Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EST VST LEVL THRE/ W PROC
Pennington, NJ
See all hospitals reporting CPT 99213 →Price type
Capital Health System Inc’s median price of $260 is 110% above the median hospital's median price ($124), higher than 86% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Clover medicare advantage case rate · outpatient | $101.71 | $101.71 | $101.71 – $101.71 |
| 2 | Humana medicare advantage case rate · outpatient | $103.74 | $103.74 | $103.74 – $103.74 |
| 3 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $67.60 | $130.53 | $4.96 – $332.28 |
| 4 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $91.26 | $176.22 | $6.70 – $448.58 |
| 5 | Cigna local plus percent of total billed charges · outpatientfrom % of charges | $146.02 | $281.95 | $10.71 – $717.72 |
| 6 | Blue Cross Blue Shield omnia percent of total billed charges · outpatientfrom % of charges | $168.49 | $325.35 | $12.36 – $828.21 |
| 7 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $187.25 | $361.57 | $13.74 – $920.42 |
| 8 | Blue Cross Blue Shield indemnity percent of total billed charges · outpatientfrom % of charges | $202.12 | $390.29 | $14.83 – $993.52 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $202.12 | $390.29 | $14.83 – $993.52 |
| 10 | Cigna managed care/ppo percent of total billed charges · outpatientfrom % of charges | $434.16 | $838.34 | $31.86 – $2,134 |
| 11 | UnitedHealthcare commercial case rate · outpatient | $958.00 | $958.00 | $898.00 – $1,018 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $599.95 | $1,158 | $44.02 – $2,949 |
| 13 | UnitedHealthcare commercial other · outpatient | $1,488 | $1,488 | $1,488 – $1,488 |
| 14 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $1,268 | $2,447 | $93.00 – $6,230 |
| 15 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $1,268 | $2,447 | $93.00 – $6,230 |
| 16 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1,437 | $2,774 | $105.40 – $7,061 |
| 17 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1,437 | $2,774 | $105.40 – $7,061 |
Last updated: Jun 24, 2026
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