ER Visit (level 5, high severity) at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$817.80
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.
$4,357.00
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.
$90.41 with Wellpoint vs $2,803.85 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $90.41 | ↓ -89% |
| United Healthcare | Community Plan | $654.42 | ↓ -20% |
| Wellpoint | Medicare Advantage | $670.04 | ↓ -18% |
| Humana | Medicare | $670.04 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $670.04 | ↓ -18% |
| Aetna | Medicare | $670.04 | ↓ -18% |
| Fidelis Care | Medicare Advantage | $670.04 | ↓ -18% |
| Clover Health | Medicare Advantage | $670.04 | ↓ -18% |
| United Healthcare | Medicare | $683.44 | ↓ -16% |
| Aetna | Better Health | $716.72 | ↓ -12% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $806.20 | ↓ -1% |
| Amerihealth | Regional Preferred | $914.00 | ↑ +12% |
| Amerihealth | Local Value | $914.00 | ↑ +12% |
| Qualcare Inc | HMO/POS/PPO/WC | $938.14 | ↑ +15% |
| Aetna | HMO | $1,056.00 | ↑ +29% |
| Aetna | PPO | $1,056.00 | ↑ +29% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,147.00 | ↑ +40% |
| Wellcare | Ambetter Health Commercial | $1,333.38 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,339.00 | ↑ +64% |
| Emblem Health | Commercial | $1,485.00 | ↑ +82% |
| United Healthcare | Oxford Metro | $1,652.00 | ↑ +102% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,681.00 | ↑ +106% |
| United Healthcare | Nexus | $1,858.00 | ↑ +127% |
| Cigna | HMO | $1,862.00 | ↑ +128% |
| United Healthcare | Oxford Commercial | $1,943.00 | ↑ +138% |
| Cigna | PPO | $1,961.00 | ↑ +140% |
| United Healthcare | Commercial | $2,186.00 | ↑ +167% |
| First Health | Commercial | $2,614.20 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,648.20 | ↑ +224% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,771.89 | ↑ +239% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,803.85 | ↑ +243% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $967.11 | $687.85 – $2,179.00 |
| Community Medical Center | Toms River | $903.64 | $670.04 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $769.94 | $687.85 – $1,465.00 |
| Newark Beth Israel Medical Center | Newark | $950.68 | $93.07 – $1,485.00 |
| Jersey City Medical Center | Jersey City | $905.38 | $117.00 – $1,605.00 |
| Monmouth Medical Center | Long Branch | $953.31 | $678.62 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $678.62 | $678.62 – $1,787.00 |
| Hackensack University Medical Center | Hackensack | $722.02 | $290.51 – $1,944.00 |