Established Patient Office Visit (level 1) at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
$63.37
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.
?
What you pay up front if you don't use insurance.
$305.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.66 with Wellpoint vs $276.84 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $15.66 | ↓ -75% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $16.00 | ↓ -75% |
| United Healthcare | Community Plan | $84.11 | ↑ +33% |
| Fidelis Care | NJ Family Care | $85.73 | ↑ +35% |
| United Healthcare | Oxford Metro | $87.84 | ↑ +39% |
| United Healthcare | Nexus | $87.84 | ↑ +39% |
| Aetna | Better Health | $92.14 | ↑ +45% |
| United Healthcare | Commercial | $103.09 | ↑ +63% |
| United Healthcare | Oxford Commercial | $103.09 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $136.76 | ↑ +116% |
| Cigna | Local Plus | $162.22 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $162.29 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $165.27 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $171.95 | ↑ +171% |
| Aetna | HMO | $179.95 | ↑ +184% |
| Aetna | PPO | $179.95 | ↑ +184% |
| First Health | Commercial | $183.00 | ↑ +189% |
| Amerihealth | Local Value | $185.59 | ↑ +193% |
| Amerihealth | Regional Preferred | $185.59 | ↑ +193% |
| Cigna | HMO | $206.11 | ↑ +225% |
| Qualcare Inc | HMO/POS | $215.63 | ↑ +240% |
| Qualcare Inc | PPO/WC | $215.63 | ↑ +240% |
| Cigna | PPO | $217.09 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $255.65 | ↑ +303% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $276.84 | ↑ +337% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.24 | $12.10 – $16.00 |
| Cooperman Barnabas Medical Center | Livingston | $64.62 | $16.00 – $16.00 |
| Community Medical Center | Toms River | $63.25 | $16.00 – $16.00 |
| Clara Maass Medical Center | Belleville | $60.66 | $16.00 – $16.00 |
| Childrens Specialized Hospital | Mountainside | $108.00 | $43.76 – $43.76 |
| Newark Beth Israel Medical Center | Newark | $63.53 | $12.45 – $16.00 |
| Monmouth Medical Center | Long Branch | $66.73 | $16.00 – $16.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $49.98 | $16.00 – $42.34 |