Nm imaging hepatobiliary system w/pharmacologic intervention at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$699.55
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.
$3,727.00
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.
$208.53 with Wellpoint vs $3,587.78 with Aetna — 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 | $208.53 | ↓ -70% |
| Amerihealth | Regional Preferred | $335.86 | ↓ -52% |
| Amerihealth | Local Value | $335.86 | ↓ -52% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $522.96 | ↓ -25% |
| United Healthcare | Community Plan | $559.79 | ↓ -20% |
| Qualcare Inc | HMO/POS/PPO/WC | $580.04 | ↓ -17% |
| Fidelis Care | Medicare Advantage | $588.26 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $588.26 | ↓ -16% |
| Wellpoint | Medicare Advantage | $588.26 | ↓ -16% |
| Humana | Medicare | $588.26 | ↓ -16% |
| Aetna | Medicare | $588.26 | ↓ -16% |
| Clover Health | Medicare Advantage | $588.26 | ↓ -16% |
| United Healthcare | Medicare | $600.03 | ↓ -14% |
| Aetna | Better Health | $613.09 | ↓ -12% |
| United Healthcare | Oxford Metro | $676.03 | ↓ -3% |
| United Healthcare | Nexus | $676.03 | ↓ -3% |
| United Healthcare | Oxford Commercial | $745.73 | ↑ +7% |
| United Healthcare | Commercial | $745.73 | ↑ +7% |
| Wellcare | Ambetter Health Commercial | $1,170.64 | ↑ +67% |
| Emblem Health | Commercial | $1,176.52 | ↑ +68% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,475.83 | ↑ +111% |
| Cigna | HMO | $1,857.03 | ↑ +165% |
| Cigna | PPO | $1,857.03 | ↑ +165% |
| First Health | Commercial | $2,236.20 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,324.98 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,376.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,376.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,433.57 | ↑ +248% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,461.63 | ↑ +252% |
| Aetna | HMO | $3,587.78 | ↑ +413% |
| Aetna | PPO | $3,587.78 | ↑ +413% |
Visitor-reported prices
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Nm imaging hepatobiliary system w/pharmacologic intervention at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $495.84 | $248.94 – $1,857.03 |
| Community Medical Center | Toms River | $772.97 | $248.94 – $1,857.03 |
| Clara Maass Medical Center | Belleville | $563.08 | $249.42 – $1,857.03 |
| Newark Beth Israel Medical Center | Newark | $487.42 | $214.66 – $1,857.03 |
| Jersey City Medical Center | Jersey City | $774.47 | $248.94 – $1,857.03 |
| Monmouth Medical Center | Long Branch | $815.46 | $248.94 – $1,857.03 |
| Bayshore Medical Center | Holmdel | $595.79 | $354.06 – $1,445.04 |
| Hackensack University Medical Center | Hackensack | $633.90 | $299.03 – $1,513.47 |