CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Luke's Warren Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$117
about 0.9× the $136 Medicare rate · typically $66–$172
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $52 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $117 This hospital $65 Cash price $1,550 Hospital's list price $1,722

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $65 Priciest $100

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 (30-39 min) is about $117 (about 0.9× the $136 Medicare rate). St Luke's Warren Hospital charges insurers about $65, or about $1,550 in cash — below the fair price — a good deal. Located in Phillipsburg, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $462 - $465 341%
Blue Cross Blue Shieldmajor $165 - $1,275 122%
Aetnamajor $123 - $601 91%
AmeriHealth $65 48%
Geisinger $64 - $484 47%
Oscar Health $448 330%
UPMC Health Plan $65 - $472 48%

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals