#afb mycobacteria suscep. #1 at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$8.04
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.
$53.00
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.
$0.74 with Wellpoint vs $44.59 with Aetna — 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $0.74 | ↓ -91% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.72 | ↓ -79% |
| United Healthcare | Nexus | $3.44 | ↓ -57% |
| United Healthcare | Oxford Metro | $3.44 | ↓ -57% |
| United Healthcare | Commercial | $4.02 | ↓ -50% |
| United Healthcare | Oxford Commercial | $4.02 | ↓ -50% |
| United Healthcare | Community Plan | $6.14 | ↓ -24% |
| Wellpoint | Medicare Advantage | $7.31 | ↓ -9% |
| Humana | Medicare | $7.31 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $7.31 | ↓ -9% |
| Fidelis Care | Medicare Advantage | $7.31 | ↓ -9% |
| Clover Health | Medicare Advantage | $7.31 | ↓ -9% |
| Aetna | Medicare | $7.31 | ↓ -9% |
| United Healthcare | Medicare | $7.46 | ↓ -7% |
| Qualcare Inc | HMO/POS/PPO/WC | $7.60 | ↓ -5% |
| Aetna | Better Health | $8.71 | ↑ +8% |
| Wellcare | Ambetter Health Commercial | $14.55 | ↑ +81% |
| Emblem Health | Commercial | $14.62 | ↑ +82% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $18.34 | ↑ +128% |
| Amerihealth | Regional Preferred | $25.26 | ↑ +214% |
| Amerihealth | Local Value | $25.26 | ↑ +214% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $28.89 | ↑ +259% |
| Cigna | HMO | $29.38 | ↑ +265% |
| Cigna | PPO | $29.38 | ↑ +265% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $30.24 | ↑ +276% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $30.59 | ↑ +280% |
| First Health | Commercial | $31.80 | ↑ +296% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $33.79 | ↑ +320% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $33.79 | ↑ +320% |
| Aetna | PPO | $44.59 | ↑ +455% |
| Aetna | HMO | $44.59 | ↑ +455% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $8.04 | $1.08 – $29.38 |
| Community Medical Center | Toms River | $8.04 | $1.08 – $29.38 |
| Clara Maass Medical Center | Belleville | $8.04 | $1.08 – $29.38 |
| Newark Beth Israel Medical Center | Newark | $8.04 | $1.08 – $29.38 |
| Jersey City Medical Center | Jersey City | $8.04 | $0.96 – $29.38 |
| Monmouth Medical Center | Long Branch | $8.04 | $1.08 – $29.38 |
| Bayshore Medical Center | Holmdel | $7.31 | $7.31 – $33.50 |
| Hackensack University Medical Center | Hackensack | $7.31 | $0.98 – $32.83 |