Low cost skin substitute app at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$977.89
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.
$4,114.00
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.
$76.56 with Horizon Blue Cross Blue Shield of New Jersey vs $5,398.00 with Aetna — 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 | $76.56 | ↓ -92% |
| Humana | Medicare | $668.98 | ↓ -32% |
| Fidelis Care | Medicare Advantage | $668.98 | ↓ -32% |
| Wellpoint | Medicare Advantage | $668.98 | ↓ -32% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $668.98 | ↓ -32% |
| Clover | Medicare Advantage | $668.98 | ↓ -32% |
| Aetna | Medicare | $668.98 | ↓ -32% |
| United Healthcare | Medicare | $682.36 | ↓ -30% |
| United Healthcare | Community Plan | $760.67 | ↓ -22% |
| Fidelis Care | NJ Family Care | $775.07 | ↓ -21% |
| Aetna | Better Health | $833.08 | ↓ -15% |
| Emblem Health | Commercial | $1,170.72 | ↑ +20% |
| Wellcare | Ambetter Health Commercial | $1,331.27 | ↑ +36% |
| Amerihealth | Local Value | $1,732.81 | ↑ +77% |
| Amerihealth | Regional Preferred | $2,080.03 | ↑ +113% |
| Cigna | Local Plus | $2,101.00 | ↑ +115% |
| Wellpoint | NJ Family Care | $2,344.98 | ↑ +140% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +150% |
| First Health | Commercial | $2,468.40 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,626.78 | ↑ +169% |
| Cigna | HMO | $2,670.00 | ↑ +173% |
| United Healthcare | Nexus | $2,751.00 | ↑ +181% |
| Cigna | PPO | $2,812.00 | ↑ +188% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +194% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,013.50 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,153.38 | ↑ +222% |
| Qualcare Inc | HMO/POS | $3,159.55 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,186.29 | ↑ +226% |
| United Healthcare | Commercial | $3,236.00 | ↑ +231% |
| Qualcare Inc | PPO/WC | $3,369.36 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,923.93 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,995.10 | ↑ +309% |
| Aetna | HMO | $5,398.00 | ↑ +452% |
| Aetna | PPO | $5,398.00 | ↑ +452% |
Visitor-reported prices
Comments
Low cost skin substitute app at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $1,389.00 | $31.08 – $1,373.52 |
| Community Medical Center | Toms River | $853.24 | $31.82 – $1,331.27 |
| Clara Maass Medical Center | Belleville | $1,295.23 | $30.70 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $1,365.40 | $56.35 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $854.88 | $33.70 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $900.14 | $61.40 – $1,348.30 |
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $576.70 – $756.93 |