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
PRP I/HERN INIT REDUC >5 YR
Toms River, NJ
See all hospitals reporting CPT 49505 →Price type
Community Medical Center’s median price of $5.1k is 33% above the median hospital's median price ($3.9k), higher than 70% of the 2,152 hospitals reporting CPT 49505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | Bcbs Nj nj health fee schedule · outpatient | $344.32 | $344.32 | $344.32 – $344.32 |
| 2 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $1,774 | $1,774 | $1,774 – $1,774 |
| 3 | Aetna medicare fee schedule · outpatient | $3,857 | $3,857 | $3,857 – $3,857 |
| 4 | Bcbs Nj medicare advantage fee schedule · outpatient | $3,857 | $3,857 | $3,857 – $3,857 |
| 5 | Clover medicare advantage fee schedule · outpatient | $3,857 | $3,857 | $3,857 – $3,857 |
| 6 | Humana medicare fee schedule · outpatient | $3,857 | $3,857 | $3,857 – $3,857 |
| 7 | UnitedHealthcare medicare fee schedule · outpatient | $3,934 | $3,934 | $3,934 – $3,934 |
| 8 | Cigna local plus case rate · outpatient | $3,962 | $3,962 | $3,962 – $3,962 |
| 9 | UnitedHealthcare oxford metro case rate · outpatient | $4,791 | $4,791 | $4,791 – $4,791 |
| 10 | Cigna hmo case rate · outpatient | $5,034 | $5,034 | $5,034 – $5,034 |
| 11 | Cigna ppo case rate · outpatient | $5,302 | $5,302 | $5,302 – $5,302 |
| 12 | UnitedHealthcare nexus case rate · outpatient | $5,390 | $5,390 | $5,390 – $5,390 |
| 13 | UnitedHealthcare oxford commercial case rate · outpatient | $5,637 | $5,637 | $5,637 – $5,637 |
| 14 | UnitedHealthcare commercial case rate · outpatient | $6,341 | $6,341 | $6,341 – $6,341 |
| 15 | Aetna hmo case rate · outpatient | $6,680 | $6,680 | $6,680 – $6,680 |
| 16 | Aetna ppo case rate · outpatient | $6,680 | $6,680 | $6,680 – $6,680 |
| 17 | WellCare ambetter health commercial fee schedule · outpatient | $7,675 | $7,675 | $7,675 – $7,675 |
| 18 | Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges | $12,594 | $12,594 | $12,594 – $12,594 |
| 19 | Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges | $17,372 | $17,372 | $17,372 – $17,372 |
Last updated: Mar 4, 2026
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