Insertion of infusion pump at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$5,855.00
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.
not published by hospital
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.
$335.68 with Wellpoint vs $24,721.70 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 | $335.68 | ↓ -94% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,514.04 | ↓ -74% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| Cigna | HMO | $2,952.00 | ↓ -50% |
| Cigna | PPO | $3,109.00 | ↓ -47% |
| Clover Health | Medicare Advantage | $5,907.78 | ↑ +1% |
| Humana | Medicare | $5,907.78 | ↑ +1% |
| Aetna | Medicare | $5,907.78 | ↑ +1% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $5,907.78 | ↑ +1% |
| Fidelis Care | Medicare Advantage | $5,907.78 | ↑ +1% |
| Wellpoint | Medicare Advantage | $5,907.78 | ↑ +1% |
| United Healthcare | Medicare | $6,025.94 | ↑ +3% |
| Amerihealth | Local Value | $6,086.60 | ↑ +4% |
| Amerihealth | Regional Preferred | $6,086.60 | ↑ +4% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +21% |
| United Healthcare | Nexus | $7,987.00 | ↑ +36% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +43% |
| United Healthcare | Commercial | $9,396.00 | ↑ +60% |
| Wellcare | Ambetter Health Commercial | $11,756.48 | ↑ +101% |
| Emblem Health | Commercial | $11,815.56 | ↑ +102% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $14,821.44 | ↑ +153% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $23,349.32 | ↑ +299% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $24,439.90 | ↑ +317% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $24,721.70 | ↑ +322% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
| Qualcare Inc | HMO/POS/PPO/WC | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of infusion pump at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $567.72 – $12,129.52 |
| Community Medical Center | Toms River | $3,786.00 | $581.40 – $11,756.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $560.88 – $12,068.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $345.56 – $12,129.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $434.41 – $12,668.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,121.76 – $11,906.87 |
| Bayshore Medical Center | Holmdel | $5,983.35 | $5,983.35 – $7,180.02 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $1,403.55 – $6,684.38 |