Biliary endoscopy thru skin 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.
$7,528.00
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.
$234.72 with Horizon Blue Cross Blue Shield of New Jersey vs $13,570.41 with Wellcare — 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 | $234.72 | ↓ -95% |
| United Healthcare | Community Plan | $1,391.92 | ↓ -68% |
| Fidelis Care | NJ Family Care | $1,418.27 | ↓ -67% |
| Aetna | Better Health | $1,524.42 | ↓ -65% |
| Amerihealth | Local Value | $3,170.79 | ↓ -27% |
| Cigna | Local Plus | $3,205.00 | ↓ -26% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Amerihealth | Regional Preferred | $3,806.15 | ↓ -13% |
| Cigna | HMO | $4,073.00 | ↓ -6% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -5% |
| Cigna | PPO | $4,290.00 | ↓ -1% |
| First Health | Commercial | $4,516.80 | ↑ +4% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,806.62 | ↑ +10% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,514.26 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,770.21 | ↑ +33% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,830.43 | ↑ +34% |
| Aetna | HMO | $6,257.00 | ↑ +44% |
| Aetna | PPO | $6,257.00 | ↑ +44% |
| Qualcare Inc | PPO/WC | $6,549.36 | ↑ +51% |
| Wellpoint | Medicare Advantage | $6,819.30 | ↑ +57% |
| Aetna | Medicare | $6,819.30 | ↑ +57% |
| Fidelis Care | Medicare Advantage | $6,819.30 | ↑ +57% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,819.30 | ↑ +57% |
| Humana | Medicare | $6,819.30 | ↑ +57% |
| Clover | Medicare Advantage | $6,819.30 | ↑ +57% |
| United Healthcare | Medicare | $6,955.69 | ↑ +60% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,180.20 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $7,310.44 | ↑ +68% |
| United Healthcare | Nexus | $7,987.00 | ↑ +84% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +92% |
| United Healthcare | Commercial | $9,396.00 | ↑ +116% |
| Emblem Health | Commercial | $11,933.78 | ↑ +174% |
| Wellcare | Ambetter Health Commercial | $13,570.41 | ↑ +212% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $136.11 – $13,638.60 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $234.72 – $14,001.00 |
| Community Medical Center | Toms River | $3,786.00 | $234.72 – $13,570.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $234.72 – $13,931.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $140.11 – $14,001.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $176.14 – $14,623.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $234.72 – $13,743.99 |
| Bayshore Medical Center | Holmdel | $6,906.53 | $6,906.53 – $8,287.84 |