Optx partclr fx&/dslc elbw w 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$559.32 with Wellpoint vs $58,843.38 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $559.32 | ↓ -90% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $2,136.52 | ↓ -64% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| Amerihealth | Regional Preferred | $2,891.14 | ↓ -51% |
| Amerihealth | Local Value | $2,891.14 | ↓ -51% |
| Cigna | HMO | $5,086.00 | ↓ -13% |
| Cigna | PPO | $5,357.00 | ↓ -9% |
| 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% |
| Aetna | Medicare | $14,061.89 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $14,061.89 | ↑ +140% |
| Fidelis Care | Medicare Advantage | $14,061.89 | ↑ +140% |
| Humana | Medicare | $14,061.89 | ↑ +140% |
| Clover Health | Medicare Advantage | $14,061.89 | ↑ +140% |
| Wellpoint | Medicare Advantage | $14,061.89 | ↑ +140% |
| United Healthcare | Medicare | $14,343.13 | ↑ +145% |
| Wellcare | Ambetter Health Commercial | $27,983.16 | ↑ +378% |
| Emblem Health | Commercial | $28,123.78 | ↑ +380% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $35,278.47 | ↑ +503% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $55,576.81 | ↑ +849% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $58,172.63 | ↑ +894% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $58,843.38 | ↑ +905% |
| 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
Optx partclr fx&/dslc elbw w at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $787.11 – $28,871.08 |
| Community Medical Center | Toms River | $3,786.00 | $806.07 – $27,983.16 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $777.62 – $28,726.72 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $575.77 – $28,871.08 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $723.82 – $30,153.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,555.24 – $28,341.12 |
| Bayshore Medical Center | Holmdel | $14,241.77 | $14,241.77 – $17,090.12 |
| Hackensack University Medical Center | Hackensack | $15,152.74 | $2,346.86 – $15,910.38 |