Pdt dstr prmlg les phys/qhp at Jersey City Medical Center
355 Grand St, Jersey City, NJ · RWJBarnabas Health · · NPI 1689744856
$133.40
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.
$642.00
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.
$116.35 with Horizon Blue Cross Blue Shield of New Jersey vs $3,236.00 with United Healthcare — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $116.35 | ↓ -13% |
| Wellpoint | NJ Family Care | $153.77 | ↑ +15% |
| United Healthcare | Community Plan | $177.06 | ↑ +33% |
| Fidelis Care | NJ Family Care | $180.46 | ↑ +35% |
| Aetna | Better Health | $193.94 | ↑ +45% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $234.00 | ↑ +75% |
| Humana | Medicare | $234.00 | ↑ +75% |
| Aetna | Medicare | $234.00 | ↑ +75% |
| Wellpoint | Medicare Advantage | $234.00 | ↑ +75% |
| Clover Health | Medicare Advantage | $234.00 | ↑ +75% |
| Fidelis Care | Medicare Advantage | $234.00 | ↑ +75% |
| United Healthcare | Medicare | $238.68 | ↑ +79% |
| Amerihealth | Local Value | $265.65 | ↑ +99% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $287.87 | ↑ +116% |
| Amerihealth | Regional Preferred | $304.62 | ↑ +128% |
| Cigna | Local Plus | $341.47 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $341.60 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $347.89 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $361.95 | ↑ +171% |
| Aetna | HMO | $378.78 | ↑ +184% |
| Aetna | PPO | $378.78 | ↑ +184% |
| First Health | Commercial | $385.20 | ↑ +189% |
| Cigna | HMO | $433.86 | ↑ +225% |
| Emblem Health | Commercial | $444.60 | ↑ +233% |
| Qualcare Inc | PPO/WC | $453.89 | ↑ +240% |
| Qualcare Inc | HMO/POS | $453.89 | ↑ +240% |
| Cigna | PPO | $456.97 | ↑ +243% |
| Wellcare | Ambetter Health Commercial | $465.66 | ↑ +249% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $538.12 | ↑ +303% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $582.74 | ↑ +337% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +1733% |
| United Healthcare | Nexus | $2,751.00 | ↑ +1962% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +2057% |
| United Healthcare | Commercial | $3,236.00 | ↑ +2326% |
Visitor-reported prices
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Pdt dstr prmlg les phys/qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |
| Hackensack University Medical Center | Hackensack | $234.00 | $187.20 – $410.33 |
| Ocean University Medical Center | Brick | $217.16 | $198.70 – $388.27 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $220.12 | $129.28 – $410.33 |
| Jersey Shore University Medical Center | Neptune City | $219.93 | $219.93 – $388.27 |
| Palisades Medical Center | North Bergen | $234.00 | $127.34 – $410.33 |
| Raritan Bay Medical Center | Perth Amboy | $220.12 | $161.60 – $410.33 |
| Riverview Medical Center | Red Bank | $219.93 | $219.93 – $388.27 |