Valvuloplasty pulmonary at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$2,322.41
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.
$12,373.00
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.
$543.44 with Wellpoint vs $51,863.43 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 | $543.44 | ↓ -77% |
| United Healthcare | Community Plan | $1,858.42 | ↓ -20% |
| Aetna | Better Health | $2,035.35 | ↓ -12% |
| Qualcare Inc | HMO/POS/PPO/WC | $3,711.90 | ↑ +60% |
| Aetna | HMO | $4,118.00 | ↑ +77% |
| Aetna | PPO | $4,118.00 | ↑ +77% |
| Amerihealth | Local Value | $4,260.62 | ↑ +83% |
| Amerihealth | Regional Preferred | $4,260.62 | ↑ +83% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $5,990.16 | ↑ +158% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +206% |
| First Health | Commercial | $7,423.80 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,890.26 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $7,890.26 | ↑ +240% |
| United Healthcare | Nexus | $7,987.00 | ↑ +244% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +260% |
| United Healthcare | Commercial | $9,396.00 | ↑ +305% |
| Clover Health | Medicare Advantage | $12,393.88 | ↑ +434% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,393.88 | ↑ +434% |
| Fidelis Care | Medicare Advantage | $12,393.88 | ↑ +434% |
| Aetna | Medicare | $12,393.88 | ↑ +434% |
| Wellpoint | Medicare Advantage | $12,393.88 | ↑ +434% |
| Humana | Medicare | $12,393.88 | ↑ +434% |
| United Healthcare | Medicare | $12,641.76 | ↑ +444% |
| Wellcare | Ambetter Health Commercial | $24,663.82 | ↑ +962% |
| Emblem Health | Commercial | $24,787.76 | ↑ +967% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $31,093.77 | ↑ +1239% |
| Cigna | HMO | $41,526.00 | ↑ +1688% |
| Cigna | PPO | $43,737.00 | ↑ +1783% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $48,984.33 | ↑ +2009% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $51,272.24 | ↑ +2108% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $51,863.43 | ↑ +2133% |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,646.79 | $721.60 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $2,922.23 | $721.60 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $3,584.84 | $559.42 – $25,446.42 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $1,821.71 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,775.85 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $880.00 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $1,775.85 – $15,062.91 |