Critical care, first hour of physician time at Community 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

Toms River, NJ

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Pricing by billing methodology

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How this price compares nationally

Community Medical Center’s median price of $1.9k is 61% above the median hospital's median price ($1.2k), higher than 68% 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 Community 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	$690.74	$690.74	$690.74 – $690.74
2	Aetna better health percent of total billed charges · outpatientfrom % of charges	$755.86	$755.86	$755.86 – $755.86
3	Bcbs Nj nj health case rate · outpatient	$891.00	$891.00	$891.00 – $891.00
4	Aetna medicare fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
5	Bcbs Nj medicare advantage fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
6	Clover medicare advantage fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
7	Humana medicare fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
8	UnitedHealthcare medicare fee schedule · outpatient	$939.29	$939.29	$939.29 – $939.29
9	Bcbs Nj worker's comp case rate · outpatient	$1,156	$1,156	$1,156 – $1,156
10	Bcbs Nj omnia case rate · outpatient	$1,377	$1,377	$1,377 – $1,377
11	Bcbs Nj state benefit plan case rate · outpatient	$1,630	$1,630	$1,630 – $1,630
12	UnitedHealthcare oxford metro case rate · outpatient	$1,652	$1,652	$1,652 – $1,652
13	WellCare ambetter health commercial fee schedule · outpatient	$1,833	$1,833	$1,833 – $1,833
14	UnitedHealthcare nexus case rate · outpatient	$1,858	$1,858	$1,858 – $1,858
15	UnitedHealthcare oxford commercial case rate · outpatient	$1,943	$1,943	$1,943 – $1,943
16	Cigna local plus other · outpatient	$1,976	$1,976	$1,976 – $1,976
17	UnitedHealthcare commercial case rate · outpatient	$2,186	$2,186	$2,186 – $2,186
18	Cigna hmo other · outpatient	$2,511	$2,511	$2,511 – $2,511
19	Aetna hmo case rate · outpatient	$2,564	$2,564	$2,564 – $2,564
20	Aetna ppo case rate · outpatient	$2,564	$2,564	$2,564 – $2,564
21	Bcbs Nj managed case rate · outpatient	$2,632	$2,632	$2,632 – $2,632
22	Cigna ppo other · outpatient	$2,645	$2,645	$2,645 – $2,645
23	Bcbs Nj non-managed case rate · outpatient	$2,675	$2,675	$2,675 – $2,675
24	First Health commercial percent of total billed charges · outpatientfrom % of charges	$3,340	$3,340	$3,340 – $3,340
25	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$5,080	$5,080	$5,080 – $5,080

Last updated: Mar 4, 2026

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