How many shoppable procedure prices are published for The University Hospital?

The University Hospital in Newark, NJ currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The University Hospital's commercial prices compare to the fair BaseRate?

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

What is The University Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns The University Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - State 358 Beds · urban Updated: 2026-08-13

The University Hospital

150 Bergen St, Newark, NJ 07103 · 113 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

1.02×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 87% of the Time

File Completeness55

Price Logic97

Peer Alignment72

Clean Billing85

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.02× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

The University Hospital prices shoppable and inpatient services (1.1× to 1.2× Medicare, divergence 1.09×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#14 of 52 in NJ · 25th State Percentile#1,393 of 3,385 in U.S. · 41st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 87% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 58% patient recommendation (54/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Captive ER (2.3×) & laboratory (2.2×) services average 1.09× higher multiples than routine shoppable care (1.1×)
Even at low-cost facilities (1.02× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 9.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.09× Divergence

1.2× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.90× · Q50 0.97× · Q75 1.09×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

0.9× MedicareGood

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

87% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 54/100Elevated

Procedure Prices at The University Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 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`	$57,600	$50,087	$30,775	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$39,661	$34,488	$19,087	1.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$39,472	$34,323	$19,432	1.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$37,161	$32,314	$17,936	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$23,463	$20,403	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,102	$7,046	$6,109	1.2×
Breast lump removal CPT Code: `19120`	$5,248	$4,563	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$4,799	$4,173	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,385	$3,813	$3,372	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$3,093	$2,690	$2,540	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,151	$1,633	$1,021	unverified
Trauma team activation HCPCS Code: `G0390`	$1,786	$1,553	$1,453	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$1,561	$2,975	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,604	$1,395	$1,256	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,331	$2,680	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,246	$1,084	$981	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,216	$1,057	$987	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$946	$823	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$732	$637	$583	unverified
Blood transfusion CPT Code: `36430`	$591	$514	$498	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$468	$442	$511	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$468	$407	$448	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$320	$278	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$320	$278	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$320	$295	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$320	$295	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$320	$286	$369	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$293	$255	$201	unverified
Family therapy session CPT Code: `90847`	$238	$207	$173	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$235	$204	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$235	$204	$258	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$238	$207	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$238	$207	$181	unverified
CT scan, pelvis CPT Code: `72192`	$140	$169	$163	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$140	$172	$168	1.0×
X-ray, pelvis CPT Code: `72170`	$140	$122	$110	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$140	$122	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$140	$122	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$140	$122	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$140	$122	$134	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$140	$147	$167	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$140	$147	$169	0.9×
CT scan, sinuses CPT Code: `70486`	$140	$144	$166	0.9×
Group therapy session CPT Code: `90853`	$136	$118	$100	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$140	$129	$160	0.8×
X-ray, chest (single view) CPT Code: `71045`	$117	$101	$92	1.1×
X-ray, foot CPT Code: `73630`	$117	$101	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$117	$101	$93	1.1×
X-ray, hand CPT Code: `73130`	$117	$101	$93	1.1×
X-ray, hip CPT Code: `73502`	$117	$101	$93	1.1×
X-ray, ankle CPT Code: `73610`	$117	$101	$93	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$120	$123	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$105	$148	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$117	$101	$93	unverified
X-ray, lower back CPT Code: `72110`	$140	$122	$112	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$82	$87	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	—	$83	$123	0.7×
X-ray, shoulder CPT Code: `73030`	$117	$101	$92	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Typhoid vaccine HCPCS Code: `90675`	$368	$473	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$169	$203	0.8×
Drug screening test HCPCS Code: `G0480`	$132	$114	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$108	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$153	$133	$140	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$45	$33	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$44	$39	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$55	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$63	$55	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$79	$69	$64	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$14	$14	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$36	$40	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$38	$33	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$46	$40	$56	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$61	$110	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$6	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$16	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$34	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$31	$45	0.7×
Orthotic fitting and training CPT Code: `97760`	—	$34	$51	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	—	—	$38	—
Flu vaccine injection HCPCS Code: `G0008`	$63	$55	$48	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$10	$10	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	—	$35	$86	0.4×
Blood test, lipase CPT Code: `83690`	$8	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$8	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$6	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$10	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$17	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$16	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$12	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$9	$8	$9	0.9×
Physical therapy (gait training) CPT Code: `97116`	—	—	$33	—
Blood test, amylase CPT Code: `82150`	$7	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$3	$2	$3	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$16	$35	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$15	$38	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	—	$12	$34	0.4×
Blood antibody screen CPT Code: `86850`	$11	$10	$46	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	—	$25	—

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at The University Hospital (Zero PHI Required)

CMS CCN: 310119

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $57,600

Insurer Median $50,087

1. Amount on Your Bill or Quote ($) Pre-filled with The University Hospital’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $62,609 Paying Cash

Self-Pay Cash Rate ($57,600) Beats Your Bill

The University Hospital's published 45 CFR § 180 self-pay cash rate is $57,600 (vs. $50,087 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$89,434 Above Fair BaseRate

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

Your bill ($120,209) is $89,434 above the denoised Fair BaseRate ($30,775) and 5.1× 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) For-Profit / Non-501(c)(3)

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

EIN: 221775306

Public IRS & CMS ownership records classify The University Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait294 min

Left ER Before Seen8%

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)

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 The University Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (797 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

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

Price Index: 1.08× regional baseline

Quality: 40/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

+80.4%

Median Household Income$76,712U.S. Census ACS

Local Uninsured Share11.6%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 81/100 · Corroborated CMS CCN 310119 EIN 221775306

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310119) ↗ Verify IRS Form 990 (EIN 221775306) ↗ CMS HCRIS Cost Reports ↗

Published MRF File221775306_UniversityHospital_StandardCharges.csv

Publication / Vintage2026-08-13 · 32.35 MB

Validated Rate Rows2,666 (CMS v3.0.0)

File Integrity DigestVerified · CCN 310119

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