Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular 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.
$42,168.00
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.
$1,195.55 with Horizon Blue Cross Blue Shield of New Jersey vs $42,145.00 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 | $1,195.55 | ↓ -73% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -5% |
| United Healthcare | Community Plan | $7,796.86 | ↑ +79% |
| Fidelis Care | NJ Family Care | $7,944.45 | ↑ +83% |
| United Healthcare | Oxford Metro | $8,505.00 | ↑ +96% |
| Aetna | Better Health | $8,539.02 | ↑ +96% |
| United Healthcare | Nexus | $9,568.00 | ↑ +120% |
| Aetna | HMO | $9,691.00 | ↑ +123% |
| Aetna | PPO | $9,691.00 | ↑ +123% |
| United Healthcare | Oxford Commercial | $10,006.00 | ↑ +130% |
| United Healthcare | Commercial | $11,257.00 | ↑ +159% |
| Humana | Medicare | $11,437.35 | ↑ +163% |
| Aetna | Medicare | $11,437.35 | ↑ +163% |
| Clover | Medicare Advantage | $11,437.35 | ↑ +163% |
| Fidelis Care | Medicare Advantage | $11,437.35 | ↑ +163% |
| Wellpoint | Medicare Advantage | $11,437.35 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $11,437.35 | ↑ +163% |
| United Healthcare | Medicare | $11,666.10 | ↑ +168% |
| Amerihealth | Local Value | $17,761.16 | ↑ +308% |
| Emblem Health | Commercial | $20,015.36 | ↑ +360% |
| Cigna | Local Plus | $20,945.00 | ↑ +381% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $21,036.00 | ↑ +384% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $21,036.00 | ↑ +384% |
| Amerihealth | Regional Preferred | $21,320.14 | ↑ +390% |
| Wellcare | Ambetter Health Commercial | $22,760.33 | ↑ +423% |
| First Health | Commercial | $25,300.80 | ↑ +482% |
| Cigna | HMO | $26,614.00 | ↑ +512% |
| Cigna | PPO | $28,031.00 | ↑ +544% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $34,118.00 | ↑ +684% |
| Qualcare Inc | PPO/WC | $36,686.16 | ↑ +743% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $39,751.00 | ↑ +814% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $41,710.00 | ↑ +859% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $42,145.00 | ↑ +869% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $257.81 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $485.23 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $496.93 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $479.39 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $265.39 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $333.63 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $958.78 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |