Lung perfusion imaging at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$420.49
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.
$1,769.00
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.
$137.24 with Horizon Blue Cross Blue Shield of New Jersey vs $1,717.87 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 | $137.24 | ↓ -67% |
| Amerihealth | Local Value | $230.76 | ↓ -45% |
| Amerihealth | Regional Preferred | $230.76 | ↓ -45% |
| United Healthcare | Community Plan | $327.08 | ↓ -22% |
| Fidelis Care | NJ Family Care | $333.27 | ↓ -21% |
| Aetna | Better Health | $358.22 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $395.10 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $395.10 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $395.10 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $395.10 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $439.15 | ↑ +4% |
| Clover | Medicare Advantage | $439.15 | ↑ +4% |
| Humana | Medicare | $439.15 | ↑ +4% |
| Aetna | Medicare | $439.15 | ↑ +4% |
| Wellpoint | Medicare Advantage | $439.15 | ↑ +4% |
| Fidelis Care | Medicare Advantage | $439.15 | ↑ +4% |
| United Healthcare | Medicare | $447.93 | ↑ +7% |
| Aetna | PPO | $471.61 | ↑ +12% |
| Aetna | HMO | $471.61 | ↑ +12% |
| United Healthcare | Nexus | $520.83 | ↑ +24% |
| United Healthcare | Oxford Metro | $520.83 | ↑ +24% |
| United Healthcare | Commercial | $581.65 | ↑ +38% |
| United Healthcare | Oxford Commercial | $581.65 | ↑ +38% |
| Emblem Health | Commercial | $768.51 | ↑ +83% |
| Qualcare Inc | PPO/WC | $828.00 | ↑ +97% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +97% |
| Wellcare | Ambetter Health Commercial | $873.91 | ↑ +108% |
| Cigna | Local Plus | $951.00 | ↑ +126% |
| Cigna | HMO | $951.00 | ↑ +126% |
| Cigna | PPO | $951.00 | ↑ +126% |
| Wellpoint | NJ Family Care | $1,008.33 | ↑ +140% |
| First Health | Commercial | $1,061.40 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,687.27 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,717.87 | ↑ +309% |
Visitor-reported prices
Comments
Lung perfusion imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $332.04 | $113.25 – $951.00 |
| Cooperman Barnabas Medical Center | Livingston | $402.61 | $137.24 – $951.00 |
| Community Medical Center | Toms River | $366.89 | $137.24 – $951.00 |
| Clara Maass Medical Center | Belleville | $334.74 | $137.24 – $951.00 |
| Newark Beth Israel Medical Center | Newark | $395.77 | $116.58 – $951.00 |
| Jersey City Medical Center | Jersey City | $367.59 | $137.24 – $951.00 |
| Monmouth Medical Center | Long Branch | $387.05 | $137.24 – $951.00 |
| Bayshore Medical Center | Holmdel | $444.77 | $256.91 – $1,021.05 |