App high cost ss t/a/l >100sq cm 1st 100sq cm at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$5,855.00
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.
$4,744.00
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.
$158.55 with Wellpoint vs $16,742.58 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $158.55 | ↓ -97% |
| United Healthcare | Community Plan | $712.54 | ↓ -88% |
| Aetna | Better Health | $780.38 | ↓ -87% |
| Qualcare Inc | HMO/POS/PPO/WC | $1,423.20 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,693.84 | ↓ -71% |
| Cigna | HMO | $1,930.00 | ↓ -67% |
| Amerihealth | Regional Preferred | $1,978.15 | ↓ -66% |
| Amerihealth | Local Value | $1,978.15 | ↓ -66% |
| Cigna | PPO | $2,033.00 | ↓ -65% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| First Health | Commercial | $2,846.40 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,025.24 | ↓ -48% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,025.24 | ↓ -48% |
| Clover Health | Medicare Advantage | $4,001.00 | ↓ -32% |
| Fidelis Care | Medicare Advantage | $4,001.00 | ↓ -32% |
| Aetna | Medicare | $4,001.00 | ↓ -32% |
| Humana | Medicare | $4,001.00 | ↓ -32% |
| Wellpoint | Medicare Advantage | $4,001.00 | ↓ -32% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $4,001.00 | ↓ -32% |
| United Healthcare | Medicare | $4,081.02 | ↓ -30% |
| United Healthcare | Oxford Metro | $4,791.00 | ↓ -18% |
| United Healthcare | Nexus | $5,390.00 | ↓ -8% |
| United Healthcare | Oxford Commercial | $5,637.00 | ↓ -4% |
| United Healthcare | Commercial | $6,341.00 | ↑ +8% |
| Wellcare | Ambetter Health Commercial | $7,961.99 | ↑ +36% |
| Emblem Health | Commercial | $8,002.00 | ↑ +37% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $10,037.71 | ↑ +71% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $15,813.15 | ↑ +170% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $16,551.74 | ↑ +183% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $16,742.58 | ↑ +186% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $275.33 – $8,214.64 |
| Community Medical Center | Toms River | $3,786.00 | $281.96 – $7,961.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $272.01 – $8,173.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $163.21 – $8,214.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $205.18 – $8,579.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $544.02 – $8,063.84 |
| Bayshore Medical Center | Holmdel | $4,052.18 | $4,052.18 – $4,862.62 |
| Hackensack University Medical Center | Hackensack | $4,311.38 | $408.17 – $4,526.95 |