Ercp biliary & pancreas at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$472.78
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.
$1,989.00
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.
$124.64 with Horizon Blue Cross Blue Shield of New Jersey vs $1,931.51 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 | NJ Health | $124.64 | ↓ -74% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $317.16 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $317.16 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $317.16 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $317.16 | ↓ -33% |
| Qualcare Inc | HMO/POS | $343.00 | ↓ -27% |
| United Healthcare | Community Plan | $367.76 | ↓ -22% |
| Fidelis Care | NJ Family Care | $374.72 | ↓ -21% |
| Aetna | Better Health | $402.77 | ↓ -15% |
| Wellpoint | NJ Family Care | $1,133.73 | ↑ +140% |
| First Health | Commercial | $1,193.40 | ↑ +152% |
| Qualcare Inc | PPO/WC | $1,628.99 | ↑ +245% |
| Aetna | HMO | $1,670.76 | ↑ +253% |
| Aetna | PPO | $1,670.76 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,897.10 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,931.51 | ↑ +309% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $373.33 | $77.52 – $197.60 |
| Cooperman Barnabas Medical Center | Livingston | $344.97 | $124.64 – $343.00 |
| Community Medical Center | Toms River | $412.51 | $124.64 – $124.64 |
| Clara Maass Medical Center | Belleville | $402.77 | $124.64 – $124.64 |
| Newark Beth Israel Medical Center | Newark | $339.11 | $79.80 – $343.00 |
| Jersey City Medical Center | Jersey City | $413.31 | $100.32 – $300.61 |
| Monmouth Medical Center | Long Branch | $435.19 | $124.64 – $343.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $331.89 | $124.64 – $124.64 |