CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Jfk University Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$133
about 1.0× the $136 Medicare rate · typically $96–$222
modeled estimate · not a bill or quote
What this hospital charges insurers
$137
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $133 This hospital $137 Hospital's list price $523

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 $137

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 $133 (about 1.0× the $136 Medicare rate). Jfk University Medical Center charges insurers about $137 — about the fair price. Located in Edison, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $90 - $435 66%
Aetnamajor $84 - $469 62%
Amerigroup $137 101%
AmeriHealth $495 365%
Clover Health $94 69%
+ 10 smaller / regional plans $112 - $486
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals