How many shoppable procedure prices are published for Hunterdon Medical Center?

Hunterdon Medical Center in Flemington, NJ currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Hunterdon Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Hunterdon Medical Center 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 184 Beds · urban Updated: 2/11/2026

Hunterdon Medical Center

2100 Wescott Drive, Flemington, NJ 08822 · 100 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 92% of the Time

File Completeness90

Price Logic81

Peer Alignment64

Clean Billing77

Real Cash Discount100

High-Markup Tier

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Hunterdon Medical Center prices shoppable and inpatient services (6.7× to 5.0× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in NJU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 92% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (62/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (71.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 10.3× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

6.7× Medicare

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

Back-Door Captive & ER0.75× Divergence

5.0× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

6.7× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.8× MedicareGood

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

92% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 62/100Elevated

Procedure Prices at Hunterdon Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$2,498	$2,498	$1,021	2.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,322	$1,322	$583	2.3×
Blood transfusion CPT Code: `36430`	$1,296	$1,296	$498	2.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,135	$1,135	$303	3.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$963	$963	$258	3.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$782	$782	$168	4.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$763	$763	$169	4.5×
CT scan, head (with contrast) CPT Code: `70460`	$787	$787	$242	3.3×
CT scan, pelvis CPT Code: `72192`	$677	$677	$163	4.2×
CT scan, chest (no contrast) CPT Code: `71250`	$678	$678	$167	4.1×
CT scan, head (no contrast) CPT Code: `70450`	$643	$643	$160	4.0×
CT scan, sinuses CPT Code: `70486`	$625	$625	$166	3.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$639	$639	$511	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$604	$604	$272	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$481	$481	$448	1.1×
Care planning with family CPT Code: `90887`	$425	$425	$107	4.0×
MRI, lower back (no contrast) CPT Code: `72148`	$390	$390	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$390	$390	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$390	$390	$369	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$344	$344	$132	2.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$318	$318	$134	2.4×
X-ray, shoulder CPT Code: `73030`	$264	$264	$92	2.9×
X-ray, lower back CPT Code: `72110`	$238	$238	$112	2.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$207	$207	$126	1.6×
Ultrasound, pelvis CPT Code: `76856`	$210	$210	$130	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$229	$229	$181	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$178	$178	$110	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$203	$203	$185	1.1×
X-ray, hip CPT Code: `73502`	$154	$154	$93	1.7×
X-ray, ankle CPT Code: `73610`	$154	$154	$93	1.7×
X-ray, foot CPT Code: `73630`	$152	$152	$92	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$152	$152	$93	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$161	$161	$123	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$176	$176	$148	1.2×
X-ray, hand CPT Code: `73130`	$147	$147	$93	1.6×
Review of medical records for care CPT Code: `90889`	$160	$160	$114	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$130	$130	$86	1.5×
X-ray, chest (two views) CPT Code: `71046`	$116	$116	$93	1.2×
X-ray, pelvis CPT Code: `72170`	$121	$121	$110	1.1×
Family therapy session CPT Code: `90847`	$143	$143	$173	0.8×
Group therapy session CPT Code: `90853`	$104	$104	$100	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$121	$121	$166	0.7×
Neurobehavioral status check CPT Code: `96116`	$120	$120	$231	0.5×
X-ray, chest (single view) CPT Code: `71045`	$90	$90	$92	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$94	$94	$123	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$147	$147	$20	7.3×
Typhoid vaccine HCPCS Code: `90675`	$172	$172	$347	0.5×
Blood test, vitamin D CPT Code: `82306`	$114	$114	$31	3.7×
Blood test, amylase CPT Code: `82150`	$63	$63	$7	9.0×
Culture, bacterial CPT Code: `87070`	$79	$79	$9	8.8×
Blood test, lipase CPT Code: `83690`	$48	$48	$7	6.9×
Blood test, liver function panel CPT Code: `80076`	$59	$59	$9	6.6×
Culture, blood CPT Code: `87040`	$69	$69	$11	6.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$71	$71	$19	3.7×
Blood test, potassium CPT Code: `84132`	$33	$33	$5	6.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$55	$55	$10	5.5×
Blood test, vitamin B12 CPT Code: `82607`	$79	$79	$16	4.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$64	$64	$14	4.6×
Hepatitis C antibody test CPT Code: `86803`	$59	$59	$15	3.9×
Community mental health services HCPCS Code: `H0038`	$61	$61	$16	3.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$60	$60	$18	3.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$29	$29	$3	9.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$28	$4	7.0×
Blood test, calcium CPT Code: `82310`	$28	$28	$5	5.6×
Blood test, magnesium CPT Code: `83735`	$34	$34	$7	4.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$53	$53	$14	3.8×
Physical therapy (gait training) CPT Code: `97116`	$74	$74	$33	2.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$77	$77	$35	2.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$50	$14	3.6×
Physical therapy (manual therapy) CPT Code: `97140`	$57	$57	$34	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$56	$56	$35	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$60	$60	$38	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$59	$59	$38	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$61	$61	$40	1.5×
Prosthetic fitting and training CPT Code: `97761`	$66	$66	$45	1.5×
Orthotic fitting and training CPT Code: `97760`	$62	$62	$51	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$70	$64	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$56	$56	$87	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$62	$62	$111	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$56	$56	$140	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$71	$71	$203	0.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$18	$4	4.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$22	$22	$5	4.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$26	$26	$6	4.3×
Hepatitis B vaccine HCPCS Code: `90744`	$42	$42	$37	1.1×
Blood test, hemoglobin CPT Code: `85018`	$12	$12	$3	4.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$32	$8	4.0×
Blood test, sodium CPT Code: `84295`	$18	$18	$5	3.6×
Blood test, basic metabolic panel CPT Code: `80048`	$32	$32	$9	3.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$35	$35	$11	3.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$52	$52	$86	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$15	$5	3.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$39	$39	$56	0.7×
Blood antibody screen CPT Code: `86850`	$32	$32	$46	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$23	$23	$49	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$46	$46	$201	0.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$20	$20	$39	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$18	$18	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$18	$18	$49	0.4×
Psychological testing evaluation CPT Code: `96136`	$31	$31	$128	0.2×

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 71.9%

Audit a Bill or Quote at Hunterdon Medical Center (Zero PHI Required)

CMS CCN: 310005

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $2,498

Insurer Median $2,498

1. Amount on Your Bill or Quote ($) Pre-filled with Hunterdon Medical Center’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: $5,738 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,738

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (71.9% of gross = $5,738).

Step 2 · Cash vs. Insurance Arbitrage Save $5,482 Paying Cash

Self-Pay Cash Rate ($2,498) Beats Your Bill

Hunterdon Medical Center's published 45 CFR § 180 self-pay cash rate is $2,498 (vs. $2,498 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,959 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($7,980) is $6,959 above the denoised Fair BaseRate ($1,021) and 9.1× the $877 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)

EIN: 221537688

Filing Period: 195309

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 (71.9% 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 Composite62/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait232 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Hunterdon Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2023-10-12·administrative_or_closure
Closure Notice
Recorded
2023-01-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (636 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hunterdon Medical Center.

Price Index: 1.72× regional baseline

Quality: 53/100 CMS composite

Median Household Income$139,453U.S. Census ACS

Local Uninsured Share2.9%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 82/100 · Corroborated CMS CCN 310005 EIN 221537688

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310005) ↗ Verify IRS Form 990 (EIN 221537688) ↗ CMS HCRIS Cost Reports ↗

Published MRF File221537688_Hunterdon-Medical-Center_standardcharges.csv

Publication / Vintage2/11/2026 · 17.00 MB

Validated Rate Rows686 (CMS v3.0.0)

File Integrity Digest97ff2992fd75b32aa8c7…

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