Established Patient Office Visit (level 2) at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$87.28
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.
$465.00
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.
$30.25 with Wellpoint vs $452.81 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 | $30.25 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $49.06 | ↓ -44% |
| United Healthcare | Community Plan | $69.84 | ↓ -20% |
| Aetna | Better Health | $76.49 | ↓ -12% |
| United Healthcare | Nexus | $133.92 | ↑ +53% |
| United Healthcare | Oxford Metro | $133.92 | ↑ +53% |
| Qualcare Inc | HMO/POS/PPO/WC | $139.50 | ↑ +60% |
| United Healthcare | Oxford Commercial | $157.17 | ↑ +80% |
| United Healthcare | Commercial | $157.17 | ↑ +80% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $254.16 | ↑ +191% |
| First Health | Commercial | $279.00 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $296.53 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $296.53 | ↑ +240% |
| Cigna | HMO | $340.70 | ↑ +290% |
| Cigna | PPO | $358.84 | ↑ +311% |
| Aetna | HMO | $393.39 | ↑ +351% |
| Aetna | PPO | $393.39 | ↑ +351% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $400.45 | ↑ +359% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $419.15 | ↑ +380% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $423.98 | ↑ +386% |
| Amerihealth | Regional Preferred | $452.81 | ↑ +419% |
| Amerihealth | Local Value | $452.81 | ↑ +419% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $98.53 | $49.06 – $49.06 |
| Community Medical Center | Toms River | $96.44 | $49.06 – $49.06 |
| Clara Maass Medical Center | Belleville | $92.48 | $49.06 – $49.06 |
| Childrens Specialized Hospital | Mountainside | $159.00 | $134.16 – $134.16 |
| Newark Beth Israel Medical Center | Newark | $96.85 | $31.14 – $49.06 |
| Jersey City Medical Center | Jersey City | $96.62 | $39.15 – $49.06 |
| Monmouth Medical Center | Long Branch | $101.74 | $49.06 – $49.06 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $76.21 | $49.06 – $49.06 |