Oth resp proc, group at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$73.21
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.
$308.00
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.
$42.90 with Wellpoint vs $383.00 with United Healthcare — 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 |
|---|---|---|---|
| Wellpoint | Medicare Advantage | $42.90 | ↓ -41% |
| Clover | Medicare Advantage | $42.90 | ↓ -41% |
| Humana | Medicare | $42.90 | ↓ -41% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $42.90 | ↓ -41% |
| Fidelis Care | Medicare Advantage | $42.90 | ↓ -41% |
| Aetna | Medicare | $42.90 | ↓ -41% |
| United Healthcare | Medicare | $43.76 | ↓ -40% |
| United Healthcare | Community Plan | $56.94 | ↓ -22% |
| Fidelis Care | NJ Family Care | $58.02 | ↓ -21% |
| Aetna | Better Health | $62.37 | ↓ -15% |
| Emblem Health | Commercial | $75.08 | ↑ +3% |
| Wellcare | Ambetter Health Commercial | $85.37 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $114.52 | ↑ +56% |
| Cigna | Local Plus | $135.76 | ↑ +85% |
| Cigna | HMO | $172.51 | ↑ +136% |
| Wellpoint | NJ Family Care | $175.56 | ↑ +140% |
| Cigna | PPO | $181.68 | ↑ +148% |
| First Health | Commercial | $184.80 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $196.65 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $225.61 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $236.08 | ↑ +222% |
| Qualcare Inc | HMO/POS | $236.54 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $238.54 | ↑ +226% |
| Amerihealth | Local Value | $240.94 | ↑ +229% |
| Amerihealth | Regional Preferred | $240.94 | ↑ +229% |
| Qualcare Inc | PPO/WC | $252.25 | ↑ +245% |
| Aetna | HMO | $258.72 | ↑ +253% |
| Aetna | PPO | $258.72 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $293.77 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $299.09 | ↑ +309% |
| United Healthcare | Oxford Metro | $326.00 | ↑ +345% |
| United Healthcare | Nexus | $326.00 | ↑ +345% |
| United Healthcare | Oxford Commercial | $383.00 | ↑ +423% |
| United Healthcare | Commercial | $383.00 | ↑ +423% |
Visitor-reported prices
Comments
Oth resp proc, group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.81 | $42.90 – $85.80 |
| Cooperman Barnabas Medical Center | Livingston | $90.26 | $44.04 – $88.08 |
| Community Medical Center | Toms River | $63.87 | $42.90 – $85.37 |
| Clara Maass Medical Center | Belleville | $71.80 | $44.04 – $87.64 |
| Monmouth Medical Center | Long Branch | $67.39 | $43.44 – $326.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $24.81 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $23.46 – $604.00 |
| Palisades Medical Center | North Bergen | $46.22 | $24.81 – $444.00 |