Office visit, established patient (20-29 min)
Facility: Community Medical Center
Billing Code: 99213 (CPT)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $80 (about 0.8× the $95 Medicare rate). Community Medical Center charges insurers about $82, or about $106 in cash — about the fair price. Located in Toms River, NJ.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $64 - $173 | 67% |
| Blue Cross Blue Shieldmajor | $82 - $469 | 86% |
| Aetnamajor | $70 - $282 | 74% |
| Cignamajor | $305 - $408 | 320% |
| AmeriHealth | $382 | 401% |
| Fidelis Care | $65 | 68% |
| + 1 smaller / regional plan | $342 - $365 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Community Medical Center
Compare: Office visit, established patient (20-29 min) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $42
- Trinitas Regional Medical Center · Elizabeth $65
- Newark Beth Israel Medical Center · Newark $66
- Robert Wood Johnson University Hospital - Somerset · Somerville $66
- St Mary's General Hospital · Passaic $68
- Jefferson Stratford Hospital · Stratford $68
- Saint Michael's Medical Center · Newark $68
- Jersey City Medical Center · Jersey City $72
Insurance negotiated median for the same procedure, sorted lowest first.