CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Ocean Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 1.1× the $95 Medicare rate · typically $70–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $9 over the fair price · 1.1× Medicare
Medicare pays $95 Fair price $100 This hospital $109 Hospital's list price $380

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $109

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 $100 (about 1.1× the $95 Medicare rate). Ocean Medical Center charges insurers about $109 — about the fair price. Located in Brick, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser Permanente

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 $111 - $258 117%
Aetnamajor $76 - $345 80%
AmeriHealth $321 - $364 337%
Clover Health $67 70%
+ 10 smaller / regional plans $73 - $337
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 425 Jack Martin Blvd, Brick, NJ 08724
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals