Change cystostomy tube; complex 51710 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.
$2,806.00
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.
$158.36 with Horizon Blue Cross Blue Shield of New Jersey vs $4,540.00 with Aetna — 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 | $158.36 | ↓ -96% |
| United Healthcare | Community Plan | $518.82 | ↓ -88% |
| Fidelis Care | NJ Family Care | $528.65 | ↓ -88% |
| Aetna | Better Health | $568.21 | ↓ -87% |
| Wellpoint | Medicare Advantage | $729.46 | ↓ -83% |
| Fidelis Care | Medicare Advantage | $729.46 | ↓ -83% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $729.46 | ↓ -83% |
| Aetna | Medicare | $729.46 | ↓ -83% |
| Clover | Medicare Advantage | $729.46 | ↓ -83% |
| Humana | Medicare | $729.46 | ↓ -83% |
| United Healthcare | Medicare | $744.05 | ↓ -83% |
| Amerihealth | Local Value | $1,181.88 | ↓ -73% |
| Emblem Health | Commercial | $1,276.56 | ↓ -71% |
| Amerihealth | Regional Preferred | $1,418.71 | ↓ -67% |
| Wellcare | Ambetter Health Commercial | $1,451.63 | ↓ -67% |
| First Health | Commercial | $1,683.60 | ↓ -61% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,791.63 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,055.39 | ↓ -53% |
| Cigna | Local Plus | $2,101.00 | ↓ -52% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,150.79 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,173.24 | ↓ -50% |
| Qualcare Inc | PPO/WC | $2,441.22 | ↓ -44% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -43% |
| Cigna | HMO | $2,670.00 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,676.36 | ↓ -38% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -38% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,724.90 | ↓ -37% |
| United Healthcare | Nexus | $2,806.00 | ↓ -35% |
| Cigna | PPO | $2,812.00 | ↓ -35% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -33% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| United Healthcare | Commercial | $3,301.00 | ↓ -24% |
| Aetna | PPO | $4,540.00 | ↑ +4% |
| Aetna | HMO | $4,540.00 | ↑ +4% |
Visitor-reported prices
Comments
Change cystostomy tube; complex 51710 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $70.30 – $1,458.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $64.28 – $1,497.70 |
| Community Medical Center | Toms River | $3,786.00 | $65.82 – $1,451.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $63.50 – $1,490.21 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $72.37 – $1,497.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $69.70 – $1,564.24 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $127.00 – $1,470.21 |
| Bayshore Medical Center | Holmdel | $738.80 | $368.00 – $886.55 |