Consultation pathology during surgery frozen section first tissue block at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$77.25
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.
$325.00
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.
$47.54 with Horizon Blue Cross Blue Shield of New Jersey vs $372.69 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 | Managed | $47.54 | ↓ -38% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.54 | ↓ -38% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.54 | ↓ -38% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.54 | ↓ -38% |
| Aetna | Better Health | $65.81 | ↓ -15% |
| United Healthcare | Nexus | $73.91 | ↓ -4% |
| United Healthcare | Oxford Metro | $73.91 | ↓ -4% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $78.72 | ↑ +2% |
| United Healthcare | Oxford Commercial | $78.93 | ↑ +2% |
| United Healthcare | Commercial | $78.93 | ↑ +2% |
| United Healthcare | Community Plan | $85.54 | ↑ +11% |
| Fidelis Care | NJ Family Care | $87.17 | ↑ +13% |
| Aetna | PPO | $129.81 | ↑ +68% |
| Aetna | HMO | $129.81 | ↑ +68% |
| Amerihealth | Regional Preferred | $135.34 | ↑ +75% |
| Amerihealth | Local Value | $135.34 | ↑ +75% |
| Cigna | PPO | $165.41 | ↑ +114% |
| Cigna | HMO | $165.41 | ↑ +114% |
| Cigna | Local Plus | $165.41 | ↑ +114% |
| Wellpoint | NJ Family Care | $185.25 | ↑ +140% |
| Clover | Medicare Advantage | $187.28 | ↑ +142% |
| Humana | Medicare | $187.28 | ↑ +142% |
| Aetna | Medicare | $187.28 | ↑ +142% |
| Wellpoint | Medicare Advantage | $187.28 | ↑ +142% |
| Fidelis Care | Medicare Advantage | $187.28 | ↑ +142% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $187.28 | ↑ +142% |
| United Healthcare | Medicare | $191.03 | ↑ +147% |
| First Health | Commercial | $195.00 | ↑ +152% |
| Qualcare Inc | HMO/POS | $249.60 | ↑ +223% |
| Qualcare Inc | PPO/WC | $266.17 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $309.98 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $315.60 | ↑ +309% |
| Emblem Health | Commercial | $327.74 | ↑ +324% |
| Wellcare | Ambetter Health Commercial | $372.69 | ↑ +382% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section first tissue block at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $61.00 | $73.91 – $374.56 |
| Cooperman Barnabas Medical Center | Livingston | $48.94 | $47.54 – $384.50 |
| Community Medical Center | Toms River | $67.40 | $47.54 – $372.69 |
| Clara Maass Medical Center | Belleville | $77.37 | $47.54 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $48.11 | $47.54 – $384.50 |
| Jersey City Medical Center | Jersey City | $67.53 | $47.54 – $401.58 |
| Monmouth Medical Center | Long Branch | $71.11 | $47.54 – $377.44 |
| Bayshore Medical Center | Holmdel | $189.67 | $44.71 – $306.15 |