In situ hybridization per specimen initial single probe stain at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$152.84
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.
$643.00
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.
$73.91 with United Healthcare vs $624.41 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 |
|---|---|---|---|
| United Healthcare | Oxford Metro | $73.91 | ↓ -52% |
| United Healthcare | Nexus | $73.91 | ↓ -52% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $77.49 | ↓ -49% |
| United Healthcare | Commercial | $78.93 | ↓ -48% |
| United Healthcare | Oxford Commercial | $78.93 | ↓ -48% |
| Amerihealth | Local Value | $108.27 | ↓ -29% |
| Amerihealth | Regional Preferred | $108.27 | ↓ -29% |
| Aetna | Better Health | $130.20 | ↓ -15% |
| United Healthcare | Community Plan | $152.24 | ↓ -0% |
| Fidelis Care | NJ Family Care | $155.14 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $156.48 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $156.48 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $156.48 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $156.48 | ↑ +2% |
| Fidelis Care | Medicare Advantage | $187.28 | ↑ +23% |
| Wellpoint | Medicare Advantage | $187.28 | ↑ +23% |
| Aetna | Medicare | $187.28 | ↑ +23% |
| Humana | Medicare | $187.28 | ↑ +23% |
| Clover | Medicare Advantage | $187.28 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $187.28 | ↑ +23% |
| United Healthcare | Medicare | $191.03 | ↑ +25% |
| Aetna | HMO | $227.41 | ↑ +49% |
| Aetna | PPO | $227.41 | ↑ +49% |
| Emblem Health | Commercial | $327.74 | ↑ +114% |
| Wellpoint | NJ Family Care | $366.51 | ↑ +140% |
| Wellcare | Ambetter Health Commercial | $372.69 | ↑ +144% |
| First Health | Commercial | $385.80 | ↑ +152% |
| Qualcare Inc | HMO/POS | $493.82 | ↑ +223% |
| Qualcare Inc | PPO/WC | $526.61 | ↑ +245% |
| Cigna | Local Plus | $544.46 | ↑ +256% |
| Cigna | HMO | $544.46 | ↑ +256% |
| Cigna | PPO | $544.46 | ↑ +256% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $613.29 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $624.41 | ↑ +309% |
Visitor-reported prices
Comments
In situ hybridization per specimen initial single probe stain at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $75.86 | $73.91 – $544.46 |
| Community Medical Center | Toms River | $133.35 | $73.91 – $544.46 |
| Clara Maass Medical Center | Belleville | $73.39 | $73.91 – $544.46 |
| Newark Beth Israel Medical Center | Newark | $74.57 | $73.91 – $544.46 |
| Jersey City Medical Center | Jersey City | $133.61 | $73.91 – $544.46 |
| Monmouth Medical Center | Long Branch | $140.68 | $73.91 – $544.46 |
| Bayshore Medical Center | Holmdel | $189.67 | $117.57 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $70.25 – $344.49 |