Vaccine pneumonococcal conjugate 20 valent (pcv20) im at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$263.93
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.
$1,406.15
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.
$278.48 with United Healthcare vs $1,818.04 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 |
|---|---|---|---|
| United Healthcare | Nexus | $278.48 | ↑ +6% |
| United Healthcare | Oxford Metro | $278.48 | ↑ +6% |
| Wellpoint | NJ Family Care | $280.88 | ↑ +6% |
| United Healthcare | Community Plan | $288.66 | ↑ +9% |
| Amerihealth | Regional Preferred | $302.72 | ↑ +15% |
| Amerihealth | Local Value | $302.72 | ↑ +15% |
| Cigna | PPO | $305.98 | ↑ +16% |
| Cigna | HMO | $305.98 | ↑ +16% |
| United Healthcare | Commercial | $312.94 | ↑ +19% |
| United Healthcare | Oxford Commercial | $312.94 | ↑ +19% |
| Aetna | Better Health | $421.84 | ↑ +60% |
| Qualcare Inc | HMO/POS/PPO/WC | $421.84 | ↑ +60% |
| Emblem Health | Commercial | $703.07 | ↑ +166% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $768.60 | ↑ +191% |
| First Health | Commercial | $843.69 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $896.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $896.70 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,210.97 | ↑ +359% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,267.50 | ↑ +380% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,282.12 | ↑ +386% |
| Aetna | PPO | $1,818.04 | ↑ +589% |
| Aetna | HMO | $1,818.04 | ↑ +589% |
Visitor-reported prices
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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $114.60 | $278.48 – $366.59 |
| Community Medical Center | Toms River | $112.16 | $278.48 – $357.65 |
| Clara Maass Medical Center | Belleville | $107.57 | $278.48 – $366.59 |
| Newark Beth Israel Medical Center | Newark | $112.65 | $278.48 – $366.59 |
| Jersey City Medical Center | Jersey City | $112.38 | $278.48 – $363.49 |
| Monmouth Medical Center | Long Branch | $118.33 | $278.48 – $366.59 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $124.09 | $278.48 – $357.65 |
| Monmouth Medical Center Southern Campus | Lakewood | $128.55 | $278.48 – $366.59 |