Cath left heart transseptal punc at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$1,175.18
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.
$6,261.00
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.
$102.05 with Wellpoint vs $6,086.60 with Amerihealth — 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 | $102.05 | ↓ -91% |
| United Healthcare | Community Plan | $940.40 | ↓ -20% |
| Aetna | Better Health | $1,029.93 | ↓ -12% |
| Qualcare Inc | HMO/POS/PPO/WC | $1,878.30 | ↑ +60% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +108% |
| United Healthcare | Nexus | $2,751.00 | ↑ +134% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +145% |
| United Healthcare | Commercial | $3,236.00 | ↑ +175% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,422.26 | ↑ +191% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,513.00 | ↑ +199% |
| First Health | Commercial | $3,756.60 | ↑ +220% |
| Aetna | HMO | $3,784.00 | ↑ +222% |
| Aetna | PPO | $3,784.00 | ↑ +222% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,992.63 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,992.63 | ↑ +240% |
| Cigna | HMO | $4,587.43 | ↑ +290% |
| Cigna | PPO | $4,831.61 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,391.97 | ↑ +359% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,643.66 | ↑ +380% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,708.77 | ↑ +386% |
| Amerihealth | Local Value | $6,086.60 | ↑ +418% |
| Amerihealth | Regional Preferred | $6,086.60 | ↑ +418% |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $1,764.92 | $105.05 – $105.05 |
| Jersey City Medical Center | Jersey City | $1,301.03 | $132.07 – $132.07 |
| Robert Wood Johnson University Hospital | New Brunswick | $1,807.29 | $65.73 – $65.73 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $1,034.95 | $108.05 – $108.05 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $341.15 – $341.15 |
| Ocean University Medical Center | Brick | not published | $333.46 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $341.15 – $14,806.00 |