Critical care, first hour of physician time 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 Critical Care 30-74 Min

Lakewood, NJ

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Pricing by billing methodology

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How this price compares nationally

Monmouth Medical Center Southern Campus’s median price of $1.9k is 56% above the median hospital's median price ($1.2k), higher than 66% 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 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	$920.87	$920.87	$920.87 – $920.87
2	Bcbs Nj medicare advantage fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
3	Clover medicare advantage fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
4	Humana medicare fee schedule · outpatient	$920.87	$920.87	$920.87 – $920.87
5	UnitedHealthcare medicare fee schedule · outpatient	$939.29	$939.29	$939.29 – $939.29
6	Bcbs Nj nj health case rate · outpatient	$1,011	$1,011	$1,011 – $1,011
7	UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges	$1,029	$1,029	$1,029 – $1,029
8	Aetna better health percent of total billed charges · outpatientfrom % of charges	$1,127	$1,127	$1,127 – $1,127
9	Bcbs Nj worker's comp case rate · outpatient	$1,426	$1,426	$1,426 – $1,426
10	Bcbs Nj omnia case rate · outpatient	$1,508	$1,508	$1,508 – $1,508
11	Cigna local plus other · outpatient	$1,572	$1,572	$1,572 – $1,572
12	UnitedHealthcare oxford metro case rate · outpatient	$1,652	$1,652	$1,652 – $1,652
13	Bcbs Nj state benefit plan case rate · outpatient	$1,757	$1,757	$1,757 – $1,757
14	WellCare ambetter health commercial fee schedule · outpatient	$1,833	$1,833	$1,833 – $1,833
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	Bcbs Nj managed case rate · outpatient	$2,807	$2,807	$2,807 – $2,807
23	Bcbs Nj non-managed case rate · outpatient	$2,836	$2,836	$2,836 – $2,836
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	$5,405	$5,405	$5,405 – $5,405

Last updated: Mar 3, 2026

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