CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 99213 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$110
about 1.2× the $95 Medicare rate · typically $68–$573
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $110 Hospital's list price $322
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $42 - $229 | 44% |
| Blue Cross Blue Shieldmajor | $265 | 278% |
| Aetnamajor | $185 - $266 | 194% |
| Cignamajor | $135 - $162 | 142% |
| Amerigroup | $84 | 88% |
| AmeriHealth | $207 - $271 | 217% |
| Devoted Health | $161 | 169% |
| Health Net | $225 - $306 | 236% |
| HealthPartners | $80 | 84% |
| MagnaCare | $129 - $290 | 136% |
| WellCare | $44 | 46% |
| + 28 smaller / regional plans | $42 - $756 |
Government programs also on file: Military & VA.
Excludes 6 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
Other Procedures at Atlanticare Regional Medical Center - City Campus
Compare: Office visit, established patient (20-29 min) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $42
- Trinitas Regional Medical Center · Elizabeth $65
- Newark Beth Israel Medical Center · Newark $66
- Robert Wood Johnson University Hospital - Somerset · Somerville $66
- St Mary's General Hospital · Passaic $68
- Jefferson Stratford Hospital · Stratford $68
- Saint Michael's Medical Center · Newark $68
- Jersey City Medical Center · Jersey City $72
Insurance negotiated median for the same procedure, sorted lowest first.