Outpatient office visit, established patient at Monmouth Medical Center Southern Campus

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

Lakewood, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Monmouth Medical Center Southern Campus’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 Southern Campus

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	$94.85	$94.85	$94.85 – $94.85
3	Aetna better health percent of total billed charges · outpatientfrom % of charges	$103.88	$103.88	$103.88 – $103.88
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	$226.13	$226.13	$226.13 – $226.13
9	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$287.33	$287.33	$287.33 – $287.33
10	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$302.61	$302.61	$302.61 – $302.61
11	First Health commercial percent of total billed charges · outpatientfrom % of charges	$307.80	$307.80	$307.80 – $307.80
12	Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges	$327.55	$327.55	$327.55 – $327.55
13	Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges	$375.77	$375.77	$375.77 – $375.77
14	Bcbs Nj managed percent of total billed charges · outpatientfrom % of charges	$393.21	$393.21	$393.21 – $393.21
15	Bcbs Nj non-managed percent of total billed charges · outpatientfrom % of charges	$397.31	$397.31	$397.31 – $397.31
16	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$430.92	$430.92	$430.92 – $430.92
17	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$430.92	$430.92	$430.92 – $430.92
18	Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges	$489.29	$489.29	$489.29 – $489.29
19	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$498.17	$498.17	$498.17 – $498.17

Last updated: Mar 3, 2026

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