▸ Hospital · NJ · CCN 310041

Community Medical Center

99 ROUTE 37S, TOMS RIVER, NJ, 08755-6423

430 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
14
with negotiated rates
Rates published
31,913
last crawl 2026-05-22

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88512$2,426$60$6,772.07$34,382
Psychiatric diagnostic evaluationCPT9079112$858$177.94$108.45$499.36$784.98
Psychiatric eval with medical servicesCPT9079212$965$200.14$121.97$561.63$882.87
Psychotherapy 30 minutesCPT9083214$12.41$74.5$349.42
Psychotherapy 45 minutesCPT9083414$12.41$74.5$349.42
Psychotherapy 60 minutesCPT9083714$12.41$74.5$349.42
Crisis psychotherapy 60 minutesCPT9083914$12.41$74.5$349.42
emergency
ED visit level 1CPT9928113$1,052$218.18$96.23$564$2,675
ED visit level 2CPT9928213$1,427$295.95$143$564$2,675
ED visit level 3CPT9928313$2,261$468.93$280.59$1,342.3$2,675
ED visit level 4CPT9928413$3,099$642.73$384.58$1,508.5$2,828.45
ED visit level 5CPT9928513$4,357$903.64$540.7$1,508.5$3,976.63
Critical care, first hourCPT9929113$5,566$1,154.38$690.74$1,845.27$5,080.08
imaging
CT head without contrastCPT7045013$2,085$432.42$57$231.28$1,907.56
CT head with contrastCPT7046013$2,305$478.05$57$287.91$2,108.84
CT head with and without contrastCPT7047013$2,934$608.51$57$298.34$2,684.31
CT neck with contrastCPT7049113$3,005$623.23$57$312.87$2,749.27
MRI brain without contrastCPT7055113$3,279$680.06$57$414.46$2,999.95
MRI brain with contrastCPT7055213$3,615$749.75$57$493.7$3,307.36
MRI brain with and without contrastCPT7055313$5,038$1,044.88$57$625.21$4,609.26
Chest X-ray single viewCPT7104513$494$102.45$18.99$96.23$451.96
Chest X-ray 2 viewsCPT7104613$510$105.77$30.85$96.23$466.59
Chest X-ray 3 viewsCPT7104713$541$112.2$39.46$96.23$494.96
CT chest without contrastCPT7125013$2,195$455.24$57$239.39$2,008.2
CT chest with contrastCPT7126013$2,983$618.67$57$294.07$2,729.14
CT chest with and without contrastCPT7127013$3,652$757.42$57$359.91$3,341.21
MRI chest without contrastCPT7155013$2,920$605.6$57$436$2,671.5
MRI chest with contrastCPT7155113$3,808$789.77$57$863.44$3,483.93
MRI chest with and without contrastCPT7155213$4,726$980.17$57$641.79$4,323.81
Lumbosacral spine X-rayCPT7210013$533$110.54$36.08$116.22$487.64
CT cervical spine without contrastCPT7212513$2,209$458.14$57$231.28$2,021.01
CT thoracic spine without contrastCPT7212813$2,008$416.45$57$231.28$1,837.11
CT lumbar spine without contrastCPT7213113$2,093$434.08$57$239.39$1,914.88
MRI cervical spine without contrastCPT7214113$2,756$571.59$57$374.26$2,521.46
MRI thoracic spine without contrastCPT7214613$2,996$621.37$57$406.85$2,741.04
MRI lumbar spine without contrastCPT7214813$2,854$591.91$57$387.57$2,611.12
MRI lumbar spine with and without contrastCPT7214913$3,356$696.03$57$493.7$3,070.4
MRI cervical spine with and without contrastCPT7215613$4,909$1,018.12$57$609.2$4,491.24
MRI lumbar spine with contrastCPT7215813$4,859$1,007.75$57$603.32$4,445.49
CT pelvis without contrastCPT7219213$2,020$418.94$57$235.57$1,848.09
CT pelvis with contrastCPT7219313$2,563$531.56$57$323.96$2,344.88
Shoulder X-rayCPT7303014$1,140$12.41$85$191.5
Humerus X-rayCPT7306014$519$12.41$85$191.5
Hand X-ray 3 viewsCPT7313014$1,074$12.41$85$191.5
MRI upper extremity joint without contrastCPT7322114$3,173$12.41$326$2,166
MRI upper extremity joint with and without contrastCPT7322314$4,658$12.41$436$2,166
Knee X-ray 1-2 viewsCPT7356014$1,072$12.41$85$191.5
Ankle X-ray 3 viewsCPT7361014$958$12.41$85$191.5
MRI lower extremity joint without contrastCPT7372114$2,458$12.41$326$2,166
MRI lower extremity joint with and without contrastCPT7372314$4,353$12.41$436$2,166
CT abdomen without contrastCPT7415013$2,001$415$57$233.22$1,830.71
CT abdomen with contrastCPT7416013$2,990$620.12$57$371.05$2,735.55
CT abdomen with and without contrastCPT7417013$3,739$775.46$57$387.15$3,420.81
CT abdomen and pelvis without contrastCPT7417613$3,040$630.49$57$368.2$2,781.29
CT abdomen and pelvis with contrastCPT7417713$3,605$747.67$57$493.7$3,298.21
CT abdomen and pelvis with and without contrastCPT7417813$4,549$943.46$57$574.99$4,161.88
MRI abdomen without contrastCPT7418113$3,098$642.52$57$414$2,834.36
MRI abdomen with and without contrastCPT7418313$4,542$942.01$57$612.96$4,155.47
Abdominal ultrasound completeCPT7670013$1,091$226.27$57$169.43$998.15
Abdominal ultrasound limitedCPT7670513$942$195.37$57$130.88$861.83
Retroperitoneal ultrasound completeCPT7677013$994$206.15$57$164.12$909.41
Obstetric ultrasound first trimesterCPT7680113$743$154.09$57$139.85$679.77
Obstetric ultrasound after first trimesterCPT7680513$931$193.08$57$169.43$851.77
Obstetric ultrasound with fetal anatomyCPT7681114$12.41$226.5$525.7
Transvaginal ultrasoundCPT7683013$1,069$221.71$57$152.15$978.02
Pelvic ultrasound completeCPT7685613$1,138$236.02$57$152.15$1,041.15
Scrotal ultrasoundCPT7687013$908$188.31$57$154.14$830.72
Diagnostic mammography unilateralCPT7706510$619$12.41$102.24$454.85
Diagnostic mammography bilateralCPT770669$783$162.39$57$171.06$716.36
Screening mammography bilateralCPT770679$634$131.49$57$141.87$580.04
EKG completeCPT9300010$12.41$74.5$334
EKG tracing onlyCPT9300513$359$74.45$44.55$214.32$334
EKG interpretation onlyCPT9301010$9.35$59.7$91.49
Transthoracic echocardiogram completeCPT9330613$4,118$854.07$310.35$2,059.2$3,767.55
Transthoracic echocardiogramCPT9330713$2,033$421.64$194.03$1,016.4$1,859.99
Stress echocardiogramCPT9335013$2,547$528.24$231.24$1,273.25$2,330.25
inpatient
Respiratory infections & inflammations w MCCMS-DRG17713$2,426$60$27,461$51,286
COPD w MCCMS-DRG19013$2,426$60$17,839$31,236
COPD w CCMS-DRG19113$2,426$60$13,744$24,544
COPD w/o CC/MCCMS-DRG19213$2,426$60$11,251$19,313
Simple pneumonia & pleurisy w CCMS-DRG19413$2,426$60$13,310$23,985
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19513$2,426$60$10,825$18,482
AMI discharged alive w MCCMS-DRG28013$2,426$60$25,682$45,197
AMI discharged alive w CCMS-DRG28113$2,426$60$14,780$25,906
AMI discharged alive w/o CC/MCCMS-DRG28213$2,426$60$12,606$20,164
Heart failure & shock w MCCMS-DRG29113$2,426$60$20,784$37,267
Heart failure & shock w CCMS-DRG29213$2,426$60$14,049$24,877
Heart failure & shock w/o CC/MCCMS-DRG29313$2,426$60$9,538.87$18,138
Cardiac arrhythmia w MCCMS-DRG30813$2,426$60$19,461$33,332
Cardiac arrhythmia w CCMS-DRG30913$2,426$60$12,852$20,828
Cardiac arrhythmia w/o CC/MCCMS-DRG31013$2,426$60$9,726.62$15,519
GI hemorrhage w CCMS-DRG37813$2,426$60$15,926$27,604
GI hemorrhage w/o CC/MCCMS-DRG37913$2,426$60$11,069$17,707
Esophagitis/gastroenteritis w/o MCCMS-DRG39213$2,426$60$12,717$21,245
Fractures of femur w/o MCCMS-DRG53313$2,426$60$26,409$40,698
Kidney/UTI w MCCMS-DRG68913$2,426$60$19,011$31,234
Kidney/UTI w/o MCCMS-DRG69013$2,426$60$13,062$22,017
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87113$2,426$60$32,094$52,366
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87213$2,426$60$16,672$28,393
Initial hospital care, low complexityCPT9922110$12.41$88.25$9,781
Initial hospital care, moderate complexityCPT9922211$12.41$3,047$10,382
Initial hospital care, high complexityCPT9922311$12.41$3,047$10,382
Hospital discharge, <30 minCPT9923811$12.41$3,047$10,382
Hospital discharge, >30 minCPT9923911$12.41$3,047$10,382
lab
Basic metabolic panel (BMP)CPT8004813$164$9.31$3.98$10.15$150.04
General health panelCPT800509$623$129.21$19.11$63.8$569.98
Electrolyte panelCPT8005113$133$7.71$3.29$8.41$121.68
Comprehensive metabolic panelCPT8005313$328$11.62$4.96$12.67$300.08
Lipid panelCPT8006113$247$14.73$6.29$16.07$225.98
Renal function panelCPT8006913$210$9.55$4.08$8.85$192.12
Hepatic function panelCPT8007613$180$8.99$3.84$9.8$164.68
Urinalysis non-automatedCPT8100213$43$3.83$1.64$3.55$57
Urinalysis automatedCPT8100313$77$2.48$1.06$2.46$70.44
Glucose quantitativeCPT8294713$46$4.32$1.85$3.93$57
Hemoglobin A1cCPT8303613$115$10.68$4.56$10.82$105.21
Thyroid stimulating hormone (TSH)CPT8444313$275$18.48$7.9$20.16$251.59
Complete blood count with automated differentialCPT8502513$146$8.55$3.65$8.2$133.57
Complete blood count without differentialCPT8502713$102$7.12$3.04$7.76$93.31
Urine culture bacterialCPT8708613$130$8.88$3.79$9.68$118.93
Urine culture identificationCPT8708813$78$8.9$3.8$8.25$71.36
Tissue exam by pathologist level IVCPT8830513$429$88.97$23.57$60.87$392.49
maternity
Fetal non-stress testCPT5902513$1,064$3,786$64.95$439.75$4,174
Routine obstetric care including vaginal deliveryCPT594009$3,786$12.41$64.95$4,174
Vaginal delivery onlyCPT5940913$3,786$12.41$401.02$6,914.93
Vaginal delivery with postpartumCPT594109$3,786$12.41$64.95$4,174
Routine obstetric care with C-sectionCPT595109$3,786$12.41$64.95$4,174
C-section delivery onlyCPT595149$3,786$12.41$73.26$4,174
C-section with postpartumCPT595159$3,786$12.41$64.95$7,514
office
Office visit, new patient, 15-29 minCPT992029$391$81.09$42.02$234.6$357.72
Office visit, new patient, 30-44 minutesCPT992039$578$119.87$64.24$346.8$528.81
Office visit, new patient, 45-59 minCPT992049$697$144.55$86.49$418.2$637.68
Office visit, new patient, 60-74 minCPT992059$809$167.78$100.39$485.4$740.15
Office visit, established patient, 5 minCPT992119$305$63.25$16$183$279.04
Office visit, established patient, 10-19 minCPT992129$465$96.44$49.06$279$425.42
Office visit, established patient, 20-29 minutesCPT992139$513$106.39$63.66$307.8$469.34
Office visit, established patient, 30-39 minutesCPT992149$564$116.97$69.99$338.4$516
Office visit, established patient, 40-54 minCPT992159$665$137.92$82.52$399$608.4
preventive
Upper GI endoscopy diagnosticCPT4323513$3,786$12.41$1,024.64$4,523
Upper GI endoscopy with biopsyCPT4323913$3,786$12.41$1,024.64$5,009
Sigmoidoscopy diagnosticCPT4533013$3,786$12.41$996.39$4,174
Sigmoidoscopy with biopsyCPT4533113$3,786$12.41$996.39$4,174
Colonoscopy diagnosticCPT4537813$3,786$12.41$996.39$5,009
Colonoscopy with biopsyCPT4538013$3,786$12.41$1,288.59$5,009
Colonoscopy with polyp removalCPT4538513$3,786$12.41$1,288.59$5,009
surgery
Total shoulder arthroplastyCPT2347213$3,786$12.41$20,098$39,995
PCI w drug-eluting stent w MCCMS-DRG2463$5,673$49,781$86,872
PCI w drug-eluting stent w/o MCCMS-DRG2473$5,673$44,213$55,258
Hip hemiarthroplastyCPT271259$3,786$12.41$3,266$26,500
Total hip replacementCPT2713013$3,786$12.41$14,062$27,983
Total knee replacementCPT2744713$3,786$12.41$14,062$27,983
Knee revision arthroplasty single componentCPT274869$3,786$12.41$3,266$26,500
Knee revision arthroplasty all componentsCPT274879$3,786$12.41$3,266$26,500
Shoulder arthroscopy with decompressionCPT298269$3,786$12.41$91.49$21,412
Shoulder arthroscopy with rotator cuff repairCPT2982713$3,786$12.41$7,306.5$21,412
Knee arthroscopy with meniscectomyCPT2988113$3,786$12.41$3,545.97$21,412
ACL reconstructionCPT2988813$3,786$12.41$5,845$21,412
Major small/large bowel procedures w MCCMS-DRG32913$2,426$60$79,828$134,803
Major small/large bowel procedures w CCMS-DRG33013$2,426$60$41,092$70,566
Major small/large bowel procedures w/o CC/MCCMS-DRG33113$2,426$60$28,702$47,528
CABG single arterial graftCPT335339$3,786$12.41$78.74$4,174
CABG 2 arterial graftsCPT335349$3,786$12.41$78.74$4,174
CABG 3 arterial graftsCPT335359$3,786$12.41$78.74$4,174
CABG 4+ arterial graftsCPT335369$3,786$12.41$78.74$4,174
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41813$2,426$60$28,830$46,917
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41913$2,426$60$22,906$36,553
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42013$2,426$60$60,818$97,667
Open appendectomyCPT4495013$3,786$12.41$1,566.24$13,570
Laparoscopic appendectomyCPT4497013$3,786$12.41$5,168$12,689
Spinal fusion (non-cervical) w MCCMS-DRG4593$5,673$149,699$187,095
Spinal fusion (non-cervical) w/o MCCMS-DRG4603$5,673$84,062$109,301
Major joint replacement w MCCMS-DRG46913$2,426$60$56,825$88,073
Major joint replacement w/o MCCMS-DRG47013$2,426$60$25,986$40,593
Laparoscopic cholecystectomyCPT4756213$3,786$12.41$6,376.26$12,887
Lap cholecystectomy with cholangiographyCPT4756313$3,786$12.41$6,376.26$12,887
Hip & femur procedures except major joint w MCCMS-DRG48013$2,426$60$51,128$84,059
Hip & femur procedures except major joint w CCMS-DRG48113$2,426$60$36,071$58,240
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48213$2,426$60$27,579$45,769
Lap inguinal hernia repairCPT4965013$3,786$12.41$5,168$12,689
Total abdominal hysterectomyCPT581509$3,786$12.41$79$9,184
Vaginal hysterectomyCPT5826013$3,786$12.41$5,392.48$12,887
Lap-assisted vaginal hysterectomyCPT5855013$3,786$12.41$6,376.26$12,887
Lap-assisted vaginal hysterectomy >250gCPT5855213$3,786$12.41$6,949.5$22,643
Lap salpingo-oophorectomyCPT5866113$3,786$12.41$6,376.26$12,689
OR procedure for obesity w MCCMS-DRG61913$2,426$60$24,295$68,836
OR procedure for obesity w CCMS-DRG62013$2,426$60$22,762$42,226
OR procedure for obesity w/o CC/MCCMS-DRG62113$2,426$60$22,762$42,226
Complex cataract surgeryCPT6698213$3,786$12.41$2,492.56$11,459
Cataract surgery with lens implantCPT6698413$3,786$12.41$2,492.56$11,459
Intravitreal injectionCPT6702813$3,786$12.41$362.5$4,174
Vitrectomy mechanicalCPT6704213$3,786$12.41$4,396.5$12,887
Uterine & adnexa procedures w CC/MCCMS-DRG74313$2,426$60$20,839$31,992
Uterine & adnexa procedures w/o CC/MCCMS-DRG74413$2,426$60$33,969$52,150
PCI single major coronary arteryCPT9292014$15,906$12.41$10,904$50,824
PCI with drug-eluting stentCPT9292814$24,712$12.41$13,375$50,824
PCI bypass graftCPT9293714$17,872$12.41$13,375$50,824
Left heart catheterizationCPT9345213$14,112$2,926.82$1,751.29$8,424.86$21,771
Coronary angiography with cathCPT9345513$21,408$4,440.01$2,656.73$9,545$21,771
Coronary angiography with bypass cathCPT9345813$21,894$4,540.81$2,717.04$9,545$21,771

Payer mix (top 14)

PayerCodes coveredMedian rate
amerihealth198$455.92
qualcare inc198$911.85
Blue Cross Blue Shield198$419.9
wellpoint194$620
Cigna194$459.51
fidelis care194$175.59
First Health194$60
Aetna194$390.3
UnitedHealthcare191$398.11
Emblem Health164$922.33
Humana160$390.3
clover health160$390.3
WellCare160$776.7
Self-Pay (Cash)25$20.74