Outpatient office visit, established patient, level 4 at Clara Maass 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

HC E&M Visit Est Level 4

Belleville, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Clara Maass Medical Center’s median price of $311 is 96% above the median hospital's median price ($159), higher than 83% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at Clara Maass Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 19 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	UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges	$71.85	$71.85	$71.85 – $71.85
2	Aetna better health percent of total billed charges · outpatientfrom % of charges	$78.67	$78.67	$78.67 – $78.67
3	Bcbs Nj nj health fee schedule · outpatient	$119.85	$119.85	$119.85 – $119.85
4	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$164.46	$164.46	$164.46 – $164.46
5	UnitedHealthcare oxford metro percent of total billed charges · outpatientfrom % of charges	$164.46	$164.46	$164.46 – $164.46
6	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$193.45	$193.45	$193.45 – $193.45
7	UnitedHealthcare oxford commercial percent of total billed charges · outpatientfrom % of charges	$193.45	$193.45	$193.45 – $193.45
8	Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges	$237.27	$237.27	$237.27 – $237.27
9	Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges	$294.74	$294.74	$294.74 – $294.74
10	Cigna local plus percent of total billed charges · outpatientfrom % of charges	$296.83	$296.83	$296.83 – $296.83
11	Bcbs Nj managed percent of total billed charges · outpatientfrom % of charges	$302.02	$302.02	$302.02 – $302.02
12	Bcbs Nj non-managed percent of total billed charges · outpatientfrom % of charges	$311.44	$311.44	$311.44 – $311.44
13	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$332.76	$332.76	$332.76 – $332.76
14	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$332.76	$332.76	$332.76 – $332.76
15	First Health commercial percent of total billed charges · outpatientfrom % of charges	$338.40	$338.40	$338.40 – $338.40
16	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$377.20	$377.20	$377.20 – $377.20
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$397.28	$397.28	$397.28 – $397.28
18	Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges	$495.02	$495.02	$495.02 – $495.02
19	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$538.39	$538.39	$538.39 – $538.39

Last updated: Mar 4, 2026

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