Administration vaccine pneumococcal at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$34.72
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$185.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$27.78 with United Healthcare vs $211.03 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Community Plan | $27.78 | ↓ -20% |
| Aetna | Better Health | $30.43 | ↓ -12% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $35.13 | ↑ +1% |
| United Healthcare | Nexus | $41.00 | ↑ +18% |
| United Healthcare | Oxford Metro | $41.00 | ↑ +18% |
| United Healthcare | Commercial | $48.00 | ↑ +38% |
| United Healthcare | Oxford Commercial | $48.00 | ↑ +38% |
| Clover Health | Medicare Advantage | $50.43 | ↑ +45% |
| Humana | Medicare | $50.43 | ↑ +45% |
| Aetna | Medicare | $50.43 | ↑ +45% |
| Fidelis Care | Medicare Advantage | $50.43 | ↑ +45% |
| Wellpoint | Medicare Advantage | $50.43 | ↑ +45% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $50.43 | ↑ +45% |
| United Healthcare | Medicare | $51.44 | ↑ +48% |
| Qualcare Inc | HMO/POS/PPO/WC | $55.50 | ↑ +60% |
| Wellcare | Ambetter Health Commercial | $100.36 | ↑ +189% |
| Emblem Health | Commercial | $100.86 | ↑ +190% |
| First Health | Commercial | $111.00 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $117.97 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $117.97 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $126.52 | ↑ +264% |
| Cigna | HMO | $135.54 | ↑ +290% |
| Cigna | PPO | $142.76 | ↑ +311% |
| Aetna | PPO | $156.51 | ↑ +351% |
| Aetna | HMO | $156.51 | ↑ +351% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $199.31 | ↑ +474% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $208.62 | ↑ +501% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $211.03 | ↑ +508% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $59.33 | $22.34 – $103.54 |
| Community Medical Center | Toms River | $38.36 | $22.88 – $100.36 |
| Clara Maass Medical Center | Belleville | $34.60 | $22.07 – $103.02 |
| Newark Beth Israel Medical Center | Newark | $58.32 | $40.51 – $103.54 |
| Jersey City Medical Center | Jersey City | $38.44 | $24.23 – $108.14 |
| Monmouth Medical Center | Long Branch | $40.47 | $41.00 – $101.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $51.11 | $26.92 – $51.18 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $50.12 – $61.28 |