Office visit, established patient (20-29 min)
Facility: AHS Hospital Corp
Billing Code: 99213 (CPT)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
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 (20-29 min) is about $95 (about 1.0× the $95 Medicare rate). AHS Hospital Corp charges insurers about $98, or about $78 in cash — about the fair price. Located in Hackettstown, 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
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 | $199 - $316 | 209% |
| Blue Cross Blue Shieldmajor | $47 - $486 | 49% |
| Aetnamajor | $56 - $425 | 59% |
| Cignamajor | $67 - $519 | 70% |
| Humanamajor | $246 - $390 | 258% |
| Kaiser Permanentemajor | $246 - $390 | 258% |
| Ambetter (Centene) | $144 | 151% |
| AmeriHealth | $71 - $142 | 75% |
| GEHA | $199 - $316 | 209% |
| Harvard Pilgrim | $199 - $316 | 209% |
| Health Net | $224 - $603 | 235% |
| MagnaCare | $224 - $567 | 235% |
| MVP Health Care | $67 - $472 | 70% |
| Oscar Health | $246 - $390 | 258% |
| Tufts Health Plan | $67 - $472 | 70% |
| UPMC Health Plan | $141 | 148% |
| WellCare | $141 | 148% |
| + 78 smaller / regional plans | $30 - $709 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at AHS Hospital Corp
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.