Fitting of diaphragm/cap 57170 at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
$5,339.00
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.
$292.00
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.
$51.82 with Wellpoint vs $4,174.00 with Aetna — 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 | $51.82 | ↓ -99% |
| United Healthcare | Community Plan | $80.53 | ↓ -98% |
| Fidelis Care | NJ Family Care | $82.08 | ↓ -98% |
| Aetna | Better Health | $88.21 | ↓ -98% |
| Amerihealth | Local Value | $120.82 | ↓ -98% |
| Amerihealth | Regional Preferred | $138.55 | ↓ -97% |
| First Health | Commercial | $175.20 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $236.91 | ↓ -96% |
| Wellpoint | Medicare Advantage | $236.91 | ↓ -96% |
| Aetna | Medicare | $236.91 | ↓ -96% |
| Fidelis Care | Medicare Advantage | $236.91 | ↓ -96% |
| Clover Health | Medicare Advantage | $236.91 | ↓ -96% |
| Humana | Medicare | $236.91 | ↓ -96% |
| United Healthcare | Medicare | $241.65 | ↓ -95% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $244.75 | ↓ -95% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $265.04 | ↓ -95% |
| Emblem Health | Commercial | $450.13 | ↓ -92% |
| Wellcare | Ambetter Health Commercial | $471.45 | ↓ -91% |
| Cigna | Local Plus | $1,686.00 | ↓ -68% |
| Cigna | HMO | $2,142.00 | ↓ -60% |
| Cigna | PPO | $2,256.00 | ↓ -58% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -54% |
| Qualcare Inc | HMO/POS | $2,700.00 | ↓ -49% |
| United Healthcare | Nexus | $2,751.00 | ↓ -48% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -46% |
| United Healthcare | Commercial | $3,236.00 | ↓ -39% |
| Aetna | PPO | $4,174.00 | ↓ -22% |
| Aetna | HMO | $4,174.00 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $222.67 | $222.67 – $267.20 |
| Hackensack University Medical Center | Hackensack | $236.91 | $98.87 – $248.76 |
| Ocean University Medical Center | Brick | $219.85 | $96.44 – $343.48 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $222.86 | $98.87 – $343.48 |
| Jersey Shore University Medical Center | Neptune City | $222.67 | $96.44 – $267.20 |
| Palisades Medical Center | North Bergen | $236.91 | $98.87 – $258.23 |
| Raritan Bay Medical Center | Perth Amboy | $222.86 | $98.87 – $267.43 |
| Riverview Medical Center | Red Bank | $222.67 | $96.44 – $267.20 |