Established Patient Office Visit (level 2) at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
$96.62
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.
$465.00
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.
$39.15 with Wellpoint vs $422.08 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 | $39.15 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $49.06 | ↓ -49% |
| United Healthcare | Community Plan | $128.24 | ↑ +33% |
| Fidelis Care | NJ Family Care | $130.71 | ↑ +35% |
| United Healthcare | Oxford Metro | $133.92 | ↑ +39% |
| United Healthcare | Nexus | $133.92 | ↑ +39% |
| Aetna | Better Health | $140.47 | ↑ +45% |
| United Healthcare | Commercial | $157.17 | ↑ +63% |
| United Healthcare | Oxford Commercial | $157.17 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $208.50 | ↑ +116% |
| Cigna | Local Plus | $247.33 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $247.42 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $251.98 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $262.16 | ↑ +171% |
| Aetna | HMO | $274.35 | ↑ +184% |
| Aetna | PPO | $274.35 | ↑ +184% |
| First Health | Commercial | $279.00 | ↑ +189% |
| Amerihealth | Local Value | $282.95 | ↑ +193% |
| Amerihealth | Regional Preferred | $282.95 | ↑ +193% |
| Cigna | HMO | $314.24 | ↑ +225% |
| Qualcare Inc | HMO/POS | $328.75 | ↑ +240% |
| Qualcare Inc | PPO/WC | $328.75 | ↑ +240% |
| Cigna | PPO | $330.98 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $389.76 | ↑ +303% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $422.08 | ↑ +337% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $87.28 | $30.25 – $49.06 |
| Cooperman Barnabas Medical Center | Livingston | $98.53 | $49.06 – $49.06 |
| Community Medical Center | Toms River | $96.44 | $49.06 – $49.06 |
| Clara Maass Medical Center | Belleville | $92.48 | $49.06 – $49.06 |
| Childrens Specialized Hospital | Mountainside | $159.00 | $134.16 – $134.16 |
| Newark Beth Israel Medical Center | Newark | $96.85 | $31.14 – $49.06 |
| Monmouth Medical Center | Long Branch | $101.74 | $49.06 – $49.06 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $76.21 | $49.06 – $49.06 |