Insert hepatic shunt (tips) at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$4,350.00
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.
$14,348.00
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.
$1,914.12 with Horizon Blue Cross Blue Shield of New Jersey vs $13,933.34 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 | $1,914.12 | ↓ -56% |
| United Healthcare | Community Plan | $2,652.94 | ↓ -39% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -38% |
| Fidelis Care | NJ Family Care | $2,703.16 | ↓ -38% |
| Aetna | Better Health | $2,905.47 | ↓ -33% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Amerihealth | Local Value | $6,043.37 | ↑ +39% |
| Cigna | Local Plus | $6,324.59 | ↑ +45% |
| Amerihealth | Regional Preferred | $7,254.34 | ↑ +67% |
| Cigna | HMO | $8,036.31 | ↑ +85% |
| Cigna | PPO | $8,463.88 | ↑ +95% |
| First Health | Commercial | $8,608.80 | ↑ +98% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +103% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $9,161.19 | ↑ +111% |
| United Healthcare | Nexus | $9,925.00 | ↑ +128% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +139% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,509.91 | ↑ +142% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $10,997.74 | ↑ +153% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,112.52 | ↑ +155% |
| United Healthcare | Commercial | $11,677.00 | ↑ +168% |
| Qualcare Inc | PPO/WC | $12,482.76 | ↑ +187% |
| Aetna | PPO | $12,513.00 | ↑ +188% |
| Aetna | HMO | $12,513.00 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,685.12 | ↑ +215% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $13,933.34 | ↑ +220% |
Visitor-reported prices
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Insert hepatic shunt (tips) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $396.36 – $1,673.82 |
| Community Medical Center | Toms River | $3,786.00 | $795.60 – $795.60 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $408.02 – $1,408.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $512.94 – $842.40 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,535.04 – $1,535.04 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $706.68 – $4,072.67 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $903.24 – $903.24 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $419.68 – $706.68 |