Implant tcat pulm vlv perq at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
not published by hospital
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.
$19,800.00
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.
$835.12 with Wellpoint vs $17,972.46 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 | $835.12 | — |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,277.19 | — |
| United Healthcare | Oxford Metro | $2,445.00 | — |
| United Healthcare | Nexus | $2,751.00 | — |
| United Healthcare | Oxford Commercial | $2,877.00 | — |
| United Healthcare | Commercial | $3,236.00 | — |
| Aetna | PPO | $4,174.00 | — |
| Aetna | HMO | $4,174.00 | — |
| United Healthcare | Community Plan | $5,460.84 | — |
| Fidelis Care | NJ Family Care | $5,565.78 | — |
| Aetna | Better Health | $5,981.58 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,878.32 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,535.58 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $10,729.62 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,163.24 | — |
| First Health | Commercial | $11,880.00 | — |
| Amerihealth | Regional Preferred | $12,048.30 | — |
| Amerihealth | Local Value | $12,048.30 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $16,596.36 | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $17,972.46 | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
Comments
Implant tcat pulm vlv perq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $645.32 – $645.32 |
| Cooperman Barnabas Medical Center | Livingston | not published | $1,177.85 – $1,177.85 |
| Community Medical Center | Toms River | not published | $1,206.24 – $1,206.24 |
| Clara Maass Medical Center | Belleville | not published | $1,163.66 – $1,163.66 |
| Newark Beth Israel Medical Center | Newark | not published | $664.30 – $2,135.75 |
| Monmouth Medical Center | Long Branch | not published | $2,327.32 – $2,327.32 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $2,686.53 – $2,686.53 |