Ortho wrst/hnd w/jnt cstm w/fit&adj at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$327.94
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.
$1,747.20
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.
$262.42 with United Healthcare vs $4,441.49 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $262.42 | ↓ -20% |
| Aetna | Better Health | $287.41 | ↓ -12% |
| Qualcare Inc | HMO/POS/PPO/WC | $524.16 | ↑ +60% |
| Cigna | PPO | $594.04 | ↑ +81% |
| Cigna | HMO | $594.04 | ↑ +81% |
| Wellpoint | NJ Family Care | $631.38 | ↑ +93% |
| United Healthcare | Oxford Commercial | $698.88 | ↑ +113% |
| United Healthcare | Oxford Metro | $698.88 | ↑ +113% |
| United Healthcare | Commercial | $698.88 | ↑ +113% |
| United Healthcare | Nexus | $698.88 | ↑ +113% |
| Emblem Health | Commercial | $873.60 | ↑ +166% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $873.60 | ↑ +166% |
| Aetna | PPO | $1,048.32 | ↑ +220% |
| Aetna | HMO | $1,048.32 | ↑ +220% |
| First Health | Commercial | $1,048.32 | ↑ +220% |
| Aetna | Medicare | $1,061.39 | ↑ +224% |
| Humana | Medicare | $1,061.39 | ↑ +224% |
| Wellpoint | Medicare Advantage | $1,061.39 | ↑ +224% |
| Clover Health | Medicare Advantage | $1,061.39 | ↑ +224% |
| Fidelis Care | Medicare Advantage | $1,061.39 | ↑ +224% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,061.39 | ↑ +224% |
| United Healthcare | Medicare | $1,082.62 | ↑ +230% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,114.18 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,114.18 | ↑ +240% |
| Wellcare | Ambetter Health Commercial | $2,112.17 | ↑ +544% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,662.82 | ↑ +712% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,194.93 | ↑ +1179% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,390.86 | ↑ +1239% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,441.49 | ↑ +1254% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
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Ortho wrst/hnd w/jnt cstm w/fit&adj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $264.45 | $1,061.39 – $2,122.78 |
| Community Medical Center | Toms River | $258.83 | $1,061.39 – $2,112.17 |
| Clara Maass Medical Center | Belleville | $248.22 | $1,061.39 – $2,112.17 |
| Newark Beth Israel Medical Center | Newark | $259.95 | $649.95 – $2,112.17 |
| Jersey City Medical Center | Jersey City | $259.33 | $817.08 – $2,112.17 |
| Monmouth Medical Center | Long Branch | $273.06 | $1,061.39 – $2,112.17 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $286.36 | $1,061.39 – $2,112.17 |
| Monmouth Medical Center Southern Campus | Lakewood | $296.64 | $1,061.39 – $2,112.17 |