CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Centrastate Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$139
about 1.0× the $136 Medicare rate · typically $103–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$143
About the fair price
about $4 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $139 This hospital $143 Cash price $115 Hospital's list price $193

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 $143

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 $139 (about 1.0× the $136 Medicare rate). Centrastate Medical Center charges insurers about $143, or about $115 in cash — about the fair price. Located in Freehold, NJ.

What each insurance company pays

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

6 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 $80 - $796 59%
Blue Cross Blue Shieldmajor $36 - $143 27%
Aetnamajor $43 - $200 32%
Cignamajor $64 - $143 47%
Humanamajor $99 73%
Kaiser Permanentemajor $99 73%
Ambetter (Centene) $205 151%
AmeriHealth $144 - $192 106%
GEHA $80 - $796 59%
Harvard Pilgrim $80 - $796 59%
Health Net $90 - $153 66%
MagnaCare $117 86%
MVP Health Care $120 88%
Oscar Health $99 73%
Tufts Health Plan $120 88%
UPMC Health Plan $143 105%
WellCare $143 105%
+ 78 smaller / regional plans $41 - $12,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 901 West Main Street, Freehold, NJ 07728
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals