Ot evaluation low complexity patient/family at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$82.21
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.
$548.00
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.
$51.75 with Wellpoint vs $424.86 with Amerihealth — 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 | $51.75 | ↓ -37% |
| United Healthcare | Community Plan | $65.78 | ↓ -20% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $66.00 | ↓ -20% |
| Aetna | Better Health | $72.05 | ↓ -12% |
| Cigna | HMO | $125.00 | ↑ +52% |
| Qualcare Inc | HMO/POS/PPO/WC | $131.40 | ↑ +60% |
| Cigna | PPO | $132.00 | ↑ +61% |
| United Healthcare | Oxford Metro | $170.00 | ↑ +107% |
| United Healthcare | Nexus | $170.00 | ↑ +107% |
| United Healthcare | Commercial | $200.00 | ↑ +143% |
| United Healthcare | Oxford Commercial | $200.00 | ↑ +143% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $239.41 | ↑ +191% |
| First Health | Commercial | $262.80 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $279.31 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $279.31 | ↑ +240% |
| Aetna | HMO | $370.54 | ↑ +351% |
| Aetna | PPO | $370.54 | ↑ +351% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $377.20 | ↑ +359% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $394.81 | ↑ +380% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $399.36 | ↑ +386% |
| Amerihealth | Regional Preferred | $424.86 | ↑ +417% |
| Amerihealth | Local Value | $424.86 | ↑ +417% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $299.00 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $128.99 | $128.99 – $749.00 |
| Hackensack University Medical Center | Hackensack | $128.99 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $128.99 | $60.00 – $517.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $128.99 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $128.99 | $103.19 – $517.00 |
| Palisades Medical Center | North Bergen | $128.99 | $118.00 – $612.00 |
| Raritan Bay Medical Center | Perth Amboy | $128.99 | $90.00 – $517.00 |