Jersey City Medical Center — price list

← Hospital overviewVerified from Jersey City Medical Center’s published price file

Includes cash prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

115 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
""y set"" tubing Outpatient	A4719 HCPCS	—	—	$4.80 – $4.80	—
<50% total PT outpt ra encts Outpatient	M1008 HCPCS	—	—	—	—
<6yr new onset hd ache Outpatient	G2193 HCPCS	—	—	—	—
>= 2 same hi-rsk med not ord Outpatient	G9368 HCPCS	—	—	—	—
>= 2 same hi-rsk med ord Outpatient	G9367 HCPCS	—	—	—	—
>=2 same hi-rsk med without diag Outpatient	M1209 HCPCS	—	—	—	—
>=2 same meds tbl4 not ord Outpatient	M1210 HCPCS	—	—	—	—
>=50% total PT outpt ra enct Outpatient	M1007 HCPCS	—	—	—	—
>=86y no hx colo ca/rsn scop Outpatient	G9659 HCPCS	—	—	—	—
>55 yrs temp hd ache Outpatient	G2192 HCPCS	—	—	—	—
1 admn rsv monoc antb IM njx Outpatient	96381 CPT	—	—	$20.12 – $21.00	—
1 bod temp >=35.5 Outpatient	G9773 HCPCS	—	—	—	—
1 bodytemp >=35.5cw/in 30min Outpatient	4559F CPT	—	—	—	—
1 cc sterile syringe&needle Outpatient	A4206 HCPCS	—	—	$0.27 – $0.27	—
1 em core session Outpatient	G9873 HCPCS	—	—	$197 – $232	—
1 med visit in 24mo Outpatient	G9247 HCPCS	—	—	—	—
1 or no CT sinus within 90d dx Outpatient	G9354 HCPCS	—	—	—	—
100 insulin syringes Outpatient	S8490 HCPCS	—	—	$25.72 – $25.72	—
12-lead ECG performed Outpatient	3120F CPT	—	—	—	—
1dose menig vac btwn 11 & 13 Outpatient	G9414 HCPCS	—	—	—	—
1st hosp ip/obs high 75 Outpatient	99223 CPT	—	—	$116 – $10,257	—
1st hosp ip/obs moderate 55 Outpatient	99222 CPT	—	—	$87.90 – $10,257	—
1st hosp ip/obs sf/low 40 Outpatient	99221 CPT	—	—	$55.73 – $10,257	—
1st nf care high mdm 50 Outpatient	99306 CPT	—	—	$100 – $123	—
1st nf care moderate mdm 35 Outpatient	99305 CPT	—	—	$78.49 – $90.20	—
1st nf care sf/low mdm 25 Outpatient	99304 CPT	—	—	$54.30 – $54.86	—
1st plmt drug elut oc ins Outpatient	444T CPT	—	—	$5,845 – $5,845	—
1st psyc collab care mgmt Outpatient	99492 CPT	—	—	$102 – $217	—
1st/sbsq psyc collab care Outpatient	99494 CPT	—	—	$39.31 – $39.31	—
2 cc sterile syringe&needle Outpatient	A4207 HCPCS	—	—	$0.18 – $0.18	—