Brace fx hum ovr shldr sm at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$47.30
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.
?
What you pay up front if you don't use insurance.
$252.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$37.85 with United Healthcare vs $1,630.74 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $37.85 | ↓ -20% |
| Aetna | Better Health | $41.45 | ↓ -12% |
| Qualcare Inc | HMO/POS/PPO/WC | $75.60 | ↑ +60% |
| Cigna | PPO | $85.68 | ↑ +81% |
| Cigna | HMO | $85.68 | ↑ +81% |
| United Healthcare | Oxford Commercial | $100.80 | ↑ +113% |
| United Healthcare | Commercial | $100.80 | ↑ +113% |
| United Healthcare | Oxford Metro | $100.80 | ↑ +113% |
| United Healthcare | Nexus | $100.80 | ↑ +113% |
| Emblem Health | Commercial | $126.00 | ↑ +166% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $126.00 | ↑ +166% |
| First Health | Commercial | $151.20 | ↑ +220% |
| Aetna | PPO | $151.20 | ↑ +220% |
| Aetna | HMO | $151.20 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $160.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $160.70 | ↑ +240% |
| Wellpoint | NJ Family Care | $166.43 | ↑ +252% |
| Aetna | Medicare | $389.70 | ↑ +724% |
| Wellpoint | Medicare Advantage | $389.70 | ↑ +724% |
| Clover Health | Medicare Advantage | $389.70 | ↑ +724% |
| Fidelis Care | Medicare Advantage | $389.70 | ↑ +724% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $389.70 | ↑ +724% |
| Humana | Medicare | $389.70 | ↑ +724% |
| United Healthcare | Medicare | $397.49 | ↑ +740% |
| Wellcare | Ambetter Health Commercial | $775.50 | ↑ +1540% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $977.68 | ↑ +1967% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,540.21 | ↑ +3156% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,612.15 | ↑ +3308% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,630.74 | ↑ +3348% |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $38.14 | $389.70 – $779.40 |
| Community Medical Center | Toms River | $37.33 | $389.70 – $775.50 |
| Clara Maass Medical Center | Belleville | $35.80 | $389.70 – $775.50 |
| Newark Beth Israel Medical Center | Newark | $37.49 | $171.33 – $775.50 |
| Jersey City Medical Center | Jersey City | $37.40 | $215.38 – $775.50 |
| Monmouth Medical Center | Long Branch | $39.38 | $389.70 – $775.50 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $41.30 | $389.70 – $775.50 |
| Monmouth Medical Center Southern Campus | Lakewood | $42.78 | $389.70 – $775.50 |