Emergency department visit 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 ER Level 5

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 $1.7k is 84% above the median hospital's median price ($897), higher than 72% of the 2,561 hospitals reporting CPT 99285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99285 at Monmouth Medical Center Southern Campus

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	Aetna medicare fee schedule · outpatient	$670.04	$670.04	$670.04 – $670.04
2	Bcbs Nj medicare advantage fee schedule · outpatient	$670.04	$670.04	$670.04 – $670.04
3	Clover medicare advantage fee schedule · outpatient	$670.04	$670.04	$670.04 – $670.04
4	Humana medicare fee schedule · outpatient	$670.04	$670.04	$670.04 – $670.04
5	UnitedHealthcare medicare fee schedule · outpatient	$683.44	$683.44	$683.44 – $683.44
6	Bcbs Nj nj health case rate · outpatient	$789.00	$789.00	$789.00 – $789.00
7	UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges	$805.60	$805.60	$805.60 – $805.60
8	Aetna better health percent of total billed charges · outpatientfrom % of charges	$882.29	$882.29	$882.29 – $882.29
9	WellCare ambetter health commercial fee schedule · outpatient	$1,333	$1,333	$1,333 – $1,333
10	Bcbs Nj worker's comp case rate · outpatient	$1,426	$1,426	$1,426 – $1,426
11	Bcbs Nj omnia case rate · outpatient	$1,508	$1,508	$1,508 – $1,508
12	Cigna local plus other · outpatient	$1,572	$1,572	$1,572 – $1,572
13	UnitedHealthcare oxford metro case rate · outpatient	$1,652	$1,652	$1,652 – $1,652
14	Bcbs Nj state benefit plan case rate · outpatient	$1,757	$1,757	$1,757 – $1,757
15	UnitedHealthcare nexus case rate · outpatient	$1,858	$1,858	$1,858 – $1,858
16	UnitedHealthcare oxford commercial case rate · outpatient	$1,943	$1,943	$1,943 – $1,943
17	Cigna hmo other · outpatient	$1,997	$1,997	$1,997 – $1,997
18	Cigna ppo other · outpatient	$2,103	$2,103	$2,103 – $2,103
19	UnitedHealthcare commercial case rate · outpatient	$2,186	$2,186	$2,186 – $2,186
20	Aetna hmo case rate · outpatient	$2,454	$2,454	$2,454 – $2,454
21	Aetna ppo case rate · outpatient	$2,454	$2,454	$2,454 – $2,454
22	First Health commercial percent of total billed charges · outpatientfrom % of charges	$2,614	$2,614	$2,614 – $2,614
23	Bcbs Nj managed case rate · outpatient	$2,807	$2,807	$2,807 – $2,807
24	Bcbs Nj non-managed case rate · outpatient	$2,836	$2,836	$2,836 – $2,836
25	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$4,231	$4,231	$4,231 – $4,231

Last updated: Mar 3, 2026

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