Integra meshed bil wound mat at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$224.66
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.
$945.16
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.
$53.87 with Amerihealth vs $917.84 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 |
|---|---|---|---|
| Amerihealth | Local Value | $53.87 | ↓ -76% |
| Amerihealth | Regional Preferred | $53.87 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $63.66 | ↓ -72% |
| Fidelis Care | NJ Family Care | $178.06 | ↓ -21% |
| Cigna | Local Plus | $416.62 | ↑ +85% |
| Cigna | HMO | $529.38 | ↑ +136% |
| Cigna | PPO | $557.54 | ↑ +148% |
| First Health | Commercial | $567.09 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $603.48 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $692.32 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $724.46 | ↑ +222% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $732.02 | ↑ +226% |
| Aetna | PPO | $793.93 | ↑ +253% |
| Aetna | HMO | $793.93 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $901.49 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $917.84 | ↑ +309% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
Visitor-reported prices
Comments
Integra meshed bil wound mat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | not published |
| Jersey Shore University Medical Center | Neptune City | not published | not published |
| Palisades Medical Center | North Bergen | not published | not published |
| Raritan Bay Medical Center | Perth Amboy | not published | not published |
| Riverview Medical Center | Red Bank | not published | not published |
| Southern Ocean Medical Center | Manahawkin | not published | not published |