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
DBRDMT SUBQ TIS 1ST 20SQCM/<
Belleville, NJ
See all hospitals reporting CPT 11042 →Price type
Clara Maass Medical Center’s median price of $1.9k is 273% above the median hospital's median price ($523), higher than 91% of the 2,529 hospitals reporting CPT 11042. 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, 23 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 | Bcbs Nj nj health fee schedule · outpatient | $64.01 | $64.01 | $64.01 – $64.01 |
| 2 | UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges | $261.55 | $261.55 | $261.55 – $261.55 |
| 3 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $286.39 | $286.39 | $286.39 – $286.39 |
| 4 | Aetna medicare fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 5 | Bcbs Nj medicare advantage fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 6 | Clover medicare advantage fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 7 | Humana medicare fee schedule · outpatient | $448.24 | $448.24 | $448.24 – $448.24 |
| 8 | UnitedHealthcare medicare fee schedule · outpatient | $457.20 | $457.20 | $457.20 – $457.20 |
| 9 | Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges | $833.31 | $833.31 | $833.31 – $833.31 |
| 10 | WellCare ambetter health commercial fee schedule · outpatient | $892.00 | $892.00 | $892.00 – $892.00 |
| 11 | Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges | $1,073 | $1,073 | $1,073 – $1,073 |
| 12 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $1,232 | $1,232 | $1,232 – $1,232 |
| 13 | Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges | $1,802 | $1,802 | $1,802 – $1,802 |
| 14 | Cigna local plus case rate · outpatient | $1,950 | $1,950 | $1,950 – $1,950 |
| 15 | Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges | $1,960 | $1,960 | $1,960 – $1,960 |
| 16 | UnitedHealthcare oxford metro case rate · outpatient | $2,211 | $2,211 | $2,211 – $2,211 |
| 17 | Cigna hmo case rate · outpatient | $2,478 | $2,478 | $2,478 – $2,478 |
| 18 | UnitedHealthcare nexus case rate · outpatient | $2,595 | $2,595 | $2,595 – $2,595 |
| 19 | UnitedHealthcare oxford commercial case rate · outpatient | $2,601 | $2,601 | $2,601 – $2,601 |
| 20 | Cigna ppo case rate · outpatient | $2,610 | $2,610 | $2,610 – $2,610 |
| 21 | UnitedHealthcare commercial case rate · outpatient | $3,053 | $3,053 | $3,053 – $3,053 |
| 22 | Aetna hmo case rate · outpatient | $5,153 | $5,153 | $5,153 – $5,153 |
| 23 | Aetna ppo case rate · outpatient | $5,153 | $5,153 | $5,153 – $5,153 |
Last updated: Mar 4, 2026
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