Capital Health System · Pennington, NJ
35
In-network payers
355
Disclosed rate categories
221
Beds
3
Care quality
Capital Health Med Center - Hopewell is a 221-bed voluntary non-profit - private hospital in Pennington, NJ, affiliated with Capital Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 355 disclosed rate categories.
CCN (Medicare provider number)
310044
NPI
1073516183
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
221
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Capital Health Med Center - Hopewell most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$9,252 - $13,501
from 4 insurers · median $10,130
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$7,499 - $7,762
from 2 insurers · median $7,631
49 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$9,822 - $19,404
from 4 insurers · median $15,380
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$6,118 - $6,813
from 2 insurers · median $6,466
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$6,000 - $6,813
from 2 insurers · median $6,406
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$6,000 - $6,813
from 2 insurers · median $6,406
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$6,000 - $12,190
from 3 insurers · median $6,813
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$847 - $7,287
from 4 insurers · median $2,302
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$552 - $4,970
from 4 insurers · median $1,066
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$51,666 - $56,284
from 2 insurers · median $53,975
18 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$9,846 - $13,499
from 2 insurers · median $11,672
87 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$6,986 - $13,499
from 2 insurers · median $10,242
50 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$150 - $820
from 4 insurers · median $472
Common here, based on CMS Medicare volume
Urology
CPT 52000
$3,749 - $6,481
from 2 insurers · median $5,115
254 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$9,645 - $11,248
from 2 insurers · median $10,447
36 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$9,252 - $13,501
from 4 insurers · median $10,130
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$19,721 - $26,404
from 3 insurers · median $23,351
17 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$168 - $1,893
from 4 insurers · median $312
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$411 - $4,738
from 4 insurers · median $1,468
Common here, based on CMS Medicare volume
Urology
CPT 50590
$9,624 - $13,499
from 2 insurers · median $11,561
92 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$7,647 - $9,846
from 2 insurers · median $8,747
97 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74176
$284 - $4,182
from 4 insurers · median $485
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$273 - $1,480
from 4 insurers · median $734
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$49 - $303
from 4 insurers · median $137
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 13 | 1110% | 8 | 2 |
| Insurer B* | 24 | 412% | 18 | 2 |
| Insurer C* | 23 | 236% | 14 | 6 |
| Insurer D* | 12 | 172% | 4 | 4 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Capital Health Med Center - Hopewell.
1 Capital Way, Pennington, NJ 08534
(609) 303-4000
The nearest hospitals of similar type and size. Their rates are compared with Capital Health Med Center - Hopewell for the same insurers and services above.
St. Francis - Trenton
▲ Rates typically 20% higher than Capital Health Med Center - Hopewell (13 services)
Robert Wood Johnson University Hospital Hamilton
▼ Rates typically 31% lower than Capital Health Med Center - Hopewell (21 services)
Penn Medicine Princeton Medical Center
▼ Rates typically 25% lower than Capital Health Med Center - Hopewell (21 services)
St. Mary Medical Center
▼ Rates typically 45% lower than Capital Health Med Center - Hopewell (21 services)
Hunterdon Medical Center
▼ Rates typically 20% lower than Capital Health Med Center - Hopewell (21 services)
Lower Bucks Hospital
▼ Rates typically 34% lower than Capital Health Med Center - Hopewell (21 services)
Helene Fuld Medical Center
Robert Wood Johnson University Hospital
Saint Barnabas Medical Center
Inspira Medical Center Elmer
About Capital Health Med Center - Hopewell's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Capital Health Med Center - Hopewell range from $552 to $4,970 across 4 insurers. Blue Cross Blue Shield's rate is $4,970. The median at nearby comparable hospitals is $789. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Capital Health Med Center - Hopewell range from $6,000 to $6,813 across 2 insurers. UnitedHealthcare's rate is $6,000. The median at nearby comparable hospitals is $3,621. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Capital Health Med Center - Hopewell range from $9,252 to $13,501 across 4 insurers. Cigna's rate is $9,822. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Capital Health Med Center - Hopewell range from $150 to $820 across 4 insurers. Cigna's rate is $250. The median at nearby comparable hospitals is $162. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Capital Health Med Center - Hopewell range from $19,721 to $26,404 across 3 insurers. Aetna's rate is $26,404. The median at nearby comparable hospitals is $27,993. What a patient pays depends on their plan's deductible, coinsurance and network status.
Capital Health Med Center - Hopewell has 221 beds. Facility type: Short Term Acute Care Hospital.
Capital Health Med Center - Hopewell is located at 1 Capital Way, Pennington, NJ 08534. Its main phone number is (609) 303-4000.
Capital Health Med Center - Hopewell's CMS Certification Number (CCN), also called its Medicare provider number, is 310044.
The National Provider Identifier (NPI) on file for Capital Health Med Center - Hopewell is 1073516183.
Capital Health Med Center - Hopewell is affiliated with Capital Health System.
Capital Health Med Center - Hopewell lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
355 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers