Gi tract capsule endoscopy (pillcam) 91110 at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$1,091.99
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.
$4,594.00
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.
$849.43 with United Healthcare vs $4,523.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $849.43 | ↓ -22% |
| Fidelis Care | NJ Family Care | $865.50 | ↓ -21% |
| Aetna | Better Health | $930.28 | ↓ -15% |
| Wellpoint | Medicare Advantage | $1,024.64 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,024.64 | ↓ -6% |
| Humana | Medicare | $1,024.64 | ↓ -6% |
| Clover | Medicare Advantage | $1,024.64 | ↓ -6% |
| Fidelis Care | Medicare Advantage | $1,024.64 | ↓ -6% |
| Aetna | Medicare | $1,024.64 | ↓ -6% |
| United Healthcare | Medicare | $1,045.13 | ↓ -4% |
| Emblem Health | Commercial | $1,793.12 | ↑ +64% |
| Cigna | Local Plus | $2,025.03 | ↑ +85% |
| Wellcare | Ambetter Health Commercial | $2,039.03 | ↑ +87% |
| Cigna | HMO | $2,573.09 | ↑ +136% |
| Wellpoint | NJ Family Care | $2,618.58 | ↑ +140% |
| Cigna | PPO | $2,710.00 | ↑ +148% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $2,736.21 | ↑ +151% |
| First Health | Commercial | $2,756.40 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,933.26 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,365.10 | ↑ +208% |
| United Healthcare | Oxford Metro | $3,417.00 | ↑ +213% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,521.30 | ↑ +222% |
| Qualcare Inc | HMO/POS | $3,528.19 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,558.05 | ↑ +226% |
| Amerihealth | Regional Preferred | $3,593.88 | ↑ +229% |
| Amerihealth | Local Value | $3,593.88 | ↑ +229% |
| Qualcare Inc | PPO/WC | $3,762.48 | ↑ +245% |
| United Healthcare | Nexus | $3,845.00 | ↑ +252% |
| Aetna | HMO | $3,858.96 | ↑ +253% |
| Aetna | PPO | $3,858.96 | ↑ +253% |
| United Healthcare | Oxford Commercial | $4,020.00 | ↑ +268% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,381.75 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,461.23 | ↑ +309% |
| United Healthcare | Commercial | $4,523.00 | ↑ +314% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $862.29 | $381.94 – $2,049.28 |
| Cooperman Barnabas Medical Center | Livingston | $904.81 | $1,051.87 – $2,103.74 |
| Community Medical Center | Toms River | $952.79 | $1,024.64 – $2,039.03 |
| Clara Maass Medical Center | Belleville | $752.43 | $1,051.87 – $2,093.22 |
| Newark Beth Israel Medical Center | Newark | $889.44 | $393.17 – $2,103.74 |
| Jersey City Medical Center | Jersey City | $954.63 | $494.27 – $2,197.22 |
| Monmouth Medical Center | Long Branch | $1,005.16 | $1,037.75 – $2,065.12 |
| Bayshore Medical Center | Holmdel | $1,037.75 | $1,037.75 – $1,245.30 |