Critical care 30-74 minutes at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$1,323.03
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.
$5,566.00
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.
$920.87 with Horizon Blue Cross Blue Shield of New Jersey vs $5,405.14 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $920.87 | ↓ -30% |
| Wellpoint | Medicare Advantage | $920.87 | ↓ -30% |
| Humana | Medicare | $920.87 | ↓ -30% |
| Aetna | Medicare | $920.87 | ↓ -30% |
| Clover | Medicare Advantage | $920.87 | ↓ -30% |
| Fidelis Care | Medicare Advantage | $920.87 | ↓ -30% |
| United Healthcare | Medicare | $939.29 | ↓ -29% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,011.00 | ↓ -24% |
| United Healthcare | Community Plan | $1,029.15 | ↓ -22% |
| Fidelis Care | NJ Family Care | $1,048.63 | ↓ -21% |
| Aetna | Better Health | $1,127.11 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,426.00 | ↑ +8% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,508.00 | ↑ +14% |
| Cigna | Local Plus | $1,572.00 | ↑ +19% |
| Emblem Health | Commercial | $1,611.52 | ↑ +22% |
| United Healthcare | Oxford Metro | $1,652.00 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,757.00 | ↑ +33% |
| Wellcare | Ambetter Health Commercial | $1,832.53 | ↑ +39% |
| United Healthcare | Nexus | $1,858.00 | ↑ +40% |
| United Healthcare | Oxford Commercial | $1,943.00 | ↑ +47% |
| Cigna | HMO | $1,997.00 | ↑ +51% |
| Cigna | PPO | $2,103.00 | ↑ +59% |
| United Healthcare | Commercial | $2,186.00 | ↑ +65% |
| Aetna | HMO | $2,454.00 | ↑ +85% |
| Aetna | PPO | $2,454.00 | ↑ +85% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,807.00 | ↑ +112% |
| Amerihealth | Local Value | $2,836.00 | ↑ +114% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,836.00 | ↑ +114% |
| Wellpoint | NJ Family Care | $3,172.62 | ↑ +140% |
| Amerihealth | Regional Preferred | $3,287.00 | ↑ +148% |
| First Health | Commercial | $3,339.60 | ↑ +152% |
| Qualcare Inc | HMO/POS | $4,274.68 | ↑ +223% |
| Qualcare Inc | PPO/WC | $4,558.55 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,405.14 | ↑ +309% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,044.73 | $144.26 – $1,862.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,223.72 | $945.34 – $2,179.00 |
| Community Medical Center | Toms River | $1,154.38 | $920.87 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $1,096.33 | $945.34 – $1,881.23 |
| Newark Beth Israel Medical Center | Newark | $1,202.93 | $148.50 – $1,890.68 |
| Jersey City Medical Center | Jersey City | $1,156.61 | $186.69 – $1,974.70 |
| Monmouth Medical Center | Long Branch | $1,217.84 | $932.65 – $1,855.97 |
| Bayshore Medical Center | Holmdel | $932.65 | $932.65 – $1,522.00 |