Outpatient office visit, established patient at CentraState Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

E&M Est Patient Level 3

Freehold Township, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

CentraState Medical Center’s median price of $114 is 8% below the median hospital's median price ($124), higher than 46% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at CentraState Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 55 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	Anthem csmc medicaid percent of total billed charges · bothfrom % of charges	$34.17	$34.17	$34.17 – $34.17
2	Medicaid csmc medicaid percent of total billed charges · bothfrom % of charges	$34.17	$34.17	$34.17 – $34.17
3	Medicaid csmc medicaid percent of total billed charges · outpatientfrom % of charges	$38.94	$38.94	$38.94 – $38.94
4	Aetna Better Health csmc aetna better health percent of total billed charges · bothfrom % of charges	$41.01	$41.01	$41.01 – $41.01
5	Aetna csmc aetna ahs employee fee schedule · both	$67.67	$67.67	$67.67 – $67.67
6	Aetna csmc aetna ahs employee fee schedule · outpatient	$67.67	$67.67	$67.67 – $67.67
7	Cigna csmc cigna local plus percent of total billed charges · bothfrom % of charges	$60.71	$72.74	$60.71 – $96.79
8	Tricare csmc tricare active duty/east region fee schedule · both	$74.94	$74.94	$74.94 – $74.94
9	Tricare csmc tricare active duty/east region fee schedule · outpatient	$74.94	$74.94	$74.94 – $74.94
10	UnitedHealthcare csmc oxford percent of total billed charges · bothfrom % of charges	$76.27	$76.27	$76.27 – $76.27
11	UnitedHealthcare csmc united percent of total billed charges · bothfrom % of charges	$76.27	$76.27	$76.27 – $76.27
12	Tricare csmc tricare contract fee schedule · both	$83.27	$83.27	$83.27 – $83.27
13	Tricare csmc tricare contract fee schedule · outpatient	$83.27	$83.27	$83.27 – $83.27
14	Humana csmc qualcare percent of total billed charges · bothfrom % of charges	$94.05	$94.05	$94.05 – $94.05
15	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$94.05	$94.05	$94.05 – $94.05
16	Oscar csmc qualcare percent of total billed charges · bothfrom % of charges	$94.05	$94.05	$94.05 – $94.05
17	Oscar csmc qualcare percent of total billed charges · outpatientfrom % of charges	$94.05	$94.05	$94.05 – $94.05
18	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$94.05	$94.05	$94.05 – $94.05
19	Aetna csmc aetna percent of total billed charges · bothfrom % of charges	$102.60	$102.60	$102.60 – $102.60
20	Aetna csmc aetna whole health percent of total billed charges · bothfrom % of charges	$102.60	$102.60	$102.60 – $102.60
21	First Health first health percent of total billed charges · bothfrom % of charges	$111.15	$111.15	$111.15 – $111.15
22	Cigna csmc cigna oap percent of total billed charges · bothfrom % of charges	$113.89	$113.89	$113.89 – $113.89
23	Anthem csmc horizon commercial percent of total billed charges · bothfrom % of charges	$117.19	$117.19	$117.19 – $117.19
24	Blue Cross Blue Shield csmc horizon commercial percent of total billed charges · bothfrom % of charges	$117.19	$117.19	$117.19 – $117.19
25	MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges	$119.70	$119.70	$119.70 – $119.70

Page 1 of 3 · 55 rates

Last updated: Apr 1, 2026

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