MRI breast without cont bi at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$793.91
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.
$3,340.00
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.
$187.24 with Horizon Blue Cross Blue Shield of New Jersey vs $3,317.00 with Qualcare Inc — 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 | $187.24 | ↓ -76% |
| Humana | Medicare | $264.17 | ↓ -67% |
| Fidelis Care | Medicare Advantage | $264.17 | ↓ -67% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $264.17 | ↓ -67% |
| Aetna | Medicare | $264.17 | ↓ -67% |
| Wellpoint | Medicare Advantage | $264.17 | ↓ -67% |
| Clover | Medicare Advantage | $264.17 | ↓ -67% |
| United Healthcare | Medicare | $269.45 | ↓ -66% |
| United Healthcare | Nexus | $312.92 | ↓ -61% |
| United Healthcare | Oxford Metro | $312.92 | ↓ -61% |
| Cigna | Local Plus | $326.00 | ↓ -59% |
| United Healthcare | Oxford Commercial | $368.20 | ↓ -54% |
| United Healthcare | Commercial | $368.20 | ↓ -54% |
| Aetna | PPO | $387.18 | ↓ -51% |
| Aetna | HMO | $387.18 | ↓ -51% |
| Cigna | HMO | $414.00 | ↓ -48% |
| Cigna | PPO | $436.00 | ↓ -45% |
| Emblem Health | Commercial | $462.30 | ↓ -42% |
| Wellcare | Ambetter Health Commercial | $525.70 | ↓ -34% |
| United Healthcare | Community Plan | $617.56 | ↓ -22% |
| Fidelis Care | NJ Family Care | $629.25 | ↓ -21% |
| Aetna | Better Health | $676.35 | ↓ -15% |
| Amerihealth | Regional Preferred | $995.76 | ↑ +25% |
| Amerihealth | Local Value | $995.76 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,700.52 | ↑ +114% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,700.52 | ↑ +114% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,700.52 | ↑ +114% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,700.52 | ↑ +114% |
| Wellpoint | NJ Family Care | $1,903.80 | ↑ +140% |
| First Health | Commercial | $2,004.00 | ↑ +152% |
| Qualcare Inc | PPO/WC | $2,072.00 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,185.69 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,243.47 | ↑ +309% |
| Qualcare Inc | HMO/POS | $3,317.00 | ↑ +318% |
Visitor-reported prices
Comments
MRI breast without cont bi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $626.91 | $116.76 – $1,343.43 |
| Community Medical Center | Toms River | $692.71 | $187.24 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $921.51 | $120.19 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $694.05 | $151.10 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $730.79 | $187.24 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $169.74 – $4,332.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $4,332.00 |