Critical care, first hour of physician time 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 Critical Care 30-74 Min

Belleville, NJ

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Pricing by billing methodology

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How this price compares nationally

Clara Maass Medical Center’s median price of $1.8k is 47% above the median hospital's median price ($1.2k), higher than 65% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Clara Maass Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 25 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	$702.22	$702.22	$702.22 – $702.22
2	Aetna better health percent of total billed charges · outpatientfrom % of charges	$768.92	$768.92	$768.92 – $768.92
3	Bcbs Nj nj health case rate · outpatient	$874.00	$874.00	$874.00 – $874.00
4	Aetna medicare fee schedule · outpatient	$945.34	$945.34	$945.34 – $945.34
5	Bcbs Nj medicare advantage fee schedule · outpatient	$945.34	$945.34	$945.34 – $945.34
6	Clover medicare advantage fee schedule · outpatient	$945.34	$945.34	$945.34 – $945.34
7	Humana medicare fee schedule · outpatient	$945.34	$945.34	$945.34 – $945.34
8	UnitedHealthcare medicare fee schedule · outpatient	$964.25	$964.25	$964.25 – $964.25
9	Bcbs Nj omnia case rate · outpatient	$1,107	$1,107	$1,107 – $1,107
10	Bcbs Nj worker's comp case rate · outpatient	$1,151	$1,151	$1,151 – $1,151
11	Bcbs Nj state benefit plan case rate · outpatient	$1,426	$1,426	$1,426 – $1,426
12	Cigna local plus other · outpatient	$1,465	$1,465	$1,465 – $1,465
13	UnitedHealthcare oxford metro case rate · outpatient	$1,493	$1,493	$1,493 – $1,493
14	UnitedHealthcare nexus case rate · outpatient	$1,753	$1,753	$1,753 – $1,753
15	UnitedHealthcare oxford commercial case rate · outpatient	$1,757	$1,757	$1,757 – $1,757
16	Aetna hmo case rate · outpatient	$1,840	$1,840	$1,840 – $1,840
17	Aetna ppo case rate · outpatient	$1,840	$1,840	$1,840 – $1,840
18	Cigna hmo other · outpatient	$1,862	$1,862	$1,862 – $1,862
19	WellCare ambetter health commercial fee schedule · outpatient	$1,881	$1,881	$1,881 – $1,881
20	Cigna ppo other · outpatient	$1,961	$1,961	$1,961 – $1,961
21	Bcbs Nj managed case rate · outpatient	$2,009	$2,009	$2,009 – $2,009
22	UnitedHealthcare commercial case rate · outpatient	$2,062	$2,062	$2,062 – $2,062
23	Bcbs Nj non-managed case rate · outpatient	$2,072	$2,072	$2,072 – $2,072
24	First Health commercial percent of total billed charges · outpatientfrom % of charges	$3,307	$3,307	$3,307 – $3,307
25	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$5,262	$5,262	$5,262 – $5,262

Last updated: Mar 4, 2026

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