Allograft amnioexcel plus 17mm disk at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$87.33
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.
$465.28
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.
$67.88 with Wellpoint vs $711.75 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 | $67.88 | ↓ -22% |
| Cigna | HMO | $120.50 | ↑ +38% |
| Cigna | PPO | $120.50 | ↑ +38% |
| United Healthcare | Commercial | $122.51 | ↑ +40% |
| United Healthcare | Oxford Commercial | $122.51 | ↑ +40% |
| Amerihealth | Local Value | $136.08 | ↑ +56% |
| Amerihealth | Regional Preferred | $136.08 | ↑ +56% |
| Qualcare Inc | HMO/POS/PPO/WC | $139.58 | ↑ +60% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $254.32 | ↑ +191% |
| First Health | Commercial | $279.16 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $296.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $296.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $400.69 | ↑ +359% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $419.40 | ↑ +380% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $424.24 | ↑ +386% |
| Aetna | HMO | $711.75 | ↑ +715% |
| Aetna | PPO | $711.75 | ↑ +715% |
| Aetna | Better Health | not published by hospital | — |
| Emblem Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Allograft amnioexcel plus 17mm disk at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $85.61 – $151.19 |
| Jersey Shore University Medical Center | Neptune City | not published | $85.61 – $148.07 |
| Palisades Medical Center | North Bergen | not published | $85.61 – $151.19 |
| Raritan Bay Medical Center | Perth Amboy | not published | $85.61 – $151.19 |
| Riverview Medical Center | Red Bank | not published | $85.61 – $148.07 |
| Southern Ocean Medical Center | Manahawkin | not published | $85.61 – $148.07 |