I&d lacrimal sac 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.
?
What you pay up front if you don't use insurance.
$7,814.00
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.
$80.59 with Horizon Blue Cross Blue Shield of New Jersey vs $7,092.76 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $80.59 | ↓ -98% |
| Wellpoint | NJ Family Care | $221.79 | ↓ -96% |
| United Healthcare | Community Plan | $2,155.10 | ↓ -60% |
| Fidelis Care | NJ Family Care | $2,196.51 | ↓ -59% |
| Aetna | Better Health | $2,360.60 | ↓ -56% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -53% |
| Qualcare Inc | HMO/POS | $2,700.00 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $2,747.43 | ↓ -49% |
| Humana | Medicare | $2,747.43 | ↓ -49% |
| Aetna | Medicare | $2,747.43 | ↓ -49% |
| Wellpoint | Medicare Advantage | $2,747.43 | ↓ -49% |
| Clover Health | Medicare Advantage | $2,747.43 | ↓ -49% |
| Fidelis Care | Medicare Advantage | $2,747.43 | ↓ -49% |
| United Healthcare | Medicare | $2,802.38 | ↓ -48% |
| United Healthcare | Nexus | $2,806.00 | ↓ -47% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -45% |
| Amerihealth | Local Value | $3,233.43 | ↓ -39% |
| United Healthcare | Commercial | $3,301.00 | ↓ -38% |
| Amerihealth | Regional Preferred | $3,707.74 | ↓ -31% |
| Aetna | HMO | $4,174.00 | ↓ -22% |
| Aetna | PPO | $4,174.00 | ↓ -22% |
| Cigna | Local Plus | $4,442.00 | ↓ -17% |
| First Health | Commercial | $4,688.40 | ↓ -12% |
| Emblem Health | Commercial | $5,220.12 | ↓ -2% |
| Wellcare | Ambetter Health Commercial | $5,467.39 | ↑ +2% |
| Cigna | HMO | $5,644.00 | ↑ +6% |
| Cigna | PPO | $5,945.00 | ↑ +11% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,549.69 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $7,092.76 | ↑ +33% |
| 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
I&d lacrimal sac at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $171.38 – $5,099.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $74.32 – $5,234.78 |
| Community Medical Center | Toms River | $3,786.00 | $76.11 – $5,073.80 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $73.42 – $5,208.61 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $134.76 – $5,234.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $146.85 – $5,138.70 |
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $355.91 – $2,884.81 |