Outpatient office visit, established patient at Monmouth 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 3

Long Branch, NJ

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Pricing by billing methodology

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How this price compares nationally

Monmouth Medical Center’s median price of $308 is 148% above the median hospital's median price ($124), higher than 92% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Monmouth 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	Bcbs Nj nj health fee schedule · outpatient	$81.60	$81.60	$81.60 – $81.60
2	UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges	$127.48	$127.48	$127.48 – $127.48
3	Aetna better health percent of total billed charges · outpatientfrom % of charges	$139.63	$139.63	$139.63 – $139.63
4	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$147.74	$147.74	$147.74 – $147.74
5	UnitedHealthcare oxford metro percent of total billed charges · outpatientfrom % of charges	$147.74	$147.74	$147.74 – $147.74
6	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$173.39	$173.39	$173.39 – $173.39
7	UnitedHealthcare oxford commercial percent of total billed charges · outpatientfrom % of charges	$173.39	$173.39	$173.39 – $173.39
8	Cigna local plus percent of total billed charges · outpatientfrom % of charges	$250.85	$250.85	$250.85 – $250.85
9	Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges	$295.59	$295.59	$295.59 – $295.59
10	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$307.80	$307.80	$307.80 – $307.80
11	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$307.80	$307.80	$307.80 – $307.80
12	First Health commercial percent of total billed charges · outpatientfrom % of charges	$307.80	$307.80	$307.80 – $307.80
13	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$318.72	$318.72	$318.72 – $318.72
14	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$318.72	$318.72	$318.72 – $318.72
15	Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges	$335.86	$335.86	$335.86 – $335.86
16	Bcbs Nj managed percent of total billed charges · outpatientfrom % of charges	$355.91	$355.91	$355.91 – $355.91
17	Bcbs Nj non-managed percent of total billed charges · outpatientfrom % of charges	$359.30	$359.30	$359.30 – $359.30
18	Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges	$482.98	$482.98	$482.98 – $482.98
19	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$496.12	$496.12	$496.12 – $496.12

Last updated: Mar 4, 2026

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