Stent/tib/peroneal/unilat/initial 37230 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.
$26,971.00
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.
$4,148.00 with Qualcare Inc vs $42,082.35 with Wellcare — 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 |
|---|---|---|---|
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -22% |
| Wellpoint | NJ Family Care | $5,920.29 | ↑ +11% |
| Aetna | HMO | $6,680.00 | ↑ +25% |
| Aetna | PPO | $6,680.00 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6,752.68 | ↑ +26% |
| United Healthcare | Community Plan | $7,438.60 | ↑ +39% |
| Fidelis Care | NJ Family Care | $7,581.54 | ↑ +42% |
| Aetna | Better Health | $8,147.93 | ↑ +53% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +65% |
| United Healthcare | Nexus | $9,925.00 | ↑ +86% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +94% |
| United Healthcare | Commercial | $11,677.00 | ↑ +119% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $12,093.79 | ↑ +127% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $14,351.26 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $14,615.58 | ↑ +174% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $15,206.24 | ↑ +185% |
| First Health | Commercial | $16,182.60 | ↑ +203% |
| Aetna | Medicare | $21,146.91 | ↑ +296% |
| Wellpoint | Medicare Advantage | $21,146.91 | ↑ +296% |
| Humana | Medicare | $21,146.91 | ↑ +296% |
| Clover Health | Medicare Advantage | $21,146.91 | ↑ +296% |
| Fidelis Care | Medicare Advantage | $21,146.91 | ↑ +296% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $21,146.91 | ↑ +296% |
| United Healthcare | Medicare | $21,569.85 | ↑ +304% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $22,607.09 | ↑ +323% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $24,481.57 | ↑ +359% |
| Emblem Health | Commercial | $40,179.13 | ↑ +653% |
| Wellcare | Ambetter Health Commercial | $42,082.35 | ↑ +688% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $4,574.77 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $6,227.47 – $40,292.00 |
| Community Medical Center | Toms River | $3,786.00 | $6,377.53 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $6,152.44 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $4,709.32 – $40,292.00 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $12,304.89 – $39,552.40 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $1,402.46 – $22,204.26 |