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
LEVEL 5
Pennington, NJ
See all hospitals reporting CPT 99285 →Price type
Capital Health System Inc’s median price of $1.2k is 34% above the median hospital's median price ($897), higher than 61% of the 2,561 hospitals reporting CPT 99285. 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, 16 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 | $670.02 | $670.02 | $670.02 – $670.02 |
| 2 | Humana medicare advantage case rate · outpatient | $683.42 | $683.42 | $683.42 – $683.42 |
| 3 | Cigna local plus case rate · outpatient | $720.00 | $720.00 | $720.00 – $720.00 |
| 4 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $888.79 | $888.79 | $888.79 – $888.79 |
| 5 | UnitedHealthcare managed medicaid case rate · outpatient | $1,110 | $1,110 | $1,110 – $1,110 |
| 6 | Cigna managed care/ppo case rate · outpatient | $1,200 | $1,200 | $1,200 – $1,200 |
| 7 | Blue Cross Blue Shield omnia case rate · outpatient | $1,349 | $1,349 | $1,349 – $1,349 |
| 8 | Blue Cross Blue Shield managed care case rate · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 9 | Blue Cross Blue Shield indemnity case rate · outpatient | $1,641 | $1,641 | $1,641 – $1,641 |
| 10 | Blue Cross Blue Shield ppo case rate · outpatient | $1,641 | $1,641 | $1,641 – $1,641 |
| 11 | UnitedHealthcare commercial case rate · outpatient | $2,341 | $2,341 | $2,341 – $2,341 |
| 12 | Aetna commercial case rate · outpatient | $3,091 | $3,091 | $3,091 – $3,091 |
| 13 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $12,344 | $12,344 | $12,344 – $12,344 |
| 14 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $12,344 | $12,344 | $12,344 – $12,344 |
| 15 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $13,990 | $13,990 | $13,990 – $13,990 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $13,990 | $13,990 | $13,990 – $13,990 |
Last updated: Jun 24, 2026
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