Plmt biliary drainage cath 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.
$10,108.00
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.
$843.66 with Wellpoint vs $10,725.00 with Cigna — 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 | $843.66 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,523.56 | ↓ -71% |
| United Healthcare | Community Plan | $2,787.78 | ↓ -48% |
| Fidelis Care | NJ Family Care | $2,841.35 | ↓ -47% |
| Aetna | Better Health | $3,053.62 | ↓ -43% |
| Aetna | Medicare | $4,156.03 | ↓ -22% |
| Humana | Medicare | $4,156.03 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $4,156.03 | ↓ -22% |
| Clover Health | Medicare Advantage | $4,156.03 | ↓ -22% |
| Fidelis Care | Medicare Advantage | $4,156.03 | ↓ -22% |
| Wellpoint | Medicare Advantage | $4,156.03 | ↓ -22% |
| Amerihealth | Local Value | $4,182.69 | ↓ -22% |
| United Healthcare | Medicare | $4,239.15 | ↓ -21% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,532.42 | ↓ -15% |
| United Healthcare | Oxford Metro | $4,791.00 | ↓ -10% |
| Amerihealth | Regional Preferred | $4,796.24 | ↓ -10% |
| Aetna | PPO | $5,009.00 | ↓ -6% |
| Aetna | HMO | $5,009.00 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,378.46 | ↑ +1% |
| United Healthcare | Nexus | $5,390.00 | ↑ +1% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,477.52 | ↑ +3% |
| United Healthcare | Oxford Commercial | $5,637.00 | ↑ +6% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,698.89 | ↑ +7% |
| First Health | Commercial | $6,064.80 | ↑ +14% |
| United Healthcare | Commercial | $6,341.00 | ↑ +19% |
| Qualcare Inc | HMO/POS | $6,671.28 | ↑ +25% |
| Emblem Health | Commercial | $7,896.46 | ↑ +48% |
| Cigna | Local Plus | $8,014.00 | ↑ +50% |
| Wellcare | Ambetter Health Commercial | $8,270.50 | ↑ +55% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $8,472.52 | ↑ +59% |
| Qualcare Inc | PPO/WC | $8,793.96 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,175.03 | ↑ +72% |
| Cigna | HMO | $10,183.00 | ↑ +91% |
| Cigna | PPO | $10,725.00 | ↑ +101% |
Visitor-reported prices
Comments
Plmt biliary drainage cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $651.92 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,523.56 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $1,523.56 – $7,675.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,523.56 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $671.10 – $7,918.64 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,523.56 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |
| Hackensack University Medical Center | Hackensack | $4,156.03 | $747.99 – $4,363.83 |