Angioplasty/iliac/init ves/unilat 37220 at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$4,350.00
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.
$14,502.00
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.
$2,681.41 with United Healthcare vs $14,082.89 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $2,681.41 | ↓ -38% |
| Fidelis Care | NJ Family Care | $2,732.17 | ↓ -37% |
| Aetna | Better Health | $2,936.65 | ↓ -32% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $5,790.46 | ↑ +33% |
| Amerihealth | Local Value | $6,108.24 | ↑ +40% |
| Wellpoint | Medicare Advantage | $6,231.08 | ↑ +43% |
| Humana | Medicare | $6,231.08 | ↑ +43% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,231.08 | ↑ +43% |
| Aetna | Medicare | $6,231.08 | ↑ +43% |
| Fidelis Care | Medicare Advantage | $6,231.08 | ↑ +43% |
| Clover | Medicare Advantage | $6,231.08 | ↑ +43% |
| United Healthcare | Medicare | $6,355.70 | ↑ +46% |
| Cigna | Local Plus | $6,392.48 | ↑ +47% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +63% |
| Aetna | HMO | $7,116.00 | ↑ +64% |
| Aetna | PPO | $7,116.00 | ↑ +64% |
| Amerihealth | Regional Preferred | $7,332.21 | ↑ +69% |
| United Healthcare | Nexus | $7,987.00 | ↑ +84% |
| Cigna | HMO | $8,122.57 | ↑ +87% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +92% |
| Cigna | PPO | $8,554.72 | ↑ +97% |
| First Health | Commercial | $8,701.20 | ↑ +100% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $9,259.52 | ↑ +113% |
| United Healthcare | Commercial | $9,396.00 | ↑ +116% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,622.71 | ↑ +144% |
| Emblem Health | Commercial | $10,904.39 | ↑ +151% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,115.78 | ↑ +156% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,231.79 | ↑ +158% |
| Wellcare | Ambetter Health Commercial | $12,399.85 | ↑ +185% |
| Qualcare Inc | PPO/WC | $12,616.74 | ↑ +190% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,832.00 | ↑ +218% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,082.89 | ↑ +224% |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,283.24 – $12,462.16 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $2,350.16 – $12,793.30 |
| Community Medical Center | Toms River | $3,786.00 | $2,406.79 – $12,399.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $2,321.85 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,320.98 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,660.67 – $13,361.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,643.69 – $12,558.45 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |