Cptr ophth dx img post segmt at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
$42.39
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.
$204.00
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.
$26.88 with Wellpoint vs $185.17 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 | $26.88 | ↓ -37% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $31.75 | ↓ -25% |
| Amerihealth | Local Value | $36.32 | ↓ -14% |
| Amerihealth | Regional Preferred | $36.32 | ↓ -14% |
| United Healthcare | Community Plan | $56.26 | ↑ +33% |
| Fidelis Care | NJ Family Care | $57.34 | ↑ +35% |
| United Healthcare | Nexus | $58.75 | ↑ +39% |
| United Healthcare | Oxford Metro | $58.75 | ↑ +39% |
| Aetna | Better Health | $61.62 | ↑ +45% |
| United Healthcare | Oxford Commercial | $68.95 | ↑ +63% |
| United Healthcare | Commercial | $68.95 | ↑ +63% |
| Clover Health | Medicare Advantage | $69.95 | ↑ +65% |
| Humana | Medicare | $69.95 | ↑ +65% |
| Aetna | Medicare | $69.95 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $69.95 | ↑ +65% |
| Wellpoint | Medicare Advantage | $69.95 | ↑ +65% |
| Fidelis Care | Medicare Advantage | $69.95 | ↑ +65% |
| United Healthcare | Medicare | $71.35 | ↑ +68% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $91.47 | ↑ +116% |
| Cigna | Local Plus | $108.50 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $108.54 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $110.54 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $115.01 | ↑ +171% |
| Aetna | HMO | $120.36 | ↑ +184% |
| Aetna | PPO | $120.36 | ↑ +184% |
| First Health | Commercial | $122.40 | ↑ +189% |
| Emblem Health | Commercial | $132.91 | ↑ +214% |
| Cigna | HMO | $137.86 | ↑ +225% |
| Wellcare | Ambetter Health Commercial | $139.20 | ↑ +228% |
| Qualcare Inc | HMO/POS | $144.22 | ↑ +240% |
| Qualcare Inc | PPO/WC | $144.22 | ↑ +240% |
| Cigna | PPO | $145.20 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $170.99 | ↑ +303% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $185.17 | ↑ +337% |
Visitor-reported prices
Comments
Cptr ophth dx img post segmt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $51.65 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $28.78 – $4,994.00 |
| Ocean University Medical Center | Brick | $64.92 | $51.65 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $46.19 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $50.76 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $31.75 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $51.65 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $51.65 – $78.90 |