Are these the prices I'll pay?

These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.

Why do prices vary so much between hospitals?

Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.

Where does this data come from?

Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Home › Emergency department visit with high level of medical decision making › New Jersey

Emergency Department Visit with High Level of Medical Decision Making Cost in New Jersey

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 50 New Jersey hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $865 📉 Low $404 📈 High $16,459 🏥 50 hospitals 🏛️ 41 with insurance contracts 🇺🇸 Medicare $182

Hospital comparison — New Jersey

Sorted by cash price (lowest first). Showing top 50 of 50 hospitals.

Billed more than $865 for this? That gap is evidence. Build my dispute letter

Hospital	Cash	UHC	Aetna	Cigna	Centene	Humana	First Health	Medicare	MultiPlan
VIRTUA VOORHEES HOSPITAL (WEST JERSEY) VOORHEES	$404	$10.32	$10.32	$683	$10.32	$643	—	—	$70.00
VIRTUA MOUNT HOLLY HOSPITAL (BURLINGTON COUNTY) MOUNT HOLLY	$404	$10.32	$10.32	$683	$10.32	$643	—	—	$70.00
VIRTUA WILLINGBORO HOSPITAL WILLINGBORO	$404	$10.32	$10.32	$683	$10.32	$643	—	—	$70.00
VIRTUA OUR LADY OF LOURDES HOSPITAL CAMDEN	$404	$10.32	$10.32	$683	$10.32	$643	—	—	$70.00
VIRTUA MARLTON HOSPITAL MARLTON	$404	$10.32	$10.32	$683	$10.32	$643	—	—	$70.00
SAINT JOSEPHS UNIVERSITY MEDICAL CENTER PATERSON	$563	$138	$184	$563	$138	—	—	—	$276
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY RAHWAY	$660	$567	$621	$1,476	$583	$670	$3,070	—	—
NEWTON MEDICAL CENTER NEWTON	$670	—	—	—	—	—	—	—	—
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON HAMILTON	$681	$505	$553	$2,115	$520	$670	$2,493	—	—
SAINT CLARE'S BEHAVIORAL HEALTH BOONTON BOONTON TOWNSHIP	$690	$140	$691	$1,067	$691	$552	—	$691	—
SAINT MICHAELS MEDICAL CENTER NEWARK	$690	$140	$691	$1,104	$711	$691	—	$691	—
ST. MARY'S GENERAL HOSPITAL PASSAIC	$704	$140	$704	$1,035	$704	$563	—	$704	—
CLARA MAASS MEDICAL CENTER BELLEVILLE	$770	$493	$540	$1,465	$502	$688	$2,323	—	—
HACKETTSTOWN MEDICAL CENTER HACKETTSTOWN	$770	—	—	—	—	—	—	—	—
JEFFERSON WASHINGTON TOWNSHIP HOSPITAL TURNERSVILLE	$771	$140	—	—	—	—	—	—	—
JEFFERSON STRATFORD HOSPITAL STRATFORD	$771	$140	—	—	—	—	—	—	—
JEFFERSON CHERRY HILL HOSPITAL CHERRY HILL	$771	$140	—	—	—	—	—	—	—
CENTRASTATE MEDICAL CENTER FREEHOLD TOWNSHIP	$780	—	—	—	—	—	—	—	—
THE UNIVERSITY HOSPITAL NEWARK	$804	$699	$699	—	$699	—	$3,851	—	$4,402
TRINITAS REGIONAL MEDICAL CENTER ELIZABETH	$818	$654	$670	$1,862	$670	$670	$2,614	—	—
OVERLOOK MEDICAL CENTER SUMMIT	$818	—	—	—	—	—	—	—	—
CHILTON MEDICAL CENTER POMPTON PLAINS	$818	—	—	—	—	—	—	—	—
GORYEB CHILDRENS CENTER MORRISTOWN	$818	—	—	—	—	—	—	—	—
HACKENSACK MERIDIAN PASCACK VALLEY MEDICAL CENTER WESTWOOD	$841	—	—	—	—	—	—	—	—
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET SOMERVILLE	$865	$683	$670	$1,935	$670	$670	$3,070	—	—
COMMUNITY MEDICAL CENTER TOMS RIVER	$904	$541	$592	$1,976	$551	$670	$2,614	—	—
JERSEY CITY MEDICAL CENTER JERSEY CITY	$905	$736	$722	$1,605	$722	$722	$2,614	—	—
CHILDRENS HOSPITAL OF NEW JERSEY - NEWARK NEWARK	$951	$93.07	$688	$1,465	$688	$688	$2,738	—	—
MONMOUTH MEDICAL CENTER LONG BRANCH	$953	$683	$679	$1,715	$679	$679	$2,614	—	—
COOPERMAN BARNABAS MEDICAL CENTER LIVINGSTON	$967	$702	$688	$2,179	$688	$688	$2,738	—	—
MEMORIAL SLOAN KETTERING BASKING RIDGE BASKING RIDGE	$1,015	$706	$191	$846	—	—	—	—	$914
MEMORIAL SLOAN KETTERING MONMOUTH MIDDLETOWN	$1,015	$706	$191	$846	—	—	—	—	$914
MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS LAKEWOOD	$1,036	$683	$670	$1,572	$670	$670	$2,614	—	—
BRISTOL MYERS SQUIBB CHILDRENS HOSPITAL NEW BRUNSWICK	$1,102	$702	$711	$2,179	$711	$711	$3,101	—	—
HSS PARAMUS OUTPATIENT CENTER PARAMUS	$1,211	$193	$412	$337	$145	—	—	—	—
HSS PARAMUS MIDLAND OUTPATIENT CENTER PARAMUS	$1,211	$193	$412	$337	$145	—	—	—	—
CAREWELL HEALTH MEDICAL CENTER EAST ORANGE	$1,700	$182	$387	—	$182	—	—	—	—
SPECIALTY HOSPITAL OF CENTRAL JERSEY 4 WEST	$2,531	—	—	—	—	—	—	—	—
INSPIRA MEDICAL CENTER MANNINGTON SALEM WOODSTOWN RD. SALEM	$3,875	$653	$685	$3,943	$685	$719	—	$685	—
INSPIRA MEDICAL CENTER MULLICA HILL MULLICA HILL RD. MULLICA HILL	$3,875	$670	$670	$3,943	$670	$704	—	$670	—
INSPIRA MEDICAL CENTER VINELAND W. SHERMAN AVE. VINELAND	$3,875	$667	$670	$3,943	$670	$704	—	$670	—
INSPIRA MEDICAL CENTER ELMER FRONT ST. ELMER	$3,875	$685	$685	$3,943	$685	$719	—	$685	—
INSPIRA HEALTH CENTER WOODBURY OAK ST. WOODBURY	$3,875	$667	$685	$3,943	$685	$719	—	$685	—
INSPIRA HEALTH CENTER BRIDGETON IRVING AVE. BRIDGETON	$3,875	$667	$685	$3,943	$685	$719	—	$685	—
HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER MONTCLAIR	$3,938	—	—	—	—	—	—	—	—
COOPER UNIVERSITY HOSPITAL CAPE REGIONAL CAPE MAY COURT HOUSE	$4,690	$11.91	$667	$667	$733	$680	—	—	—
THE COOPER UNIVERSITY HOSPITAL CAMDEN	$5,550	$600	$720	$625	$733	$680	—	—	—
SAINT PETERS UNIVERSITY HOSPITAL EASTON AVE NEW BRUNSWICK	$6,050	$1,164	$1,210	$1,377	—	—	—	$427	—
CAPITAL HEALTH REGIONAL MEDICAL CENTER TRENTON	$16,459	$1,110	$889	$720	$670	$683	—	$690	$13,990
CAPITAL HEALTH AT DEBORAH - EMERGENCY SERVICES PENNINGTON	$16,459	$1,110	$889	$720	$1,072	$683	—	$690	$13,990

What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.

Billed more than $865 for this?

That is the median of what the 50 New Jersey hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 99285 in New Jersey, Medicare reimburses about $182 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Jersey range from $404 to $16,459 — that means hospital cash prices are typically 4.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does emergency department visit with high level of medical decision making cost in New Jersey?: Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in New Jersey range from $404 to $16,459, with a median of $865. Prices vary widely by hospital.
Where can I find the cheapest emergency department visit with high level of medical decision making in New Jersey?: The cheapest New Jersey hospital published cash price for this procedure is $404. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?: These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?: Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?: Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Emergency department visit with high level of medical decision making in nearby states

Other procedures in New Jersey

Methodology. Cash prices and insurance-negotiated rates published by each New Jersey facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.