Lengthening of palate 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.
$434.95 with Wellpoint vs $27,053.90 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 | $434.95 | ↓ -93% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,693.84 | ↓ -71% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| Amerihealth | Local Value | $2,891.14 | ↓ -51% |
| Amerihealth | Regional Preferred | $2,891.14 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,465.11 | ↑ +10% |
| Aetna | Medicare | $6,465.11 | ↑ +10% |
| Humana | Medicare | $6,465.11 | ↑ +10% |
| Wellpoint | Medicare Advantage | $6,465.11 | ↑ +10% |
| Clover Health | Medicare Advantage | $6,465.11 | ↑ +10% |
| Fidelis Care | Medicare Advantage | $6,465.11 | ↑ +10% |
| United Healthcare | Medicare | $6,594.41 | ↑ +13% |
| United Healthcare | Nexus | $6,599.00 | ↑ +13% |
| United Healthcare | Commercial | $7,763.00 | ↑ +33% |
| United Healthcare | Oxford Metro | $8,771.00 | ↑ +50% |
| United Healthcare | Oxford Commercial | $10,319.00 | ↑ +76% |
| Wellcare | Ambetter Health Commercial | $12,865.57 | ↑ +120% |
| Emblem Health | Commercial | $12,930.22 | ↑ +121% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $16,219.67 | ↑ +177% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $25,552.05 | ↑ +336% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $26,745.51 | ↑ +357% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $27,053.90 | ↑ +362% |
| Qualcare Inc | HMO/POS/PPO/WC | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
Visitor-reported prices
Comments
Lengthening of palate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $734.18 – $13,273.80 |
| Community Medical Center | Toms River | $3,786.00 | $751.88 – $12,865.57 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $725.34 – $13,207.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $447.74 – $13,273.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $562.87 – $13,863.61 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,450.68 – $13,030.14 |
| Bayshore Medical Center | Holmdel | $6,547.81 | $6,547.81 – $7,857.37 |
| Hackensack University Medical Center | Hackensack | $6,966.64 | $1,838.27 – $7,314.97 |