How many shoppable procedure prices are published for AHS Hospital Corp?

AHS Hospital Corp in Hackettstown, NJ currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do AHS Hospital Corp's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, AHS Hospital Corp's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is AHS Hospital Corp's CMS Care Compare overall star rating?

CMS Care Compare assigns AHS Hospital Corp an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 95 Beds · urban Updated: 04/01/2026

AHS Hospital Corp

651 Willow Grove St, Hackettstown, NJ 07840 · 121 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

0.97×vs. Fair Market Price

Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness66

Price Logic96

Peer Alignment77

Clean Billing92

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.97× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

AHS Hospital Corp prices shoppable and inpatient services (1.2× to 1.3× Medicare, divergence 1.08×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#6 of 52 in NJ · 9th State Percentile#1,117 of 3,385 in U.S. · 32nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 57% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (9.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.7×) & laboratory (3.7×) services average 1.08× higher multiples than routine shoppable care (1.2×)
Specialty infusion drugs (J-codes) average 2.0× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 4,032) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.08× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.98× · Q50 1.05× · Q75 1.15×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

49% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at AHS Hospital Corp

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$36,565	$75,343	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$19,512	$45,305	$19,087	2.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$21,122	$41,118	$17,936	2.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$22,469	$29,014	$19,432	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,859	$18,183	$8,223	2.2×
Total hip replacement CPT Code: `27130`	$17,384	$15,079	$13,413	1.1×
Total knee replacement CPT Code: `27447`	$17,842	$15,079	$13,523	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,243	$6,770	$6,109	1.1×
Breast lump removal CPT Code: `19120`	$5,110	$4,443	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$4,435	$3,895	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,330	$3,765	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$4,130	$3,591	$3,446	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,591	$3,591	$151	unverified
Cataract surgery with lens implant CPT Code: `66984`	$3,043	$2,646	$2,540	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,482	$1,288	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,358	$1,181	$1,021	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,178	$1,024	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,146	$996	$981	1.0×
Rabies immune globulin HCPCS Code: `90375`	$2,575	$766	$322	2.4×
Injection procedure for pain management HCPCS Code: `G0260`	$873	$757	$855	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$498	$602	$448	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$477	$602	$511	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$689	$599	$583	1.0×
Blood transfusion CPT Code: `36430`	$829	$478	$498	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$323	$376	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$323	$376	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$323	$376	$369	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$304	$332	$303	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$385	$292	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$238	$292	$258	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$304	$265	$272	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$202	$279	$185	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$134	$175	$126	1.4×
Ultrasound, pelvis CPT Code: `76856`	$200	$178	$130	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$134	$178	$132	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$134	$178	$134	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$214	$185	$148	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$129	$153	$123	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$134	$178	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$134	$178	$163	1.1×
CT scan, sinuses CPT Code: `70486`	$134	$178	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$134	$178	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$134	$178	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$134	$178	$169	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$97	$129	$110	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$115	$135	$123	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$202	$133	$181	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$78	$98	$87	1.1×
X-ray, pelvis CPT Code: `72170`	$134	$116	$110	1.1×
X-ray, chest (single view) CPT Code: `71045`	$306	$96	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$122	$96	$92	1.0×
X-ray, foot CPT Code: `73630`	$111	$96	$92	1.0×
X-ray, lower back CPT Code: `72110`	$134	$116	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$111	$96	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$122	$96	$93	1.0×
X-ray, hand CPT Code: `73130`	$111	$96	$93	1.0×
X-ray, ankle CPT Code: `73610`	$111	$96	$93	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$185	$83	$86	1.0×
Family therapy session CPT Code: `90847`	$214	$102	$173	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$202	$90	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	$828	$82	$231	0.4×
X-ray, hip CPT Code: `73502`	$122	$107	$93	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$416	$388	$347	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$276	$141	$140	1.0×
Drug screening test HCPCS Code: `G0480`	$116	$114	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$329	$105	$111	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$168	$107	$203	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$443	$106	$56	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$140	$57	$35	1.6×
Prosthetic fitting and training CPT Code: `97761`	$122	$46	$45	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$75	$65	$64	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$173	$80	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$164	$78	$39	unverified
Speech therapy (group session) CPT Code: `92508`	$310	$41	$27	1.5×
Flu vaccine injection HCPCS Code: `G0008`	—	$54	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$54	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$79	$54	$49	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$117	$39	$37	1.1×
Orthotic fitting and training CPT Code: `97760`	$312	$52	$51	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$228	$39	$40	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$248	$37	$38	1.0×
Physical therapy (gait training) CPT Code: `97116`	$296	$32	$33	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$195	$36	$38	0.9×
Care planning with family CPT Code: `90887`	$356	$48	$107	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$41	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$39	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	—	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$533	$18	$15	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$13	$11	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$203	$36	$38	0.9×
Blood test, lipase CPT Code: `83690`	$38	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$59	$8	$7	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$21	$20	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$9	$9	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$98	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$60	$14	$14	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$65	$19	$19	1.0×
Blood test, vitamin D CPT Code: `82306`	$83	$30	$31	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$222	$32	$35	0.9×
Psychological testing evaluation CPT Code: `96136`	$545	$38	$128	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$61	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$59	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$47	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$80	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$49	$10	$10	1.0×
Blood test, sodium CPT Code: `84295`	$90	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$9	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$47	$8	$8	1.0×
Culture, blood CPT Code: `87040`	$45	$11	$11	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$214	$14	$14	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$70	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$74	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$33	$8	$9	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$189	$30	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$21	$4	$5	0.8×
Blood antibody screen CPT Code: `86850`	$559	$25	$46	0.5×
Group therapy session CPT Code: `90853`	$116	$24	$100	0.2×

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 9.1%

Audit a Bill or Quote at AHS Hospital Corp (Zero PHI Required)

CMS CCN: 310115

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $36,565

Insurer Median $75,343

1. Amount on Your Bill or Quote ($) Pre-filled with AHS Hospital Corp’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $12,914 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $12,914

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (9.1% of gross = $12,914).

Step 2 · Cash vs. Insurance Arbitrage Save $105,656 Paying Cash

Self-Pay Cash Rate ($36,565) Beats Your Bill

AHS Hospital Corp's published 45 CFR § 180 self-pay cash rate is $36,565 (vs. $75,343 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$111,446 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($142,221) is $111,446 above the denoised Fair BaseRate ($30,775) and 6.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (9.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend57%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait174 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (482 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for AHS Hospital Corp.

Price Index: 0.65× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-42.9%

Kaiser Permanente

+115.5%

Humana

+122.1%

Oscar Health

+147.7%

Independence Bc [5479]

+153.8%

Median Household Income$99,596U.S. Census ACS

Local Uninsured Share4.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 310115

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 310115) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows27,900 (CMS v3.0.0)

File Integrity DigestVerified · CCN 310115

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy