical Center Vineland charges insurers about $102, or about $449 in cash — about the fair price. Located in Vineland, 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	$77 - $1,239	81%
Blue Cross Blue Shieldmajor	$88 - $375	92%
Aetnamajor	$86 - $314	90%
Cignamajor	$310	326%
Humanamajor	$107	112%
Ambetter (Centene)	$208	219%
AmeriHealth	$375	394%
Cigna HealthSpring	$105	110%
Clover Health	$102	107%
Fidelis Care	$86	90%
WellCare	$102	107%
+ 5 smaller / regional plans	$82 - $1,239

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 449), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Inspira Medical Center Vineland is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Inspira Medical Center Vineland

Compare: Office visit, established patient (20-29 min) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.