Office visit, established patient, 5 min in New Jersey

What New Jersey hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.

Hospitals
14
Rate rows
344
Neg. median
$166.32
Min
$8.98
Max
$1,239
Cash median
$65.68

Across 14 New Jersey hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $8.98 to $1,239, with a median of $166.32. The interquartile range is $77.63 to $216.24. Cash-pay patients typically pay $65.68; gross charges median $305.

By payer in New Jersey

Top 25 payers for Office visit, established patient, 5 min in New Jersey.

PayerHospitalsRatesMedian rate
Aetna1237$166.32
amerihealth1221$210.81
Blue Cross Blue Shield1270$211.6
Cigna1228$196.08
UnitedHealthcare1255$88.93
wellpoint1010$119.83
qualcare inc917$231.8
First Health99$183
fidelis care99$49.22
oxford health plans33$1,239
fidelis care of nj33$69.03
braven health33$41
horizon nj health24$22.27
Medicare22$17.65
Humana11$27.63
jeff nj amerihealth_ibc12$8.98
jefferson health plan11$28.16
wellpoint full dual advantage11$26.31
healthspring11$27.1
pa health_wellness chc11$78
Emblem Health11$146.88
clover health11$26.31
WellCare11$26.31
Ambetter11$53.95
horizon nj total care11$26.31

Hospital comparison — Office visit, established patient, 5 min in New Jersey

Sorted by lowest negotiated median rate. Up to 100 hospitals.

HospitalCityNegotiated medianCash rateGross charge
Kennedy University HospitalCherry Hill$8.98$130
Inspira Medical Center VinelandVineland$41.24$360.91$360.91
Inspira Medical Center ElmerElmer$156.53$360.91$360.91
Robert Wood Johnson University HospiNew Brunswick$158.02$49.98$305
Robert Wood Johnson Hospital @ HamiHamilton$158.02$49.98$305
Childrens Specialized HopsitalMountainside$164.16$108$216
Jersey City Medical CenterJersey City$165.27$63.37$305
Newark Beth Israel Medical CenterNewark$174.86$63.53$305
Cooperman Barnabas Medical CenterLivingston$176.96$64.62$305
Community Medical CenterToms River$183$63.25$305
Monmouth Medical CenterLong Brance$183$66.73$305
Robert Wood Johnson Univ Hosp @ SomSomerville$193.1$51.54$305
Inspira Medical Center Woodbury IncWoodbury$238.56$360.91$360.91
West Jersey Health SystemVoorhees$56.6$566