Consult comp w/report rfrd material at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
$197.20
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.
$949.00
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.
$27.21 with United Healthcare vs $861.40 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 | Oxford Commercial | $27.21 | ↓ -86% |
| United Healthcare | Commercial | $27.21 | ↓ -86% |
| Wellpoint | NJ Family Care | $58.08 | ↓ -71% |
| United Healthcare | Nexus | $73.91 | ↓ -63% |
| United Healthcare | Oxford Metro | $73.91 | ↓ -63% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $79.38 | ↓ -60% |
| Amerihealth | Regional Preferred | $116.00 | ↓ -41% |
| Amerihealth | Local Value | $116.00 | ↓ -41% |
| United Healthcare | Community Plan | $128.92 | ↓ -35% |
| Fidelis Care | NJ Family Care | $131.37 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $167.05 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $167.05 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $167.05 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $167.05 | ↓ -15% |
| Aetna | HMO | $168.41 | ↓ -15% |
| Aetna | PPO | $168.41 | ↓ -15% |
| Aetna | Medicare | $201.80 | ↑ +2% |
| Humana | Medicare | $201.80 | ↑ +2% |
| Wellpoint | Medicare Advantage | $201.80 | ↑ +2% |
| Fidelis Care | Medicare Advantage | $201.80 | ↑ +2% |
| Clover Health | Medicare Advantage | $201.80 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $201.80 | ↑ +2% |
| United Healthcare | Medicare | $205.84 | ↑ +4% |
| Cigna | PPO | $285.55 | ↑ +45% |
| Cigna | Local Plus | $285.55 | ↑ +45% |
| Cigna | HMO | $285.55 | ↑ +45% |
| Aetna | Better Health | $286.69 | ↑ +45% |
| Emblem Health | Commercial | $383.42 | ↑ +94% |
| Wellcare | Ambetter Health Commercial | $401.58 | ↑ +104% |
| First Health | Commercial | $569.40 | ↑ +189% |
| Qualcare Inc | HMO/POS | $670.94 | ↑ +240% |
| Qualcare Inc | PPO/WC | $670.94 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $795.45 | ↑ +303% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $861.40 | ↑ +337% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $61.23 | $27.21 – $384.50 |
| Community Medical Center | Toms River | $196.82 | $27.21 – $372.69 |
| Clara Maass Medical Center | Belleville | $83.14 | $27.21 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $60.19 | $27.21 – $384.50 |
| Monmouth Medical Center | Long Branch | $207.64 | $27.21 – $377.44 |
| Bayshore Medical Center | Holmdel | $189.67 | $189.67 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $71.96 – $344.49 |
| Ocean University Medical Center | Brick | $187.28 | $48.40 – $306.15 |