Echo exam of fetal heart at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$360.38
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.
$1,920.00
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.
$48.09 with Qualcare Inc vs $2,507.54 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 |
|---|---|---|---|
| Qualcare Inc | HMO/POS/PPO/WC | $48.09 | ↓ -87% |
| Wellpoint | NJ Family Care | $136.01 | ↓ -62% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $157.30 | ↓ -56% |
| Amerihealth | Regional Preferred | $211.33 | ↓ -41% |
| Amerihealth | Local Value | $211.33 | ↓ -41% |
| United Healthcare | Community Plan | $288.38 | ↓ -20% |
| Aetna | Better Health | $315.84 | ↓ -12% |
| Fidelis Care | Medicare Advantage | $599.23 | ↑ +66% |
| Humana | Medicare | $599.23 | ↑ +66% |
| Clover Health | Medicare Advantage | $599.23 | ↑ +66% |
| Aetna | Medicare | $599.23 | ↑ +66% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $599.23 | ↑ +66% |
| Wellpoint | Medicare Advantage | $599.23 | ↑ +66% |
| United Healthcare | Medicare | $611.21 | ↑ +70% |
| United Healthcare | Nexus | $719.00 | ↑ +100% |
| United Healthcare | Oxford Metro | $719.00 | ↑ +100% |
| United Healthcare | Oxford Commercial | $846.00 | ↑ +135% |
| United Healthcare | Commercial | $846.00 | ↑ +135% |
| First Health | Commercial | $1,152.00 | ↑ +220% |
| Wellcare | Ambetter Health Commercial | $1,192.47 | ↑ +231% |
| Emblem Health | Commercial | $1,198.46 | ↑ +233% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,224.38 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,224.38 | ↑ +240% |
| Cigna | HMO | $1,406.78 | ↑ +290% |
| Cigna | PPO | $1,481.66 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,503.35 | ↑ +317% |
| Aetna | PPO | $1,836.88 | ↑ +410% |
| Aetna | HMO | $1,836.88 | ↑ +410% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,368.34 | ↑ +557% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,478.95 | ↑ +588% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,507.54 | ↑ +596% |
Visitor-reported prices
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Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $287.33 | $99.22 – $1,230.30 |
| Clara Maass Medical Center | Belleville | $337.73 | $99.22 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $282.45 | $99.22 – $1,230.30 |
| Monmouth Medical Center | Long Branch | $420.09 | $99.22 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $147.94 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $89.95 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $147.94 – $1,307.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $199.21 – $1,384.69 |