Does Jersey City Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Jersey City Medical Center. In a medical emergency, call 911.

Where is Jersey City Medical Center?

355 Grand Street, Jersey City, NJ 07302, in Hudson County, New Jersey.

What is the phone number of Jersey City Medical Center?

(201) 915-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Jersey City Medical Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Jersey City Medical Center — Jersey City, NJ

Quick answers

Does Jersey City Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Jersey City Medical Center. In a medical emergency, call 911.
Where is Jersey City Medical Center?: 355 Grand Street, Jersey City, NJ 07302, in Hudson County, New Jersey.
What is the phone number of Jersey City Medical Center?: (201) 915-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Jersey City Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Cancer care
Heart and vascular care
Maternity
Mental and behavioral health
Orthopedics
Sleep disorders
Weight loss and bariatric surgery
Women's health
Emergency medicine
Pediatric emergency medicine
Trauma care

Procedures^[7]

Hip and knee replacement
Hip fracture treatment
Coronary interventional procedures
Pacemaker procedures
Defibrillator procedures

Programs and centers^[4][5][7]

Primary Stroke Plus Center
Heart Center
DNV-certified Hip and Knee Replacement Program
Commission on Cancer accredited cancer program
Center for Sleep Disorders (AASM accredited)
Abercrombie Guild Pediatric Emergency Department
Trauma Division (ACS Surgical Quality Partner)
Palliative care (DNV)

Emergency care (hospital website)^[5][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Plus Center

Visiting and practical information

Visiting	Standard visiting hours 8 a.m.-8 p.m., 7 days a week; unit-specific rules and exceptions apply (effective Feb 20, 2026)^[6]
Parking	ER patients can have parking tickets validated by showing discharge paperwork to the parking attendant^[5]
Interpreters and languages	Site offers language assistance services in many languages^[4]
Patient portal	MyChart

Recognition^[4][7]

Magnet Recognition (ANCC)
DNV accredited acute care hospital
DNV Primary Stroke Center certification
Commission on Cancer accredited program
AHA Get With The Guidelines-Stroke Gold Plus
Leapfrog Hospital Safety Grade A
LGBTQ Healthcare Equality Leader (HEI)
NICHE Senior Friendly
ACS Surgical Quality Partner (Trauma Division)
IAC accredited echocardiography and vascular testing
AASM accredited sleep center

Doctors and clinicians (616)

616 doctors and other clinicians list Jersey City Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (616)

Aaiza Aamer, MDGeriatric Medicine
Aashka Parikh, MDInternal Medicine
Abanoob Tadrosse, MDOphthalmology
Abdul A. Ameen, MDCardiovascular Disease (Cardiology)
Abhinav R. Gangasani, MDAnesthesiology
Abhishek Shrivastava, MDDiagnostic Radiology
Adam Fayed, NPNurse Practitioner
Adam K. Brandeberry, MDDiagnostic Radiology
Adam Lackey, MDThoracic Surgery
Adam M. Feintisch, MDPlastic and Reconstructive Surgery
Adam S. Becker, MDOrthopedic Surgery
Adebayo Adunbarin, DOGeneral Surgery
Adefris Y. Adal, MDEmergency Medicine
Adit Shah, MDUrology
Adrian Fox, NPNurse Practitioner
Adrian R. Begaye, MDDiagnostic Radiology
Adriana Grigoriu, MDInfectious Disease
Agnes Mathew, NPNurse Practitioner
Ahmadu Jalloh, CNACertified Registered Nurse Anesthetist (CRNA)
Ahmed Seman, MDInternal Medicine
Ahmed Yousry, MDObstetrics/Gynecology
Ahsanuddin Ahmad, MDCardiovascular Disease (Cardiology)
Ajay Malhotra, MDAnesthesiology
Alain Abi GhanemDiagnostic Radiology

And 592 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

VA New York Harbor Healthcare System - NY Div.4.0 mi · New York, NY · Federal/VA Acute Care Hospital
Bellevue Hospital Center4.2 mi · New York, NY · Acute Care Hospital
NYU Langone Hospitals4.3 mi · New York, NY · Acute Care Hospital
Brooklyn Hospital Center - Downtown Campus4.5 mi · Brooklyn, NY · Acute Care Hospital
Mount Sinai West4.9 mi · New York, NY · Acute Care Hospital

Other hospitals nearby

CarePoint Health-Hoboken University Medical Center1.9 mi · Hoboken, NJ · Acute Care Hospital
NY Eye and Ear Infirmary of Mount Sinai3.5 mi · New York, NY · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Alaris Health at Hamilton Park0.8 mi · Jersey City, NJ · 4 of 5 stars
Peace Care St Joseph's1.1 mi · Jersey City, NJ · 4 of 5 stars
Optima Care Harborview1.6 mi · Jersey City, NJ · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Vnsny Hospice and Palliative Care4.7 mi · New York, NY · 2 of 5 stars
Bayada Hospice5.5 mi · North Bergen, NJ · 3 of 5 stars
Hospice of New York, LLC6.1 mi · Long Island City, NY · 2 of 5 stars

All hospice providers in the state →

Home health agencies

HHC Health and Home Care2.5 mi · New York, NY
Your Choice at Home, Inc3.5 mi · Brooklyn, NY · 2 of 5 stars
Excellent Home Care Services LLC4.5 mi · Brooklyn, NY · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Alaris Health Dialysis at Hamilton Park0.3 mi · Jersey City, NJ · 1 of 5 stars
DaVita Jersey City Grand Home at Home0.3 mi · Jersey City, NJ
FMC Jersey City1.4 mi · Jersey City, NJ · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Surgicare Surgical Associates of Jersey City, LLC1.4 mi · Jersey City, NJ
Ambulatory Pain and Disability Management Center LLC1.8 mi · Jersey City, NJ
Surgicore of Jersey City, LLC1.8 mi · Jersey City, NJ

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Alliance Community Healthcare, Inc.0.4 mi · Jersey City, NJ · Community health center
Metropolitan Family Health Network1.2 mi · Jersey City, NJ · Community health center
North Hudson Community Action Corporation Health Center @ Jersey City1.6 mi · Jersey City, NJ · Community health center

Clinics and urgent care

Aura Urgent Care Corp0.3 mi · Jersey City, NJ · Urgent care center
BP Immediate Medical Care, PC1.4 mi · Jersey City, NJ · Urgent care center
Hudson Herbals LLC1.8 mi · Jersey City, NJ · Urgent care center

Pharmacies

Abd Rxcare Inc0.3 mi · Jersey City, NJ · Community/retail pharmacy
BJS Wholesale Club Inc0.3 mi · Jersey City, NJ · Community/retail pharmacy
Central RX & Surgicals Inc0.3 mi · Jersey City, NJ · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Frederic Fleming Residence3.1 mi · New York, NY
NY Found-Sr Citizens EHP#4 Ridge Street Gardens3.3 mi · New York, NY
Cumberland Gardens NY Foundation EHP #63.5 mi · Brooklyn, NY
The Watermark at Brooklyn Heights3.5 mi · Brooklyn, NY

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Jersey City Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	49%National average: 60%
Completed surveys	819Response rate: 10%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.345Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.13Better than the national benchmark
Surgical site infections after colon surgery	0Better than the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	0.864No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.175Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	11.6%
Deaths within 30 days: heart failure patients	9.7%
Deaths within 30 days: pneumonia patients	16.2%
Deaths within 30 days: COPD patients	10.6%
Deaths within 30 days: stroke patients	10.8%
Deaths within 30 days: coronary bypass surgery (CABG)	2.1%
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	4.5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	23.1%
Readmitted within 30 days: pneumonia	18.7%
Readmitted within 30 days: COPD	21.6%
Readmitted within 30 days: coronary bypass surgery	10.2%
Readmitted within 30 days: hip or knee replacement	6.6%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	187 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	76%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in New Jersey Best hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Jersey City Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M Visit New Level 3	$578	$120.10	$64.24 – $524.65
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates Aetna — Better Health: $174.61 Aetna — HMO: $341.02 Aetna — PPO: $341.02 Amerihealth — Local Value: $351.71 Amerihealth — Regional Preferred: $351.71 Cigna — HMO: $390.61 Cigna — Local Plus: $307.43 Cigna — PPO: $411.42 Fidelis Care — NJ Family Care: $162.47 First Health — Commercial: $346.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M Visit New Level 4	$697	$144.83	$95.55 – $632.66
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates Aetna — Better Health: $210.56 Aetna — HMO: $411.23 Aetna — PPO: $411.23 Amerihealth — Local Value: $424.12 Amerihealth — Regional Preferred: $424.12 Cigna — HMO: $471.03 Cigna — Local Plus: $370.73 Cigna — PPO: $496.12 Fidelis Care — NJ Family Care: $195.92 First Health — Commercial: $418.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M Visit New Level 5	$809	$168.11	$126.02 – $734.32
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates Aetna — Better Health: $244.39 Aetna — HMO: $477.31 Aetna — PPO: $477.31 Amerihealth — Local Value: $492.27 Amerihealth — Regional Preferred: $492.27 Cigna — HMO: $546.72 Cigna — Local Plus: $430.30 Cigna — PPO: $575.84 Fidelis Care — NJ Family Care: $227.40 First Health — Commercial: $485.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M Visit Est Level 3	$513	$106.60	$62.61 – $465.65
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates Aetna — Better Health: $154.97 Aetna — HMO: $302.67 Aetna — PPO: $302.67 Amerihealth — Local Value: $312.16 Amerihealth — Regional Preferred: $312.16 Cigna — HMO: $346.68 Cigna — Local Plus: $272.86 Cigna — PPO: $365.15 Fidelis Care — NJ Family Care: $144.20 First Health — Commercial: $307.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M Visit Est Level 4	$564	$117.19	$88.18 – $511.94
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates Aetna — Better Health: $170.38 Aetna — HMO: $332.76 Aetna — PPO: $332.76 Amerihealth — Local Value: $343.19 Amerihealth — Regional Preferred: $343.19 Cigna — HMO: $381.15 Cigna — Local Plus: $299.99 Cigna — PPO: $401.45 Fidelis Care — NJ Family Care: $158.54 First Health — Commercial: $338.40
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$64.70 – $85.40
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $64.70 Wellpoint — NJ Family Care: $85.40 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Aetna — HMO: 59% (a percentage in the contract, not a dollar amount) Aetna — PPO: 59% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 67.58% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 53.19% (a percentage in the contract, not a dollar amount) Cigna — PPO: 71.18% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$91.10 – $120.25
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $91.10 Wellpoint — NJ Family Care: $120.25 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Aetna — HMO: 59% (a percentage in the contract, not a dollar amount) Aetna — PPO: 59% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 67.58% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 53.19% (a percentage in the contract, not a dollar amount) Cigna — PPO: 71.18% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$42.64
Preventive checkup, new patient, age 18–39: 10 of 25 insurance plan rates Wellpoint — NJ Family Care: $42.64 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Aetna — HMO: 59% (a percentage in the contract, not a dollar amount) Aetna — PPO: 59% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 67.58% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 53.19% (a percentage in the contract, not a dollar amount) Cigna — PPO: 71.18% (a percentage in the contract, not a dollar amount) Fidelis Care — NJ Family Care: 28.11% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$42.64
Preventive checkup, new patient, age 40–64: 10 of 25 insurance plan rates Wellpoint — NJ Family Care: $42.64 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Aetna — HMO: 59% (a percentage in the contract, not a dollar amount) Aetna — PPO: 59% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 67.58% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 53.19% (a percentage in the contract, not a dollar amount) Cigna — PPO: 71.18% (a percentage in the contract, not a dollar amount) Fidelis Care — NJ Family Care: 28.11% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Level 3	$2,261	$469.83	$47.51 – $3,030
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna — Better Health: $683.04 Aetna — HMO: $1,669 Aetna — Medicare: $326.08 Aetna — PPO: $1,669 Amerihealth — Local Value: $2,485 Amerihealth — Regional Preferred: $3,030 Cigna — HMO: $1,517 Cigna — Local Plus: $1,194 Cigna — PPO: $1,598 Clover Health — Medicare Advantage: $326.08
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$796 – $1,598
Emergency room visit (moderate): 10 of 12 insurance plan rates Cigna — HMO: $1,517 Cigna — Local Plus: $1,194 Cigna — PPO: $1,598 Emblem Health — Commercial: $796 Horizon Blue Cross Blue Shield of New Jersey — Managed: $1,392 Horizon Blue Cross Blue Shield of New Jersey — Non-Managed: $1,448 Horizon Blue Cross Blue Shield of New Jersey — Omnia: $1,066 Horizon Blue Cross Blue Shield of New Jersey — State Benefit Plan: $1,366 United Healthcare — Commercial: $1,562 United Healthcare — Nexus: $1,328
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Level 4	$3,099	$643.97	$80.80 – $3,030
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna — Better Health: $936.20 Aetna — HMO: $2,148 Aetna — Medicare: $501.47 Aetna — PPO: $2,148 Amerihealth — Local Value: $2,485 Amerihealth — Regional Preferred: $3,030 Cigna — HMO: $2,040 Cigna — Local Plus: $1,605 Cigna — PPO: $2,149 Clover Health — Medicare Advantage: $501.47
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$1,066 – $2,186
Emergency room visit (moderately high): 10 of 12 insurance plan rates Cigna — HMO: $2,040 Cigna — Local Plus: $1,605 Cigna — PPO: $2,149 Emblem Health — Commercial: $1,379 Horizon Blue Cross Blue Shield of New Jersey — Managed: $1,392 Horizon Blue Cross Blue Shield of New Jersey — Non-Managed: $1,448 Horizon Blue Cross Blue Shield of New Jersey — Omnia: $1,066 Horizon Blue Cross Blue Shield of New Jersey — State Benefit Plan: $1,366 United Healthcare — Commercial: $2,186 United Healthcare — Nexus: $1,858
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Level 5	$4,357	$905.38	$117 – $3,954.84
Emergency room visit (high): 10 of 34 insurance plan rates Aetna — Better Health: $1,316.24 Aetna — HMO: $2,148 Aetna — Medicare: $722.02 Aetna — PPO: $2,148 Amerihealth — Local Value: $2,774 Amerihealth — Regional Preferred: $3,383 Cigna — HMO: $2,040 Cigna — Local Plus: $1,605 Cigna — PPO: $2,149 Clover Health — Medicare Advantage: $722.02
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$1,066 – $2,186
Emergency room visit (high): 10 of 12 insurance plan rates Cigna — HMO: $2,040 Cigna — Local Plus: $1,605 Cigna — PPO: $2,149 Emblem Health — Commercial: $1,379 Horizon Blue Cross Blue Shield of New Jersey — Managed: $1,392 Horizon Blue Cross Blue Shield of New Jersey — Non-Managed: $1,448 Horizon Blue Cross Blue Shield of New Jersey — Omnia: $1,066 Horizon Blue Cross Blue Shield of New Jersey — State Benefit Plan: $1,366 United Healthcare — Commercial: $2,186 United Healthcare — Nexus: $1,858

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel Calcium Total	$164	$9.31	$3.98 – $148.86
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Better Health: $49.54 Aetna — HMO: $10.15 Aetna — Medicare: $8.46 Aetna — PPO: $10.15 Amerihealth — Local Value: $22.62 Amerihealth — Regional Preferred: $22.62 Cigna — HMO: $34.72 Cigna — Local Plus: $34.72 Cigna — PPO: $34.72 Clover Health — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$3.98 – $7.11
Basic metabolic panel (blood test): rates for 5 insurance plans United Healthcare — Commercial: $4.65 United Healthcare — Community Plan: $7.11 United Healthcare — Nexus: $3.98 United Healthcare — Oxford Commercial: $4.65 United Healthcare — Oxford Metro: $3.98
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Metabolic Panel,Comprehensive	$328	$11.62	$4.96 – $297.72
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Better Health: $99.08 Aetna — HMO: $12.67 Aetna — Medicare: $10.56 Aetna — PPO: $12.67 Amerihealth — Local Value: $28.23 Amerihealth — Regional Preferred: $28.23 Cigna — HMO: $42.74 Cigna — Local Plus: $42.74 Cigna — PPO: $42.74 Clover Health — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$4.96 – $8.87
Comprehensive metabolic panel (blood test): rates for 5 insurance plans United Healthcare — Commercial: $5.81 United Healthcare — Community Plan: $8.87 United Healthcare — Nexus: $4.96 United Healthcare — Oxford Commercial: $5.81 United Healthcare — Oxford Metro: $4.96
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Obstetric Panel	$344	$52.59	$22.47 – $312.24
Obstetric blood test panel: 10 of 34 insurance plan rates Aetna — Better Health: $103.92 Aetna — HMO: $57.37 Aetna — Medicare: $47.81 Aetna — PPO: $57.37 Amerihealth — Local Value: $51.62 Amerihealth — Regional Preferred: $51.62 Cigna — HMO: $194.93 Cigna — Local Plus: $194.93 Cigna — PPO: $194.93 Clover Health — Medicare Advantage: $47.81
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$22.47 – $40.16
Obstetric blood test panel: rates for 5 insurance plans United Healthcare — Commercial: $26.30 United Healthcare — Community Plan: $40.16 United Healthcare — Nexus: $22.47 United Healthcare — Oxford Commercial: $26.30 United Healthcare — Oxford Metro: $22.47
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel	$247	$14.73	$6.29 – $224.20
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — Better Health: $74.61 Aetna — HMO: $16.07 Aetna — Medicare: $13.39 Aetna — PPO: $16.07 Amerihealth — Local Value: $36.73 Amerihealth — Regional Preferred: $36.73 Cigna — HMO: $54.74 Cigna — Local Plus: $54.74 Cigna — PPO: $54.74 Clover Health — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$6.29 – $11.25
Cholesterol panel (lipid panel): rates for 5 insurance plans United Healthcare — Commercial: $7.36 United Healthcare — Community Plan: $11.25 United Healthcare — Nexus: $6.29 United Healthcare — Oxford Commercial: $7.36 United Healthcare — Oxford Metro: $6.29
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel	$210	$9.55	$4.08 – $190.61
Kidney function panel: 10 of 34 insurance plan rates Aetna — Better Health: $63.44 Aetna — HMO: $10.42 Aetna — Medicare: $8.68 Aetna — PPO: $10.42 Amerihealth — Local Value: $23.20 Amerihealth — Regional Preferred: $23.20 Cigna — HMO: $36.06 Cigna — Local Plus: $36.06 Cigna — PPO: $36.06 Clover Health — Medicare Advantage: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$4.08 – $7.29
Kidney function panel: rates for 5 insurance plans United Healthcare — Commercial: $4.77 United Healthcare — Community Plan: $7.29 United Healthcare — Nexus: $4.08 United Healthcare — Oxford Commercial: $4.77 United Healthcare — Oxford Metro: $4.08
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel	$180	$8.99	$3.84 – $163.38
Liver function panel: 10 of 34 insurance plan rates Aetna — Better Health: $54.37 Aetna — HMO: $9.80 Aetna — Medicare: $8.17 Aetna — PPO: $9.80 Amerihealth — Local Value: $21.85 Amerihealth — Regional Preferred: $21.85 Cigna — HMO: $33.37 Cigna — Local Plus: $33.37 Cigna — PPO: $33.37 Clover Health — Medicare Advantage: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.84 – $6.87
Liver function panel: rates for 5 insurance plans United Healthcare — Commercial: $4.49 United Healthcare — Community Plan: $6.87 United Healthcare — Nexus: $3.84 United Healthcare — Oxford Commercial: $4.49 United Healthcare — Oxford Metro: $3.84
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$112	$3.49	$1.49 – $101.66
Urine test (automated, with microscope): 10 of 34 insurance plan rates Aetna — Better Health: $33.83 Aetna — HMO: $3.80 Aetna — Medicare: $3.17 Aetna — PPO: $3.80 Amerihealth — Local Value: $8.51 Amerihealth — Regional Preferred: $8.51 Cigna — HMO: $13.36 Cigna — Local Plus: $13.36 Cigna — PPO: $13.36 Clover Health — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$1.49 – $2.67
Urine test (automated, with microscope): rates for 5 insurance plans United Healthcare — Commercial: $1.74 United Healthcare — Community Plan: $2.67 United Healthcare — Nexus: $1.49 United Healthcare — Oxford Commercial: $1.74 United Healthcare — Oxford Metro: $1.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Nonauto W/O Scope	$43	$3.83	$1.64 – $39.03
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — Better Health: $12.99 Aetna — HMO: $4.18 Aetna — Medicare: $3.48 Aetna — PPO: $4.18 Amerihealth — Local Value: $9.67 Amerihealth — Regional Preferred: $9.67 Cigna — HMO: $14.69 Cigna — Local Plus: $14.69 Cigna — PPO: $14.69 Clover Health — Medicare Advantage: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.64 – $2.92
Urine test (manual, without microscope): rates for 5 insurance plans United Healthcare — Commercial: $1.91 United Healthcare — Community Plan: $2.92 United Healthcare — Nexus: $1.64 United Healthcare — Oxford Commercial: $1.91 United Healthcare — Oxford Metro: $1.64
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Auto W/O Scope	$77	$2.48	$1.06 – $69.89
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — Better Health: $23.26 Aetna — HMO: $2.70 Aetna — Medicare: $2.25 Aetna — PPO: $2.70 Amerihealth — Local Value: $6.57 Amerihealth — Regional Preferred: $6.57 Cigna — HMO: $9.34 Cigna — Local Plus: $9.34 Cigna — PPO: $9.34 Clover Health — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.06 – $1.89
Urine test (automated, without microscope): rates for 5 insurance plans United Healthcare — Commercial: $1.24 United Healthcare — Community Plan: $1.89 United Healthcare — Nexus: $1.06 United Healthcare — Oxford Commercial: $1.24 United Healthcare — Oxford Metro: $1.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Assay of Prostate Specific Antigen Total	$319	$20.23	$8.64 – $289.55
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — Better Health: $96.36 Aetna — HMO: $22.07 Aetna — Medicare: $18.39 Aetna — PPO: $22.07 Amerihealth — Local Value: $50.46 Amerihealth — Regional Preferred: $50.46 Cigna — HMO: $74.78 Cigna — Local Plus: $74.78 Cigna — PPO: $74.78 Clover Health — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$8.64 – $15.45
PSA (prostate specific antigen) blood test: rates for 5 insurance plans United Healthcare — Commercial: $10.11 United Healthcare — Community Plan: $15.45 United Healthcare — Nexus: $8.64 United Healthcare — Oxford Commercial: $10.11 United Healthcare — Oxford Metro: $8.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$275	$18.48	$7.90 – $249.61
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — Better Health: $83.07 Aetna — HMO: $20.16 Aetna — Medicare: $16.80 Aetna — PPO: $20.16 Amerihealth — Local Value: $50.66 Amerihealth — Regional Preferred: $50.66 Cigna — HMO: $68.10 Cigna — Local Plus: $68.10 Cigna — PPO: $68.10 Clover Health — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$7.90 – $14.11
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans United Healthcare — Commercial: $9.24 United Healthcare — Community Plan: $14.11 United Healthcare — Nexus: $7.90 United Healthcare — Oxford Commercial: $9.24 United Healthcare — Oxford Metro: $7.90
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc & Auto Diff Wbc - Additional Charge	$146	$8.55	$3.65 – $132.52
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Aetna — Better Health: $44.10 Aetna — HMO: $9.32 Aetna — Medicare: $7.77 Aetna — PPO: $9.32 Amerihealth — Local Value: $21.27 Amerihealth — Regional Preferred: $21.27 Cigna — HMO: $32.04 Cigna — Local Plus: $32.04 Cigna — PPO: $32.04 Clover Health — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$3.65 – $6.53
Complete blood count (CBC) with differential: rates for 5 insurance plans United Healthcare — Commercial: $4.27 United Healthcare — Community Plan: $6.53 United Healthcare — Nexus: $3.65 United Healthcare — Oxford Commercial: $4.27 United Healthcare — Oxford Metro: $3.65
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc Automated	$102	$7.12	$3.04 – $92.58
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — Better Health: $30.81 Aetna — HMO: $7.76 Aetna — Medicare: $6.47 Aetna — PPO: $7.76 Amerihealth — Local Value: $19.33 Amerihealth — Regional Preferred: $19.33 Cigna — HMO: $26.70 Cigna — Local Plus: $26.70 Cigna — PPO: $26.70 Clover Health — Medicare Advantage: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$3.04 – $5.44
Complete blood count (CBC), automated: rates for 5 insurance plans United Healthcare — Commercial: $3.56 United Healthcare — Community Plan: $5.44 United Healthcare — Nexus: $3.04 United Healthcare — Oxford Commercial: $3.56 United Healthcare — Oxford Metro: $3.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	$93	$4.72	$2.02 – $84.41
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — Better Health: $28.09 Aetna — HMO: $5.15 Aetna — Medicare: $4.29 Aetna — PPO: $5.15 Amerihealth — Local Value: $10.83 Amerihealth — Regional Preferred: $10.83 Cigna — HMO: $17.35 Cigna — Local Plus: $17.35 Cigna — PPO: $17.35 Clover Health — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$2.02 – $3.60
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans United Healthcare — Commercial: $2.36 United Healthcare — Community Plan: $3.60 United Healthcare — Nexus: $2.02 United Healthcare — Oxford Commercial: $2.36 United Healthcare — Oxford Metro: $2.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thromboplas Time Partial - Aptt	$123	$6.61	$2.82 – $111.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — Better Health: $37.15 Aetna — HMO: $7.21 Aetna — Medicare: $6.01 Aetna — PPO: $7.21 Amerihealth — Local Value: $18.17 Amerihealth — Regional Preferred: $18.17 Cigna — HMO: $24.03 Cigna — Local Plus: $24.03 Cigna — PPO: $24.03 Clover Health — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$2.82 – $5.05
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans United Healthcare — Commercial: $3.31 United Healthcare — Community Plan: $5.05 United Healthcare — Nexus: $2.82 United Healthcare — Oxford Commercial: $3.31 United Healthcare — Oxford Metro: $2.82

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$2,085	$433.26	$72.88 – $1,892.55
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates Aetna — Better Health: $629.87 Aetna — HMO: $185.63 Aetna — Medicare: $125.23 Aetna — PPO: $185.63 Amerihealth — Local Value: $309.08 Amerihealth — Regional Preferred: $309.08 Cigna — HMO: $281 Cigna — Local Plus: $221 Cigna — PPO: $296 Clover Health — Medicare Advantage: $125.23
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$143.22 – $1,796
CT scan of the head or brain, without contrast: rates for 9 insurance plans Cigna — HMO: $281 Cigna — Local Plus: $221 Cigna — PPO: $296 Qualcare Inc — HMO/POS: $1,796 Qualcare Inc — PPO/WC: $704 United Healthcare — Commercial: $177.09 United Healthcare — Nexus: $143.22 United Healthcare — Oxford Commercial: $177.09 United Healthcare — Oxford Metro: $143.22
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain W&W/O Con	$5,038	$1,046.89	$219.86 – $4,572.99
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates Aetna — Better Health: $1,521.97 Aetna — HMO: $585.88 Aetna — Medicare: $420.58 Aetna — PPO: $585.88 Amerihealth — Local Value: $1,076.87 Amerihealth — Regional Preferred: $1,076.87 Cigna — HMO: $414 Cigna — Local Plus: $326 Cigna — PPO: $436 Clover Health — Medicare Advantage: $420.58
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$326 – $3,317
MRI of the brain, before and after contrast: rates for 9 insurance plans Cigna — HMO: $414 Cigna — Local Plus: $326 Cigna — PPO: $436 Qualcare Inc — HMO/POS: $3,317 Qualcare Inc — PPO/WC: $2,010 United Healthcare — Commercial: $603.32 United Healthcare — Nexus: $493.70 United Healthcare — Oxford Commercial: $603.32 United Healthcare — Oxford Metro: $493.70
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$510	$105.97	$22.64 – $462.92
Chest X-ray, 2 views: 10 of 34 insurance plan rates Aetna — Better Health: $154.07 Aetna — HMO: $63.31 Aetna — Medicare: $103.69 Aetna — PPO: $63.31 Amerihealth — Local Value: $47.55 Amerihealth — Regional Preferred: $47.55 Cigna — HMO: $121.37 Cigna — Local Plus: $121.37 Cigna — PPO: $121.37 Clover Health — Medicare Advantage: $103.69
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$116.42 – $126.10
Chest X-ray, 2 views: rates for 4 insurance plans United Healthcare — Commercial: $126.10 United Healthcare — Nexus: $116.42 United Healthcare — Oxford Commercial: $126.10 United Healthcare — Oxford Metro: $116.42
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr L-Spine 4+V	$788	$163.74	$35.07 – $715.26
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates Aetna — Better Health: $238.05 Aetna — HMO: $106.81 Aetna — Medicare: $125.23 Aetna — PPO: $106.81 Amerihealth — Local Value: $69.93 Amerihealth — Regional Preferred: $69.93 Cigna — HMO: $206.48 Cigna — Local Plus: $206.48 Cigna — PPO: $206.48 Clover Health — Medicare Advantage: $125.23
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$143.22 – $177.09
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans United Healthcare — Commercial: $177.09 United Healthcare — Nexus: $143.22 United Healthcare — Oxford Commercial: $177.09 United Healthcare — Oxford Metro: $143.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI L-Spine W/O Con	$2,854	$593.06	$131.96 – $3,317
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates Aetna — Better Health: $862.19 Aetna — HMO: $337.73 Aetna — Medicare: $284.66 Aetna — PPO: $337.73 Amerihealth — Local Value: $664.30 Amerihealth — Regional Preferred: $664.30 Cigna — HMO: $414 Cigna — Local Plus: $326 Cigna — PPO: $436 Clover Health — Medicare Advantage: $284.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$312.92 – $3,317
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Cigna — HMO: $414 Cigna — Local Plus: $326 Cigna — PPO: $436 Qualcare Inc — HMO/POS: $3,317 Qualcare Inc — PPO/WC: $2,010 United Healthcare — Commercial: $368.20 United Healthcare — Nexus: $312.92 United Healthcare — Oxford Commercial: $368.20 United Healthcare — Oxford Metro: $312.92
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Pelvis W/ Contrast	$2,563	$532.59	$156.91 – $2,326.43
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Better Health: $774.28 Aetna — HMO: $477.28 Aetna — Medicare: $209.65 Aetna — PPO: $477.28 Amerihealth — Local Value: $434.94 Amerihealth — Regional Preferred: $434.94 Cigna — HMO: $281 Cigna — Local Plus: $221 Cigna — PPO: $296 Clover Health — Medicare Advantage: $209.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$221 – $1,796
CT scan of the pelvis, with contrast: rates for 9 insurance plans Cigna — HMO: $281 Cigna — Local Plus: $221 Cigna — PPO: $296 Qualcare Inc — HMO/POS: $1,796 Qualcare Inc — PPO/WC: $704 United Healthcare — Commercial: $287.91 United Healthcare — Nexus: $241.66 United Healthcare — Oxford Commercial: $287.91 United Healthcare — Oxford Metro: $241.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$140.08 – $761.66
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates Aetna — HMO: $387.47 Aetna — Medicare: $284.66 Aetna — PPO: $387.47 Amerihealth — Local Value: $664.30 Amerihealth — Regional Preferred: $664.30 Cigna — HMO: $414 Cigna — Local Plus: $326 Cigna — PPO: $436 Clover Health — Medicare Advantage: $284.66 Emblem Health — Commercial: $540.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Lwr Ext Jnt W/O Con Lt	$2,458	Not listed in the file	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Lwr Ext Jnt W/O Con Rt	$2,458	Not listed in the file	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abd & Pelvis W/ Contrast	$3,605	$749.11	$209.62 – $3,272.25
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Better Health: $1,089.07 Aetna — HMO: $598.70 Aetna — Medicare: $420.58 Aetna — PPO: $598.70 Amerihealth — Local Value: $443.34 Amerihealth — Regional Preferred: $443.34 Cigna — HMO: $281 Cigna — Local Plus: $221 Cigna — PPO: $296 Clover Health — Medicare Advantage: $420.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	Not listed in the file	Not listed in the file	$221 – $1,796
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Cigna — HMO: $281 Cigna — Local Plus: $221 Cigna — PPO: $296 Qualcare Inc — HMO/POS: $1,796 Qualcare Inc — PPO/WC: $704 United Healthcare — Commercial: $603.32 United Healthcare — Nexus: $493.70 United Healthcare — Oxford Commercial: $603.32 United Healthcare — Oxford Metro: $493.70
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Abdomen Cmpl	$1,091	$226.70	$78.14 – $990.30
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates Aetna — Better Health: $329.59 Aetna — HMO: $209.99 Aetna — Medicare: $125.23 Aetna — PPO: $209.99 Amerihealth — Local Value: $159.43 Amerihealth — Regional Preferred: $159.43 Cigna — HMO: $409.49 Cigna — Local Plus: $409.49 Cigna — PPO: $409.49 Clover Health — Medicare Advantage: $125.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Preg Abd >14 Wks 1st Gest	$931	$193.46	$91.08 – $845.06
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates Aetna — Better Health: $281.25 Aetna — HMO: $236.25 Aetna — Medicare: $125.23 Aetna — PPO: $236.25 Amerihealth — Local Value: $139.85 Amerihealth — Regional Preferred: $139.85 Cigna — HMO: $463.33 Cigna — Local Plus: $463.33 Cigna — PPO: $463.33 Clover Health — Medicare Advantage: $125.23
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US Non-OB Transvaginal	$1,069	$222.13	$80.35 – $970.33
Transvaginal ultrasound: 10 of 34 insurance plan rates Aetna — Better Health: $322.94 Aetna — HMO: $230.83 Aetna — Medicare: $125.23 Aetna — PPO: $230.83 Amerihealth — Local Value: $130.06 Amerihealth — Regional Preferred: $130.06 Cigna — HMO: $452.91 Cigna — Local Plus: $452.91 Cigna — PPO: $452.91 Clover Health — Medicare Advantage: $125.23
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$84.28 – $454.85
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — HMO: $238.07 Aetna — PPO: $238.07 Amerihealth — Local Value: $86.71 Amerihealth — Regional Preferred: $86.71 Cigna — HMO: $454.85 Cigna — Local Plus: $454.85 Cigna — PPO: $454.85 Horizon Blue Cross Blue Shield of New Jersey — Managed: $102.24 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $105.71 Horizon Blue Cross Blue Shield of New Jersey — Non-Managed: $102.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Diagn W/ Cad Uni Lt	$619	Not listed in the file	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Diagn W/ Cad Uni Rt	$619	Not listed in the file	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Diagn W/ Cad Bilat	$783	$162.70	$106.72 – $710.72
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates Aetna — Better Health: $236.54 Aetna — HMO: $303.31 Aetna — PPO: $303.31 Amerihealth — Local Value: $110.48 Amerihealth — Regional Preferred: $110.48 Cigna — HMO: $583.18 Cigna — Local Plus: $583.18 Cigna — PPO: $583.18 Fidelis Care — NJ Family Care: $220.10 First Health — Commercial: $469.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$151.66 – $190.45
Diagnostic mammogram, both breasts: rates for 4 insurance plans United Healthcare — Commercial: $190.45 United Healthcare — Nexus: $151.66 United Healthcare — Oxford Commercial: $190.45 United Healthcare — Oxford Metro: $151.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Screen 2v W/ Cad Bi	$634	$131.74	$83.91 – $575.48
Screening mammogram, both breasts: 10 of 25 insurance plan rates Aetna — Better Health: $191.53 Aetna — HMO: $250.88 Aetna — PPO: $250.88 Amerihealth — Local Value: $83.91 Amerihealth — Regional Preferred: $83.91 Cigna — HMO: $480.91 Cigna — Local Plus: $480.91 Cigna — PPO: $480.91 Fidelis Care — NJ Family Care: $178.21 First Health — Commercial: $380.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$125.79 – $157.95
Screening mammogram, both breasts: rates for 4 insurance plans United Healthcare — Commercial: $157.95 United Healthcare — Nexus: $125.79 United Healthcare — Oxford Commercial: $157.95 United Healthcare — Oxford Metro: $125.79
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammo Screen 2v W/ Cad Lt - Mod 52	$634	Not listed in the file	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$9.53 – $158.40
Electrocardiogram (ECG/EKG) with reading: 10 of 26 insurance plan rates Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $158.40 United Healthcare — Commercial: $334 United Healthcare — Nexus: $284 United Healthcare — Oxford Commercial: $334 United Healthcare — Oxford Metro: $284 Wellpoint — NJ Family Care: $9.53 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Aetna — HMO: 59% (a percentage in the contract, not a dollar amount) Aetna — PPO: 59% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Left Heart Cath W/Ventrclgrph	$14,112	$2,932.47	$595.60 – $20,919
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates Aetna — Better Health: $4,263.23 Aetna — HMO: $17,890 Aetna — Medicare: $3,787.84 Aetna — PPO: $17,890 Cigna — HMO: $9,536.88 Cigna — Local Plus: $7,506.17 Cigna — PPO: $10,044.92 Clover Health — Medicare Advantage: $3,787.84 Emblem Health — Commercial: $7,196.90 Fidelis Care — Medicare Advantage: $3,787.84
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$6,599 – $14,552
Left heart catheterization (diagnostic): rates for 6 insurance plans Amerihealth — Local Value: $11,930 Amerihealth — Regional Preferred: $14,552 United Healthcare — Commercial: $7,763 United Healthcare — Nexus: $6,599 United Healthcare — Oxford Commercial: $10,319 United Healthcare — Oxford Metro: $8,771
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ep Comprehensive W/O Arrhythmi	$13,645	$2,835.43	$364.03 – $17,783.04
Heart rhythm study (electrophysiology evaluation): 10 of 34 insurance plan rates Aetna — Better Health: $4,122.15 Aetna — HMO: $9,184 Aetna — Medicare: $8,936.20 Aetna — PPO: $9,184 Amerihealth — Local Value: $8,302.98 Amerihealth — Regional Preferred: $8,302.98 Cigna — HMO: $9,221.29 Cigna — Local Plus: $7,257.77 Cigna — PPO: $9,712.51 Clover Health — Medicare Advantage: $8,936.20
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,082 – $9,374
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans United Healthcare — Commercial: $9,374 United Healthcare — Nexus: $7,968 United Healthcare — Oxford Commercial: $8,332 United Healthcare — Oxford Metro: $7,082
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ephys Evl Trnsptl Tx Atrial	$53,414	$11,099.42	$603.48 – $57,492.51
Heart rhythm study with ablation for atrial fibrillation: 10 of 32 insurance plan rates Aetna — Better Health: $16,136.36 Aetna — HMO: $38,166 Aetna — Medicare: $28,890.71 Aetna — PPO: $38,166 Cigna — HMO: $53,090 Cigna — Local Plus: $41,782 Cigna — PPO: $55,917 Clover Health — Medicare Advantage: $28,890.71 Emblem Health — Commercial: $54,892.35 Fidelis Care — Medicare Advantage: $28,890.71
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$26,604 – $40,277
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans Amerihealth — Local Value: $26,604 Amerihealth — Regional Preferred: $33,255 United Healthcare — Commercial: $40,277 United Healthcare — Nexus: $34,235 United Healthcare — Oxford Commercial: $35,802 United Healthcare — Oxford Metro: $30,432
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psg 4+ Parameters 6+ Yrs	$7,783	$1,617.30	$421.61 – $7,064.62
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Aetna — Better Health: $2,351.24 Aetna — HMO: $4,591.97 Aetna — Medicare: $1,198.14 Aetna — PPO: $4,591.97 Amerihealth — Local Value: $3,177 Amerihealth — Regional Preferred: $3,876 Cigna — HMO: $5,259.75 Cigna — Local Plus: $4,139.77 Cigna — PPO: $5,539.93 Clover Health — Medicare Advantage: $1,198.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$3,964 – $4,663
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans Amerihealth — Local Value: $3,177 Amerihealth — Regional Preferred: $3,876 United Healthcare — Commercial: $4,663 United Healthcare — Nexus: $3,964 United Healthcare — Oxford Commercial: $4,663 United Healthcare — Oxford Metro: $3,964
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psg 4+ Parameters 6+ Yrs<6 Hr	$7,783	Not listed in the file	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$21.53 – $178
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — HMO: $178 Aetna — PPO: $178 Amerihealth — Local Value: $77.34 Amerihealth — Regional Preferred: $77.34 Cigna — HMO: $125 Cigna — Local Plus: $98 Cigna — PPO: $132 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $66 Qualcare Inc — HMO/POS: $291 United Healthcare — Commercial: $200
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ot Therapeutic Exercises 15 Min	$230	Not listed in the file	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Therapeutic Exercises 15 Min	$230	Not listed in the file	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$66 – $178
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — HMO: $178 Aetna — PPO: $178 Amerihealth — Local Value: $103.12 Amerihealth — Regional Preferred: $103.12 Cigna — HMO: $125 Cigna — Local Plus: $98 Cigna — PPO: $132 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $66 Qualcare Inc — HMO/POS: $291 United Healthcare — Commercial: $200
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$576	Not listed in the file	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$66 – $178
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — HMO: $178 Aetna — PPO: $178 Amerihealth — Local Value: $128.90 Amerihealth — Regional Preferred: $128.90 Cigna — HMO: $125 Cigna — Local Plus: $98 Cigna — PPO: $132 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $66 Qualcare Inc — HMO/POS: $291 United Healthcare — Commercial: $200
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$655	Not listed in the file	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$66 – $178
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — HMO: $178 Aetna — PPO: $178 Amerihealth — Local Value: $154.68 Amerihealth — Regional Preferred: $154.68 Cigna — HMO: $125 Cigna — Local Plus: $98 Cigna — PPO: $132 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $66 Qualcare Inc — HMO/POS: $291 United Healthcare — Commercial: $200
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation High Complex 45 Mins	$786	Not listed in the file	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Iop Psych Therapy 30 Min Indiv	$461	$95.79	$88.66 – $418.44
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates Aetna — Better Health: $139.26 Aetna — HMO: $271.99 Aetna — Medicare: $189.21 Aetna — PPO: $271.99 Amerihealth — Local Value: $280.51 Amerihealth — Regional Preferred: $280.51 Cigna — HMO: $311.54 Cigna — Local Plus: $245.20 Cigna — PPO: $328.13 Clover Health — Medicare Advantage: $189.21
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psych Therapy 45 Min Indiv	$518	$107.64	$100.17 – $470.18
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates Aetna — Better Health: $156.48 Aetna — HMO: $305.62 Aetna — Medicare: $189.21 Aetna — PPO: $305.62 Amerihealth — Local Value: $315.20 Amerihealth — Regional Preferred: $315.20 Cigna — HMO: $350.06 Cigna — Local Plus: $275.52 Cigna — PPO: $368.71 Clover Health — Medicare Advantage: $189.21
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psych Therapy 60 Min Indiv	$567	$117.82	$90.26 – $514.66
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates Aetna — Better Health: $171.29 Aetna — HMO: $334.53 Aetna — Medicare: $189.21 Aetna — PPO: $334.53 Amerihealth — Local Value: $345.01 Amerihealth — Regional Preferred: $345.01 Cigna — HMO: $383.17 Cigna — Local Plus: $301.58 Cigna — PPO: $403.59 Clover Health — Medicare Advantage: $189.21
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy,No Pt per 30 Min	$417	$86.65	$113.94 – $378.51
Family psychotherapy, without the patient: 10 of 28 insurance plan rates Aetna — Better Health: $125.97 Aetna — HMO: $246.03 Aetna — Medicare: $189.21 Aetna — PPO: $246.03 Amerihealth — Local Value: $253.74 Amerihealth — Regional Preferred: $253.74 Cigna — HMO: $281.80 Cigna — Local Plus: $221.80 Cigna — PPO: $296.82 Clover Health — Medicare Advantage: $189.21
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy W Patient Present 30 Min	$599	$124.47	$126.45 – $543.71
Family psychotherapy, with the patient: 10 of 28 insurance plan rates Aetna — Better Health: $180.95 Aetna — HMO: $353.41 Aetna — Medicare: $189.21 Aetna — PPO: $353.41 Amerihealth — Local Value: $364.49 Amerihealth — Regional Preferred: $364.49 Cigna — HMO: $404.80 Cigna — Local Plus: $318.60 Cigna — PPO: $426.36 Clover Health — Medicare Advantage: $189.21
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Training and Educational Svcs	$413	$85.82	$30.52 – $374.88
Group psychotherapy: 10 of 34 insurance plan rates Aetna — Better Health: $124.76 Aetna — HMO: $243.67 Aetna — Medicare: $108.93 Aetna — PPO: $243.67 Amerihealth — Local Value: $251.31 Amerihealth — Regional Preferred: $251.31 Cigna — HMO: $279.10 Cigna — Local Plus: $219.67 Cigna — PPO: $293.97 Clover Health — Medicare Advantage: $108.93
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Activity Therapy	$413	$85.82	$30.52 – $374.88
Group psychotherapy: 10 of 28 insurance plan rates Aetna — Better Health: $124.76 Aetna — HMO: $243.67 Aetna — Medicare: $108.93 Aetna — PPO: $243.67 Amerihealth — Local Value: $251.31 Amerihealth — Regional Preferred: $251.31 Cigna — HMO: $279.10 Cigna — Local Plus: $219.67 Cigna — PPO: $293.97 Clover Health — Medicare Advantage: $108.93
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Group Psychotherapy per 60 Min	$413	$85.82	$30.52 – $374.88
Group psychotherapy: 10 of 28 insurance plan rates Aetna — Better Health: $124.76 Aetna — HMO: $243.67 Aetna — Medicare: $108.93 Aetna — PPO: $243.67 Amerihealth — Local Value: $251.31 Amerihealth — Regional Preferred: $251.31 Cigna — HMO: $279.10 Cigna — Local Plus: $219.67 Cigna — PPO: $293.97 Clover Health — Medicare Advantage: $108.93

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	$5,339	$323.66 – $8,974.08
Removal of breast growth (open surgery): 10 of 34 insurance plan rates Aetna — HMO: $5,845 Aetna — Medicare: $4,509.59 Aetna — PPO: $5,845 Cigna — HMO: $3,274 Cigna — Local Plus: $2,577 Cigna — PPO: $3,448 Clover Health — Medicare Advantage: $4,509.59 Emblem Health — Commercial: $8,568.22 Fidelis Care — Medicare Advantage: $4,509.59 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $4,509.59
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	$5,339	$848.35 – $30,153.95
Total hip replacement: 10 of 34 insurance plan rates Aetna — HMO: $26,240 Aetna — Medicare: $15,152.74 Aetna — PPO: $26,240 Amerihealth — Local Value: $21,284 Amerihealth — Regional Preferred: $23,943 Cigna — HMO: $24,712 Cigna — Local Plus: $19,448 Cigna — PPO: $26,028 Clover Health — Medicare Advantage: $15,152.74 Emblem Health — Commercial: $28,790.21
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	$5,339	$847 – $30,153.95
Total knee replacement: 10 of 34 insurance plan rates Aetna — HMO: $26,240 Aetna — Medicare: $15,152.74 Aetna — PPO: $26,240 Amerihealth — Local Value: $21,284 Amerihealth — Regional Preferred: $23,943 Cigna — HMO: $24,712 Cigna — Local Plus: $19,448 Cigna — PPO: $26,028 Clover Health — Medicare Advantage: $15,152.74 Emblem Health — Commercial: $28,790.21
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	$5,339	$111.42 – $5,845
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Aetna — HMO: $5,845 Aetna — PPO: $5,845 Cigna — HMO: $24,712 Cigna — Local Plus: $19,448 Cigna — PPO: $26,028 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $539.48 Qualcare Inc — HMO/POS: $5,115 United Healthcare — Commercial: $3,236 United Healthcare — Nexus: $2,751 United Healthcare — Oxford Commercial: $2,877
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	$5,339	$364.36 – $7,603.89
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 34 insurance plan rates Aetna — HMO: $6,680 Aetna — Medicare: $3,821.05 Aetna — PPO: $6,680 Cigna — HMO: $24,712 Cigna — Local Plus: $19,448 Cigna — PPO: $26,028 Clover Health — Medicare Advantage: $3,821.05 Emblem Health — Commercial: $7,260 Fidelis Care — Medicare Advantage: $3,821.05 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $3,821.05
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	$5,339	$194.95 – $13,863.61
Removal of tonsils and adenoids (under age 12): 10 of 34 insurance plan rates Aetna — HMO: $5,845 Aetna — Medicare: $6,966.64 Aetna — PPO: $5,845 Cigna — HMO: $3,274 Cigna — Local Plus: $2,577 Cigna — PPO: $3,448 Clover Health — Medicare Advantage: $6,966.64 Emblem Health — Commercial: $13,236.62 Fidelis Care — Medicare Advantage: $6,966.64 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $6,966.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	$5,339	$193.02 – $4,174
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — HMO: $4,174 Aetna — Medicare: $1,104.13 Aetna — PPO: $4,174 Cigna — HMO: $2,142 Cigna — Local Plus: $1,686 Cigna — PPO: $2,256 Clover Health — Medicare Advantage: $1,104.13 Emblem Health — Commercial: $2,097.85 Fidelis Care — Medicare Advantage: $1,104.13 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,104.13
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	$5,339	$252.77 – $5,009
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $1,104.13 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $1,104.13 Emblem Health — Commercial: $2,097.85 Fidelis Care — Medicare Advantage: $1,104.13 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,104.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	$5,339	$226.79 – $5,009
Colonoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $1,073.68 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $1,073.68 Emblem Health — Commercial: $2,039.99 Fidelis Care — Medicare Advantage: $1,073.68 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,073.68
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	$5,339	$289.95 – $5,009
Colonoscopy with biopsy: 10 of 34 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $1,388.56 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $1,388.56 Emblem Health — Commercial: $2,638.26 Fidelis Care — Medicare Advantage: $1,388.56 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,388.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	$5,339	$302.39 – $5,009
Colonoscopy with removal of polyps (snare): 10 of 34 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $1,388.56 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $1,388.56 Emblem Health — Commercial: $2,638.26 Fidelis Care — Medicare Advantage: $1,388.56 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,388.56
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	$5,339	$165.84 – $5,009
Ultrasound of the lower bowel by endoscope: 10 of 34 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $1,388.56 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $1,388.56 Emblem Health — Commercial: $2,638.26 Fidelis Care — Medicare Advantage: $1,388.56 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,388.56
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	Not listed in the file	$317.80 – $5,009
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $1,073.68 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $1,073.68 Emblem Health — Commercial: $2,039.99 Fidelis Care — Medicare Advantage: $1,073.68 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,073.68
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	$5,339	$436.56 – $13,673.07
Gallbladder removal by laparoscope: 10 of 34 insurance plan rates Aetna — HMO: $7,514 Aetna — Medicare: $6,870.89 Aetna — PPO: $7,514 Cigna — HMO: $10,183 Cigna — Local Plus: $8,014 Cigna — PPO: $10,725 Clover Health — Medicare Advantage: $6,870.89 Emblem Health — Commercial: $13,054.69 Fidelis Care — Medicare Advantage: $6,870.89 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $6,870.89
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	$5,339	$347.24 – $8,270.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 34 insurance plan rates Aetna — HMO: $6,680 Aetna — Medicare: $4,156.03 Aetna — PPO: $6,680 Cigna — HMO: $4,554 Cigna — Local Plus: $3,584 Cigna — PPO: $4,797 Clover Health — Medicare Advantage: $4,156.03 Emblem Health — Commercial: $7,896.46 Fidelis Care — Medicare Advantage: $4,156.03 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $4,156.03
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Bx Prostate Needle/Punch	$6,593	Not listed in the file	$75.60 – $5,984.46
Prostate biopsy: 10 of 23 insurance plan rates Aetna — Better Health: $1,991.74 Aetna — HMO: $5,009 Aetna — Medicare: $2,412.45 Aetna — PPO: $5,009 Amerihealth — Local Value: $2,728.18 Amerihealth — Regional Preferred: $3,128.37 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $2,412.45
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	$5,339	$2,222 – $4,583.66
Prostate biopsy: 10 of 16 insurance plan rates Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Emblem Health — Commercial: $4,583.66 Qualcare Inc — HMO/POS: $3,617 United Healthcare — Commercial: $4,523 United Healthcare — Nexus: $3,845 United Healthcare — Oxford Commercial: $4,020 United Healthcare — Oxford Metro: $3,417 Amerihealth — Local Value: 41.38% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	$5,339	$775.18 – $24,399.15
Prostate removal by laparoscope (radical prostatectomy): 10 of 34 insurance plan rates Aetna — HMO: $7,514 Aetna — Medicare: $12,260.88 Aetna — PPO: $7,514 Clover Health — Medicare Advantage: $12,260.88 Emblem Health — Commercial: $23,295.67 Fidelis Care — Medicare Advantage: $12,260.88 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $12,260.88 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $1,215.59 Humana — Medicare: $12,260.88 Qualcare Inc — HMO/POS: $2,700
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	$5,339	$178.41 – $7,451.38
Hysteroscopy with biopsy of the uterus lining: 10 of 34 insurance plan rates Aetna — HMO: $5,845 Aetna — Medicare: $3,744.41 Aetna — PPO: $5,845 Cigna — HMO: $3,274 Cigna — Local Plus: $2,577 Cigna — PPO: $3,448 Clover Health — Medicare Advantage: $3,744.41 Emblem Health — Commercial: $7,114.38 Fidelis Care — Medicare Advantage: $3,744.41 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $3,744.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	$5,339	$173.71 – $4,174
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Aetna — HMO: $4,174 Aetna — Medicare: $815.55 Aetna — PPO: $4,174 Cigna — HMO: $2,142 Cigna — Local Plus: $1,686 Cigna — PPO: $2,256 Clover Health — Medicare Advantage: $815.55 Emblem Health — Commercial: $1,549.55 Fidelis Care — Medicare Advantage: $815.55 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $815.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	$5,339	$165.40 – $4,174
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — HMO: $4,174 Aetna — Medicare: $1,048.46 Aetna — PPO: $4,174 Cigna — HMO: $2,142 Cigna — Local Plus: $1,686 Cigna — PPO: $2,256 Clover Health — Medicare Advantage: $1,048.46 Emblem Health — Commercial: $1,992.07 Fidelis Care — Medicare Advantage: $1,048.46 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $1,048.46
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	$5,339	$301.53 – $5,009
Carpal tunnel release: 10 of 34 insurance plan rates Aetna — HMO: $5,009 Aetna — Medicare: $2,299.70 Aetna — PPO: $5,009 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $2,299.70 Emblem Health — Commercial: $4,369.43 Fidelis Care — Medicare Advantage: $2,299.70 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $2,299.70
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Post-Cataract Laser Surgery	$2,046	Not listed in the file	$221.93 – $5,009
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates Aetna — Better Health: $618.09 Aetna — HMO: $5,009 Aetna — Medicare: $646.06 Aetna — PPO: $5,009 Amerihealth — Local Value: $846.63 Amerihealth — Regional Preferred: $970.82 Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Clover Health — Medicare Advantage: $646.06
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	$5,339	$1,227.51 – $3,301
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates Cigna — HMO: $2,823 Cigna — Local Plus: $2,222 Cigna — PPO: $2,973 Emblem Health — Commercial: $1,227.51 Qualcare Inc — HMO/POS: $2,700 United Healthcare — Commercial: $3,301 United Healthcare — Nexus: $2,806 United Healthcare — Oxford Commercial: $2,934 United Healthcare — Oxford Metro: $2,494 Amerihealth — Local Value: 41.38% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	$5,339	$356.41 – $7,514
Cataract removal with lens implant: 10 of 34 insurance plan rates Aetna — HMO: $7,514 Aetna — Medicare: $2,685.92 Aetna — PPO: $7,514 Cigna — HMO: $9,028 Cigna — Local Plus: $7,105 Cigna — PPO: $9,509 Clover Health — Medicare Advantage: $2,685.92 Emblem Health — Commercial: $5,103.25 Fidelis Care — Medicare Advantage: $2,685.92 Horizon Blue Cross Blue Shield of New Jersey — Medicare Advantage: $2,685.92

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	$5,339	$918 – $4,174
Vaginal delivery, with care before and after: 10 of 25 insurance plan rates Aetna — HMO: $4,174 Aetna — PPO: $4,174 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $918 Wellpoint — NJ Family Care: $3,202.48 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 60.76% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 47.82% (a percentage in the contract, not a dollar amount) Cigna — PPO: 64% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	$5,339	$1,076.40 – $4,174
Cesarean delivery (C-section), with care before and after: 10 of 25 insurance plan rates Aetna — HMO: $4,174 Aetna — PPO: $4,174 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $1,076.40 Wellpoint — NJ Family Care: $3,559.38 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 60.76% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 47.82% (a percentage in the contract, not a dollar amount) Cigna — PPO: 64% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	$5,339	$3,355.70 – $4,174
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates Aetna — HMO: $4,174 Aetna — PPO: $4,174 Wellpoint — NJ Family Care: $3,355.70 Aetna — Better Health: 30.21% (a percentage in the contract, not a dollar amount) Amerihealth — Local Value: 60.85% (a percentage in the contract, not a dollar amount) Amerihealth — Regional Preferred: 60.85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 60.76% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 47.82% (a percentage in the contract, not a dollar amount) Cigna — PPO: 64% (a percentage in the contract, not a dollar amount) Fidelis Care — NJ Family Care: 28.11% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$5,589	$6,640 – $291,164
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 30 insurance plan rates Aetna — HMO: $291,164 Aetna — Medicare: $98,911.61 Aetna — PPO: $291,164 Amerihealth — Local Value: $218,800.03 Amerihealth — Regional Preferred: $273,809.73 Cigna — HMO: $193,977 Cigna — Local Plus: $152,661 Cigna — PPO: $204,304 Clover Health — Medicare Advantage: $98,911.61 Emblem Health — Commercial: $175,602
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC	Not listed in the file	Not listed in the file	$26,509.71 – $103,240.77
Spinal fusion (not neck), without major complications: rates for 9 insurance plans Amerihealth — Local Value: $82,499.20 Amerihealth — Regional Preferred: $103,240.77 Horizon Blue Cross Blue Shield of New Jersey — Managed: $88,345.60 Horizon Blue Cross Blue Shield of New Jersey — NJ Health: $26,509.71 Horizon Blue Cross Blue Shield of New Jersey — Non-Managed: $91,944.97 Horizon Blue Cross Blue Shield of New Jersey — Omnia: $66,116.54 Horizon Blue Cross Blue Shield of New Jersey — State Benefit Plan: $84,947.41 Qualcare Inc — HMO/POS: $6,640 Qualcare Inc — PPO/WC: $6,765
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$5,589	$7,173 – $45,925
Hip or knee replacement (major joint of the leg), without major complications: 10 of 30 insurance plan rates Aetna — HMO: $38,166 Aetna — Medicare: $19,324 Aetna — PPO: $38,166 Amerihealth — Local Value: $29,790 Amerihealth — Regional Preferred: $31,561 Cigna — HMO: $33,705 Cigna — Local Plus: $26,526 Cigna — PPO: $35,500 Clover Health — Medicare Advantage: $19,324 Emblem Health — Commercial: $34,307
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	$5,589	$7,173 – $71,422
Neck (cervical) spinal fusion, without complications: 10 of 30 insurance plan rates Aetna — HMO: $71,422 Aetna — Medicare: $24,262.87 Aetna — PPO: $71,422 Amerihealth — Local Value: $53,287.68 Amerihealth — Regional Preferred: $66,685.03 Cigna — HMO: $47,582 Cigna — Local Plus: $37,448 Cigna — PPO: $50,115 Clover Health — Medicare Advantage: $24,262.87 Emblem Health — Commercial: $43,075
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	$5,589	$7,173 – $36,164
Uterus and ovary surgery (not for cancer), without complications: 10 of 30 insurance plan rates Aetna — HMO: $36,164 Aetna — Medicare: $12,285.16 Aetna — PPO: $36,164 Amerihealth — Local Value: $23,753.11 Amerihealth — Regional Preferred: $29,725 Cigna — HMO: $24,093 Cigna — Local Plus: $18,961 Cigna — PPO: $25,375 Clover Health — Medicare Advantage: $12,285.16 Emblem Health — Commercial: $21,810

Source: Jersey City Medical Center’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 4, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	355 Grand Street, Jersey City, NJ 07302
County	Hudson County
State	New Jersey
Phone	(201) 915‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	310074
Name in Medicare records	JERSEY CITY MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	rwjbh.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Jersey City Medical Center | Jersey City NJ Hospital — rwjbh.org
Emergency Room Services | Jersey City Medical Center — rwjbh.org
Visiting Hours and Guidelines | Jersey City Medical Center | NJ — rwjbh.org
Awards & Accreditations - Jersey City Medical Center — rwjbh.org

Jersey City Medical Center

Summary

Profile from official sources

At a glance