CT hrt w/3d image at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$378.41
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.
$1,592.00
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.
$204.69 with Horizon Blue Cross Blue Shield of New Jersey vs $1,797.00 with Qualcare Inc — 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 | $204.69 | ↓ -46% |
| Cigna | Local Plus | $221.00 | ↓ -42% |
| United Healthcare | Nexus | $241.66 | ↓ -36% |
| United Healthcare | Oxford Metro | $241.66 | ↓ -36% |
| Cigna | HMO | $281.00 | ↓ -26% |
| United Healthcare | Commercial | $287.91 | ↓ -24% |
| United Healthcare | Oxford Commercial | $287.91 | ↓ -24% |
| United Healthcare | Community Plan | $294.36 | ↓ -22% |
| Cigna | PPO | $296.00 | ↓ -22% |
| Fidelis Care | NJ Family Care | $299.93 | ↓ -21% |
| Aetna | Better Health | $322.38 | ↓ -15% |
| Clover | Medicare Advantage | $390.30 | ↑ +3% |
| Humana | Medicare | $390.30 | ↑ +3% |
| Aetna | Medicare | $390.30 | ↑ +3% |
| Wellpoint | Medicare Advantage | $390.30 | ↑ +3% |
| Fidelis Care | Medicare Advantage | $390.30 | ↑ +3% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $390.30 | ↑ +3% |
| Aetna | PPO | $395.94 | ↑ +5% |
| Aetna | HMO | $395.94 | ↑ +5% |
| United Healthcare | Medicare | $398.11 | ↑ +5% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $436.84 | ↑ +15% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $436.84 | ↑ +15% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $436.84 | ↑ +15% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $436.84 | ↑ +15% |
| Amerihealth | Regional Preferred | $559.41 | ↑ +48% |
| Amerihealth | Local Value | $559.41 | ↑ +48% |
| Emblem Health | Commercial | $683.03 | ↑ +80% |
| Qualcare Inc | PPO/WC | $726.00 | ↑ +92% |
| Wellcare | Ambetter Health Commercial | $776.70 | ↑ +105% |
| Wellpoint | NJ Family Care | $907.44 | ↑ +140% |
| First Health | Commercial | $955.20 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,518.44 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,545.99 | ↑ +309% |
| Qualcare Inc | HMO/POS | $1,797.00 | ↑ +375% |
Visitor-reported prices
Comments
CT hrt w/3d image at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $337.34 | $204.69 – $801.34 |
| Community Medical Center | Toms River | $330.18 | $204.69 – $776.70 |
| Newark Beth Israel Medical Center | Newark | $331.61 | $124.54 – $801.34 |
| Jersey City Medical Center | Jersey City | $330.81 | $156.57 – $836.95 |
| Monmouth Medical Center | Long Branch | $348.32 | $204.69 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $185.56 – $797.62 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $2,083.00 |