Intro long gi tube w/mult fluo at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$116.47
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.
?
What you pay up front if you don't use insurance.
$490.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$90.60 with United Healthcare vs $475.83 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $90.60 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $91.84 | ↓ -21% |
| Fidelis Care | NJ Family Care | $92.31 | ↓ -21% |
| Aetna | Better Health | $99.22 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $190.18 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $190.18 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $190.18 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $190.18 | ↑ +63% |
| Wellpoint | NJ Family Care | $279.30 | ↑ +140% |
| Qualcare Inc | HMO/POS | $285.00 | ↑ +145% |
| First Health | Commercial | $294.00 | ↑ +152% |
| Qualcare Inc | PPO/WC | $401.31 | ↑ +245% |
| Aetna | HMO | $411.60 | ↑ +253% |
| Aetna | PPO | $411.60 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $467.36 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $475.83 | ↑ +309% |
Visitor-reported prices
Comments
Intro long gi tube w/mult fluo at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $91.97 | $40.80 – $145.60 |
| Community Medical Center | Toms River | $101.62 | $91.84 – $91.84 |
| Newark Beth Israel Medical Center | Newark | $174.13 | $42.00 – $285.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $178.31 | $69.75 – $91.84 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $131.48 | $43.20 – $91.84 |
| Cooperman Barnabas Medical Center | Livingston | not published | $91.84 – $285.00 |
| Clara Maass Medical Center | Belleville | not published | $91.84 – $91.84 |
| Jersey City Medical Center | Jersey City | not published | $52.80 – $249.24 |