Cdp-sot 6 cond w/i&r at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$316.37
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.
$1,331.00
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.
$140.87 with Aetna vs $1,292.53 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 |
|---|---|---|---|
| Aetna | Medicare | $140.87 | ↓ -55% |
| Clover | Medicare Advantage | $140.87 | ↓ -55% |
| Humana | Medicare | $140.87 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $140.87 | ↓ -55% |
| Wellpoint | Medicare Advantage | $140.87 | ↓ -55% |
| Fidelis Care | Medicare Advantage | $140.87 | ↓ -55% |
| United Healthcare | Medicare | $143.69 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $222.78 | ↓ -30% |
| United Healthcare | Community Plan | $246.10 | ↓ -22% |
| Emblem Health | Commercial | $246.52 | ↓ -22% |
| Fidelis Care | NJ Family Care | $250.76 | ↓ -21% |
| Aetna | Better Health | $269.52 | ↓ -15% |
| Wellcare | Ambetter Health Commercial | $280.33 | ↓ -11% |
| United Healthcare | Oxford Metro | $383.32 | ↑ +21% |
| United Healthcare | Nexus | $383.32 | ↑ +21% |
| United Healthcare | Oxford Commercial | $449.87 | ↑ +42% |
| United Healthcare | Commercial | $449.87 | ↑ +42% |
| Cigna | Local Plus | $586.70 | ↑ +85% |
| Cigna | HMO | $745.49 | ↑ +136% |
| Wellpoint | NJ Family Care | $758.67 | ↑ +140% |
| Cigna | PPO | $785.15 | ↑ +148% |
| First Health | Commercial | $798.60 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $849.84 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $974.95 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,020.21 | ↑ +222% |
| Qualcare Inc | HMO/POS | $1,022.20 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,030.85 | ↑ +226% |
| Amerihealth | Regional Preferred | $1,041.24 | ↑ +229% |
| Amerihealth | Local Value | $1,041.24 | ↑ +229% |
| Qualcare Inc | PPO/WC | $1,090.08 | ↑ +245% |
| Aetna | PPO | $1,118.04 | ↑ +253% |
| Aetna | HMO | $1,118.04 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,269.50 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,292.53 | ↑ +309% |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clara Maass Medical Center | Belleville | $110.58 | $89.33 – $287.79 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $81.70 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $78.57 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $81.70 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $78.57 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $81.70 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $81.70 – $171.36 |