Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$76.20
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.
$406.00
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.
$30.60 with Wellpoint vs $930.15 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $30.60 | ↓ -60% |
| United Healthcare | Community Plan | $60.98 | ↓ -20% |
| Aetna | Better Health | $66.78 | ↓ -12% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $222.28 | ↑ +192% |
| Clover Health | Medicare Advantage | $222.28 | ↑ +192% |
| Humana | Medicare | $222.28 | ↑ +192% |
| Wellpoint | Medicare Advantage | $222.28 | ↑ +192% |
| Aetna | Medicare | $222.28 | ↑ +192% |
| Fidelis Care | Medicare Advantage | $222.28 | ↑ +192% |
| United Healthcare | Medicare | $226.73 | ↑ +198% |
| First Health | Commercial | $243.60 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $258.39 | ↑ +239% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $258.90 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $258.90 | ↑ +240% |
| Cigna | HMO | $297.47 | ↑ +290% |
| Cigna | PPO | $313.31 | ↑ +311% |
| Qualcare Inc | HMO/POS/PPO/WC | $313.48 | ↑ +311% |
| United Healthcare | Oxford Metro | $326.00 | ↑ +328% |
| United Healthcare | Nexus | $326.00 | ↑ +328% |
| Aetna | PPO | $343.47 | ↑ +351% |
| Aetna | HMO | $343.47 | ↑ +351% |
| United Healthcare | Commercial | $383.00 | ↑ +403% |
| United Healthcare | Oxford Commercial | $383.00 | ↑ +403% |
| Amerihealth | Regional Preferred | $395.36 | ↑ +419% |
| Amerihealth | Local Value | $395.36 | ↑ +419% |
| Wellcare | Ambetter Health Commercial | $442.34 | ↑ +480% |
| Emblem Health | Commercial | $444.56 | ↑ +483% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $557.66 | ↑ +632% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $878.52 | ↑ +1053% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $919.55 | ↑ +1107% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $930.15 | ↑ +1121% |
Visitor-reported prices
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Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $139.64 | $164.34 – $456.38 |
| Clara Maass Medical Center | Belleville | $62.25 | $162.36 – $454.10 |
| Monmouth Medical Center | Long Branch | $88.83 | $225.12 – $447.99 |
| Bayshore Medical Center | Holmdel | $225.12 | $225.12 – $770.00 |
| Hackensack University Medical Center | Hackensack | $239.52 | $91.58 – $794.00 |
| Ocean University Medical Center | Brick | $222.28 | $89.68 – $317.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $225.32 | $91.58 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $225.12 | $89.68 – $604.00 |