Nm imaging hepatobiliary system w/pharmacologic intervention at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$885.90
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.
?
What you pay up front if you don't use insurance.
$3,727.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$248.94 with Amerihealth vs $3,619.28 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Amerihealth | Regional Preferred | $248.94 | ↓ -72% |
| Amerihealth | Local Value | $248.94 | ↓ -72% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $329.87 | ↓ -63% |
| Fidelis Care | Medicare Advantage | $588.26 | ↓ -34% |
| Clover | Medicare Advantage | $588.26 | ↓ -34% |
| Humana | Medicare | $588.26 | ↓ -34% |
| Aetna | Medicare | $588.26 | ↓ -34% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $588.26 | ↓ -34% |
| Wellpoint | Medicare Advantage | $588.26 | ↓ -34% |
| United Healthcare | Medicare | $600.03 | ↓ -32% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $636.08 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $636.08 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $636.08 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $636.08 | ↓ -28% |
| United Healthcare | Oxford Metro | $676.03 | ↓ -24% |
| United Healthcare | Nexus | $676.03 | ↓ -24% |
| United Healthcare | Community Plan | $689.12 | ↓ -22% |
| Fidelis Care | NJ Family Care | $702.16 | ↓ -21% |
| United Healthcare | Oxford Commercial | $745.73 | ↓ -16% |
| United Healthcare | Commercial | $745.73 | ↓ -16% |
| Aetna | Better Health | $754.71 | ↓ -15% |
| Qualcare Inc | PPO/WC | $828.00 | ↓ -7% |
| Qualcare Inc | HMO/POS | $828.00 | ↓ -7% |
| Aetna | PPO | $917.73 | ↑ +4% |
| Aetna | HMO | $917.73 | ↑ +4% |
| Emblem Health | Commercial | $1,029.46 | ↑ +16% |
| Wellcare | Ambetter Health Commercial | $1,170.64 | ↑ +32% |
| Cigna | PPO | $1,857.03 | ↑ +110% |
| Cigna | Local Plus | $1,857.03 | ↑ +110% |
| Cigna | HMO | $1,857.03 | ↑ +110% |
| Wellpoint | NJ Family Care | $2,124.39 | ↑ +140% |
| First Health | Commercial | $2,236.20 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,554.81 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,619.28 | ↑ +309% |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $699.55 | $208.53 – $1,857.03 |
| Cooperman Barnabas Medical Center | Livingston | $495.84 | $248.94 – $1,857.03 |
| Community Medical Center | Toms River | $772.97 | $248.94 – $1,857.03 |
| Clara Maass Medical Center | Belleville | $563.08 | $249.42 – $1,857.03 |
| Newark Beth Israel Medical Center | Newark | $487.42 | $214.66 – $1,857.03 |
| Jersey City Medical Center | Jersey City | $774.47 | $248.94 – $1,857.03 |
| Monmouth Medical Center | Long Branch | $815.46 | $248.94 – $1,857.03 |
| Bayshore Medical Center | Holmdel | $595.79 | $354.06 – $1,445.04 |