Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body 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.
$9,079.00
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.
$1,678.70 with United Healthcare vs $10,833.71 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 | $1,678.70 | ↓ -61% |
| Fidelis Care | NJ Family Care | $1,710.48 | ↓ -61% |
| Aetna | Better Health | $1,838.49 | ↓ -58% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -44% |
| United Healthcare | Nexus | $2,751.00 | ↓ -37% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -34% |
| United Healthcare | Commercial | $3,236.00 | ↓ -26% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Amerihealth | Local Value | $3,824.07 | ↓ -12% |
| Cigna | Local Plus | $4,002.02 | ↓ -8% |
| Aetna | HMO | $4,540.00 | ↑ +4% |
| Aetna | PPO | $4,540.00 | ↑ +4% |
| Amerihealth | Regional Preferred | $4,590.34 | ↑ +6% |
| Cigna | HMO | $5,085.14 | ↑ +17% |
| Cigna | PPO | $5,355.70 | ↑ +23% |
| First Health | Commercial | $5,447.40 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5,796.94 | ↑ +33% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $6,650.36 | ↑ +53% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $6,959.05 | ↑ +60% |
| Qualcare Inc | HMO/POS | $6,972.67 | ↑ +60% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $7,031.68 | ↑ +62% |
| Qualcare Inc | PPO/WC | $7,435.70 | ↑ +71% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $8,659.55 | ↑ +99% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $8,816.61 | ↑ +103% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $10,833.71 | ↑ +149% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,552.31 – $7,972.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $8,688.16 – $8,688.16 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $4,185.15 – $4,185.15 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $1,369.21 – $3,999.73 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $5,112.24 – $5,112.24 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $1,596.66 – $3,999.73 |
| Trinitas Regional Medical Center | Elizabeth | not published | $1,507.96 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $4,397.06 – $4,397.06 |