Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$477.50
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.
$2,544.00
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.
$90.83 with Wellpoint vs $2,461.63 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 | $90.83 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $312.00 | ↓ -35% |
| United Healthcare | Community Plan | $382.10 | ↓ -20% |
| Aetna | Better Health | $418.48 | ↓ -12% |
| Amerihealth | Regional Preferred | $460.39 | ↓ -4% |
| Amerihealth | Local Value | $460.39 | ↓ -4% |
| Clover Health | Medicare Advantage | $588.26 | ↑ +23% |
| Wellpoint | Medicare Advantage | $588.26 | ↑ +23% |
| Humana | Medicare | $588.26 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $588.26 | ↑ +23% |
| Aetna | Medicare | $588.26 | ↑ +23% |
| Fidelis Care | Medicare Advantage | $588.26 | ↑ +23% |
| United Healthcare | Medicare | $600.03 | ↑ +26% |
| Cigna | HMO | $624.24 | ↑ +31% |
| Cigna | PPO | $624.24 | ↑ +31% |
| United Healthcare | Oxford Metro | $676.03 | ↑ +42% |
| United Healthcare | Nexus | $676.03 | ↑ +42% |
| United Healthcare | Commercial | $745.73 | ↑ +56% |
| United Healthcare | Oxford Commercial | $745.73 | ↑ +56% |
| Qualcare Inc | HMO/POS/PPO/WC | $749.07 | ↑ +57% |
| Wellcare | Ambetter Health Commercial | $1,170.64 | ↑ +145% |
| Emblem Health | Commercial | $1,176.52 | ↑ +146% |
| Aetna | PPO | $1,240.96 | ↑ +160% |
| Aetna | HMO | $1,240.96 | ↑ +160% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,475.83 | ↑ +209% |
| First Health | Commercial | $1,526.40 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,622.30 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,622.30 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,324.98 | ↑ +387% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,433.57 | ↑ +410% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,461.63 | ↑ +416% |
Visitor-reported prices
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Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $364.67 | $196.80 – $1,207.80 |
| Community Medical Center | Toms River | $527.62 | $196.80 – $1,170.64 |
| Clara Maass Medical Center | Belleville | $506.99 | $196.80 – $1,201.76 |
| Newark Beth Israel Medical Center | Newark | $358.48 | $93.50 – $1,207.80 |
| Jersey City Medical Center | Jersey City | $528.64 | $117.55 – $1,261.46 |
| Monmouth Medical Center | Long Branch | $556.62 | $196.80 – $1,185.62 |
| Bayshore Medical Center | Holmdel | $595.79 | $334.54 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $178.40 – $1,513.47 |