Ketorolac (Toradol) Pain Shot, 15 mg at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
not published by hospital
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.
not published by hospital
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.
$0.31 with Horizon Blue Cross Blue Shield of New Jersey vs $1.63 with Wellcare — 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 | $0.31 | — |
| Cigna | PPO | $0.52 | — |
| Cigna | Local Plus | $0.52 | — |
| Cigna | HMO | $0.52 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $0.75 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $0.75 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $0.75 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $0.75 | — |
| United Healthcare | Oxford Commercial | $0.79 | — |
| United Healthcare | Commercial | $0.79 | — |
| Humana | Medicare | $0.82 | — |
| Wellpoint | Medicare Advantage | $0.82 | — |
| Clover | Medicare Advantage | $0.82 | — |
| Fidelis Care | Medicare Advantage | $0.82 | — |
| Aetna | Medicare | $0.82 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $0.82 | — |
| United Healthcare | Medicare | $0.84 | — |
| Amerihealth | Regional Preferred | $0.86 | — |
| Amerihealth | Local Value | $0.86 | — |
| Aetna | PPO | $0.92 | — |
| Aetna | HMO | $0.92 | — |
| Emblem Health | Commercial | $1.44 | — |
| Wellcare | Ambetter Health Commercial | $1.63 | — |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Fidelis Care | NJ Family Care | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Self Pay | Self Pay | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
Visitor-reported prices
Comments
Ketorolac (Toradol) Pain Shot, 15 mg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $3.29 | not published |
| Trinitas Regional Medical Center | Elizabeth | not published | $0.52 – $1.63 |
| Cooperman Barnabas Medical Center | Livingston | not published | $0.31 – $1.68 |
| Community Medical Center | Toms River | not published | $0.31 – $1.63 |
| Clara Maass Medical Center | Belleville | not published | $0.31 – $1.67 |
| Newark Beth Israel Medical Center | Newark | not published | $0.31 – $1.67 |
| Jersey City Medical Center | Jersey City | not published | $0.31 – $1.75 |
| Monmouth Medical Center | Long Branch | not published | $0.31 – $1.65 |