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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$49.80 – $1,239.00

Negotiated median

$292.41

CPT 99213 Office visit, established patient, 20-29 minutes · Showing 200 of 345 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
West Jersey Health System	NJ	Chargemaster	N/A	outpatient	gross	$566.00
Newark Beth Israel Medical Center	NJ	Chargemaster	N/A	outpatient	gross	$513.00
Robert Wood Johnson University Hospi	NJ	Chargemaster	N/A	outpatient	gross	$513.00
Community Medical Center	NJ	Chargemaster	N/A	outpatient	gross	$513.00
Robert Wood Johnson Univ Hosp @ Som	NJ	Chargemaster	N/A	outpatient	gross	$513.00
Inspira Medical Center Vineland	NJ	Chargemaster	N/A	inpatient	gross	$449.10
Inspira Medical Center Vineland	NJ	Chargemaster	N/A	outpatient	gross	$449.10
Inspira Medical Center Elmer	NJ	Chargemaster	N/A	inpatient	gross	$449.10
Inspira Medical Center Elmer	NJ	Chargemaster	N/A	outpatient	gross	$449.10
Inspira Medical Center Woodbury Inc	NJ	Chargemaster	N/A	outpatient	gross	$449.10
Inspira Medical Center Woodbury Inc	NJ	Chargemaster	N/A	inpatient	gross	$449.10
Kennedy University Hospital	NJ	Chargemaster	N/A	both	gross	$331.00
Kennedy University Hospital	NJ	Chargemaster	N/A	both	gross	$130.00
Inspira Medical Center Vineland	NJ	Cash pay	N/A	inpatient	cash	$449.10
Inspira Medical Center Vineland	NJ	Cash pay	N/A	outpatient	cash	$449.10
Inspira Medical Center Elmer	NJ	Cash pay	N/A	inpatient	cash	$449.10
Inspira Medical Center Elmer	NJ	Cash pay	N/A	outpatient	cash	$449.10
Inspira Medical Center Woodbury Inc	NJ	Cash pay	N/A	outpatient	cash	$449.10
Inspira Medical Center Woodbury Inc	NJ	Cash pay	N/A	inpatient	cash	$449.10
Newark Beth Israel Medical Center	NJ	Cash pay	N/A	outpatient	cash	$106.85
Community Medical Center	NJ	Cash pay	N/A	outpatient	cash	$106.39
Robert Wood Johnson Univ Hosp @ Som	NJ	Cash pay	N/A	outpatient	cash	$86.69
Robert Wood Johnson University Hospi	NJ	Cash pay	N/A	outpatient	cash	$84.08
West Jersey Health System	NJ	Cash pay	N/A	outpatient	cash	$56.60
Inspira Medical Center Vineland	NJ	[De-identified Min]	—	outpatient	min	$77.31
Kennedy University Hospital	NJ	[De-identified Min]	—	outpatient	min	$67.86
Community Medical Center	NJ	[De-identified Min]	—	outpatient	min	$63.66
Robert Wood Johnson University Hospi	NJ	[De-identified Min]	—	outpatient	min	$62.38
Inspira Medical Center Woodbury Inc	NJ	[De-identified Min]	—	outpatient	min	$61.53
Robert Wood Johnson Univ Hosp @ Som	NJ	[De-identified Min]	—	outpatient	min	$51.22
Inspira Medical Center Elmer	NJ	[De-identified Min]	—	outpatient	min	$51.02
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$49.80
Inspira Medical Center Vineland	NJ	oxford health plans	Commercial	outpatient	negotiated	$1,239.00
Inspira Medical Center Vineland	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$1,239.00
Inspira Medical Center Elmer	NJ	oxford health plans	Commercial	outpatient	negotiated	$1,239.00
Inspira Medical Center Elmer	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$1,239.00
Inspira Medical Center Woodbury Inc	NJ	oxford health plans	Commercial	outpatient	negotiated	$1,239.00
Inspira Medical Center Woodbury Inc	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$1,239.00
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$478.78
Community Medical Center	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$469.34
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$469.29
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$469.29
Robert Wood Johnson Univ Hosp @ Som	NJ	amerihealth	Local Value	outpatient	negotiated	$439.43
Robert Wood Johnson Univ Hosp @ Som	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$439.43
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$436.05
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$436.05
Community Medical Center	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$436.05
Robert Wood Johnson University Hospi	NJ	qualcare inc	WC	outpatient	negotiated	$427.84
Robert Wood Johnson Univ Hosp @ Som	NJ	Aetna	HMO	outpatient	negotiated	$425.79
Robert Wood Johnson Univ Hosp @ Som	NJ	Aetna	PPO	outpatient	negotiated	$425.79
Newark Beth Israel Medical Center	NJ	qualcare inc	PPO/WC	outpatient	negotiated	$420.14
Community Medical Center	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$410.55
Community Medical Center	NJ	Cigna	PPO	outpatient	negotiated	$407.83
Community Medical Center	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$403.93
Newark Beth Israel Medical Center	NJ	Cigna	PPO	outpatient	negotiated	$395.88
Newark Beth Israel Medical Center	NJ	qualcare inc	HMO/POS	outpatient	negotiated	$393.98
Robert Wood Johnson Univ Hosp @ Som	NJ	qualcare inc	HMO/PPO/WC	outpatient	negotiated	$389.88
Community Medical Center	NJ	Cigna	HMO	outpatient	negotiated	$387.21
Community Medical Center	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$384.75
Community Medical Center	NJ	amerihealth	Local Value	outpatient	negotiated	$382.18
Community Medical Center	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$382.18
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$378.13
Newark Beth Israel Medical Center	NJ	Cigna	HMO	outpatient	negotiated	$375.87
Inspira Medical Center Vineland	NJ	amerihealth	Commercial	outpatient	negotiated	$375.22
Inspira Medical Center Vineland	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$375.22
Inspira Medical Center Elmer	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$375.22
Inspira Medical Center Elmer	NJ	amerihealth	Commercial	outpatient	negotiated	$375.22
Inspira Medical Center Woodbury Inc	NJ	amerihealth	Commercial	outpatient	negotiated	$375.22
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$374.49
Community Medical Center	NJ	qualcare inc	PPO/WC	outpatient	negotiated	$364.74
Robert Wood Johnson Univ Hosp @ Som	NJ	Cigna	PPO	outpatient	negotiated	$359.97
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$357.92
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$355.91
Newark Beth Israel Medical Center	NJ	amerihealth	Local Value	outpatient	negotiated	$354.58
Newark Beth Israel Medical Center	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$354.58
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$354.58
Community Medical Center	NJ	qualcare inc	HMO/POS	outpatient	negotiated	$342.17
Robert Wood Johnson Univ Hosp @ Som	NJ	Cigna	HMO	outpatient	negotiated	$341.76
Community Medical Center	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$333.19
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$332.98
Inspira Medical Center Vineland	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$330.09
Inspira Medical Center Elmer	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$330.09
Inspira Medical Center Woodbury Inc	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$330.09
Robert Wood Johnson University Hospi	NJ	Cigna	PPO	outpatient	negotiated	$329.80
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$322.47
Inspira Medical Center Vineland	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$316.53
Inspira Medical Center Elmer	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$316.53
Inspira Medical Center Woodbury Inc	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$316.53
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$315.85
Inspira Medical Center Vineland	NJ	Aetna	Commercial	outpatient	negotiated	$314.37
Inspira Medical Center Elmer	NJ	Aetna	Commercial	outpatient	negotiated	$314.37
Inspira Medical Center Woodbury Inc	NJ	Aetna	Commercial	outpatient	negotiated	$314.37
Robert Wood Johnson University Hospi	NJ	Cigna	HMO	outpatient	negotiated	$313.13
Inspira Medical Center Vineland	NJ	Cigna	Commercial	outpatient	negotiated	$310.28
Inspira Medical Center Elmer	NJ	Cigna	Commercial	outpatient	negotiated	$310.28
Inspira Medical Center Woodbury Inc	NJ	Cigna	Commercial	outpatient	negotiated	$310.28
Newark Beth Israel Medical Center	NJ	First Health	Commercial	outpatient	negotiated	$307.80
Robert Wood Johnson University Hospi	NJ	First Health	Commercial	outpatient	negotiated	$307.80
Community Medical Center	NJ	First Health	Commercial	outpatient	negotiated	$307.80
Robert Wood Johnson Univ Hosp @ Som	NJ	First Health	Commercial	outpatient	negotiated	$307.80
Community Medical Center	NJ	Cigna	Local Plus	outpatient	negotiated	$304.72
Robert Wood Johnson University Hospi	NJ	Aetna	HMO	outpatient	negotiated	$302.67
Robert Wood Johnson University Hospi	NJ	Aetna	PPO	outpatient	negotiated	$302.67
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$299.69
Inspira Medical Center Vineland	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$296.86
Inspira Medical Center Elmer	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$296.86
Inspira Medical Center Woodbury Inc	NJ	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$296.86
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$296.05
Newark Beth Israel Medical Center	NJ	Cigna	Local Plus	outpatient	negotiated	$295.79
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$294.00
Newark Beth Israel Medical Center	NJ	wellpoint	NJ Family Care	outpatient	negotiated	$292.41
Community Medical Center	NJ	wellpoint	NJ Family Care	outpatient	negotiated	$292.41
Community Medical Center	NJ	Aetna	HMO	outpatient	negotiated	$282.15
Community Medical Center	NJ	Aetna	PPO	outpatient	negotiated	$282.15
Robert Wood Johnson University Hospi	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$274.30
Robert Wood Johnson Univ Hosp @ Som	NJ	Cigna	Local Plus	outpatient	negotiated	$268.96
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$267.37
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$257.26
Newark Beth Israel Medical Center	NJ	Aetna	HMO	outpatient	negotiated	$256.50
Newark Beth Israel Medical Center	NJ	Aetna	PPO	outpatient	negotiated	$256.50
Robert Wood Johnson University Hospi	NJ	amerihealth	Local Value	outpatient	negotiated	$249.01
Robert Wood Johnson University Hospi	NJ	Cigna	Local Plus	outpatient	negotiated	$246.44
Inspira Medical Center Vineland	NJ	Ambetter	Commercial	outpatient	negotiated	$208.50
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$175.95
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$175.95
Community Medical Center	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$173.39
Community Medical Center	NJ	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$173.39
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$167.75
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$167.75
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Nexus	outpatient	negotiated	$149.59
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$149.59
Community Medical Center	NJ	UnitedHealthcare	Nexus	outpatient	negotiated	$147.74
Community Medical Center	NJ	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$147.74
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Nexus	outpatient	negotiated	$142.61
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$142.61
Newark Beth Israel Medical Center	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$133.17
Newark Beth Israel Medical Center	NJ	Aetna	Better Health	outpatient	negotiated	$127.63
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$116.50
Inspira Medical Center Vineland	NJ	jefferson health plan	Medicare Advantage	outpatient	negotiated	$108.83
Inspira Medical Center Vineland	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$107.81
Inspira Medical Center Vineland	NJ	Humana	Medicare Advantage	outpatient	negotiated	$106.79
Robert Wood Johnson University Hospi	NJ	qualcare inc	HMO/POS/PPO	outpatient	negotiated	$106.67
Inspira Medical Center Vineland	NJ	healthspring	Medicare Advantage	outpatient	negotiated	$104.76
Inspira Medical Center Vineland	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	Medicare	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	clover health	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	braven health	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	horizon nj total care	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	WellCare	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	wellpoint full dual advantage	Medicare Advantage	outpatient	negotiated	$101.71
Inspira Medical Center Vineland	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$100.56
Inspira Medical Center Elmer	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$100.56
Inspira Medical Center Elmer	NJ	wellpoint	Managed Medicaid	outpatient	negotiated	$92.70
Inspira Medical Center Elmer	NJ	Aetna	Managed Medicaid	outpatient	negotiated	$90.81
Inspira Medical Center Elmer	NJ	fidelis care of nj	Managed Medicaid	outpatient	negotiated	$90.81
Inspira Medical Center Vineland	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$90.69
Inspira Medical Center Elmer	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$90.69
Inspira Medical Center Vineland	NJ	wellpoint	Managed Medicaid	outpatient	negotiated	$87.69
Inspira Medical Center Woodbury Inc	NJ	wellpoint	Managed Medicaid	outpatient	negotiated	$87.69
Inspira Medical Center Vineland	NJ	fidelis care of nj	Managed Medicaid	outpatient	negotiated	$85.90
Inspira Medical Center Vineland	NJ	Aetna	Managed Medicaid	outpatient	negotiated	$85.90
Inspira Medical Center Woodbury Inc	NJ	fidelis care of nj	Managed Medicaid	outpatient	negotiated	$85.90
Inspira Medical Center Woodbury Inc	NJ	Aetna	Managed Medicaid	outpatient	negotiated	$85.90
Inspira Medical Center Elmer	NJ	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$81.73
Inspira Medical Center Vineland	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$81.60
Inspira Medical Center Elmer	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$81.60
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$81.60
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$81.60
Community Medical Center	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$81.60
Robert Wood Johnson Univ Hosp @ Som	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$81.60
Robert Wood Johnson Univ Hosp @ Som	NJ	Aetna	Better Health	outpatient	negotiated	$81.15
Kennedy University Hospital	NJ	pa health_wellness chc	JNJ001_JNJ002_JNJ003 CHC	outpatient	negotiated	$78.00
Inspira Medical Center Vineland	NJ	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$77.31
Inspira Medical Center Woodbury Inc	NJ	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$77.31
Robert Wood Johnson Univ Hosp @ Som	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$76.23
Community Medical Center	NJ	Aetna	Better Health	outpatient	negotiated	$69.66
Robert Wood Johnson University Hospi	NJ	Aetna	Better Health	outpatient	negotiated	$68.33
Kennedy University Hospital	NJ	Medicare	JNJ001_JNJ002_JNJ003 Medicare	outpatient	negotiated	$67.86
Kennedy University Hospital	NJ	jeff nj amerihealth_ibc	Admin_Indemnity	outpatient	negotiated	$67.86
Kennedy University Hospital	NJ	jeff nj amerihealth_ibc	Commercial	outpatient	negotiated	$67.86
Inspira Medical Center Woodbury Inc	NJ	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$67.01
Community Medical Center	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$64.84
Robert Wood Johnson University Hospi	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$64.17
Inspira Medical Center Woodbury Inc	NJ	braven health	Medicare Advantage	outpatient	negotiated	$64.04
Community Medical Center	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$63.66
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$62.38
Inspira Medical Center Elmer	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$61.53
Inspira Medical Center Woodbury Inc	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$61.53
Inspira Medical Center Elmer	NJ	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$52.99
Inspira Medical Center Elmer	NJ	braven health	Medicare Advantage	outpatient	negotiated	$51.02
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$49.80
Inspira Medical Center Vineland	NJ	[De-identified Max]	—	outpatient	max	$1,239.00
Inspira Medical Center Elmer	NJ	[De-identified Max]	—	outpatient	max	$1,239.00
Inspira Medical Center Woodbury Inc	NJ	[De-identified Max]	—	outpatient	max	$1,239.00
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$478.78
Community Medical Center	NJ	[De-identified Max]	—	outpatient	max	$469.34
Robert Wood Johnson Univ Hosp @ Som	NJ	[De-identified Max]	—	outpatient	max	$469.29
Robert Wood Johnson University Hospi	NJ	[De-identified Max]	—	outpatient	max	$436.05
Kennedy University Hospital	NJ	[De-identified Max]	—	outpatient	max	$78.00

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).