Myelography l-s spine at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$515.80
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.
$2,170.00
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.
$91.84 with Horizon Blue Cross Blue Shield of New Jersey vs $2,107.28 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 | $91.84 | ↓ -82% |
| Aetna | PPO | $180.39 | ↓ -65% |
| Aetna | HMO | $180.39 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $228.56 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $228.56 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $228.56 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $228.56 | ↓ -56% |
| Cigna | PPO | $362.79 | ↓ -30% |
| Cigna | HMO | $362.79 | ↓ -30% |
| Cigna | Local Plus | $362.79 | ↓ -30% |
| United Healthcare | Community Plan | $401.23 | ↓ -22% |
| Fidelis Care | NJ Family Care | $408.82 | ↓ -21% |
| Aetna | Better Health | $439.42 | ↓ -15% |
| Qualcare Inc | HMO/POS | $445.00 | ↓ -14% |
| Clover | Medicare Advantage | $863.44 | ↑ +67% |
| Humana | Medicare | $863.44 | ↑ +67% |
| Aetna | Medicare | $863.44 | ↑ +67% |
| Wellpoint | Medicare Advantage | $863.44 | ↑ +67% |
| Fidelis Care | Medicare Advantage | $863.44 | ↑ +67% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $863.44 | ↑ +67% |
| United Healthcare | Medicare | $880.71 | ↑ +71% |
| United Healthcare | Nexus | $992.61 | ↑ +92% |
| United Healthcare | Oxford Metro | $992.61 | ↑ +92% |
| United Healthcare | Commercial | $1,075.70 | ↑ +109% |
| United Healthcare | Oxford Commercial | $1,075.70 | ↑ +109% |
| Wellpoint | NJ Family Care | $1,236.90 | ↑ +140% |
| First Health | Commercial | $1,302.00 | ↑ +152% |
| Emblem Health | Commercial | $1,511.02 | ↑ +193% |
| Wellcare | Ambetter Health Commercial | $1,718.25 | ↑ +233% |
| Qualcare Inc | PPO/WC | $1,777.23 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,069.74 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,107.28 | ↑ +309% |
Visitor-reported prices
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Myelography l-s spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $407.30 | $56.51 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $463.42 | $91.84 – $1,772.76 |
| Community Medical Center | Toms River | $450.05 | $91.84 – $1,718.25 |
| Clara Maass Medical Center | Belleville | $337.53 | $91.84 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $455.55 | $58.17 – $1,772.76 |
| Monmouth Medical Center | Long Branch | $474.79 | $91.84 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $142.56 – $1,936.35 |
| Hackensack University Medical Center | Hackensack | $930.42 | $83.26 – $2,211.69 |