CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: The University Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$77
about 0.8× the $95 Medicare rate · typically $52–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $77 This hospital $82 Hospital's list price $488

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 $42 Priciest $82

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 $77 (about 0.8× the $95 Medicare rate). The University Hospital charges insurers about $82 — about the fair price. Located in Newark, 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 $143 150%
Blue Cross Blue Shieldmajor $146 153%
Aetnamajor $143 - $185 150%
AmeriHealth $317 333%
Fidelis Care $143 150%
Health Net $463 486%
+ 6 smaller / regional plans $82 - $439
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 150 Bergen St, Newark, NJ 07103
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals