Perq plmt bile duct stent at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$4,350.00
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.
$11,458.00
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.
$2,118.58 with United Healthcare vs $13,316.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $2,118.58 | ↓ -51% |
| Fidelis Care | NJ Family Care | $2,158.68 | ↓ -50% |
| Aetna | Better Health | $2,320.24 | ↓ -47% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,593.92 | ↑ +6% |
| Amerihealth | Local Value | $4,826.10 | ↑ +11% |
| Amerihealth | Regional Preferred | $5,793.16 | ↑ +33% |
| Aetna | HMO | $6,257.00 | ↑ +44% |
| Aetna | PPO | $6,257.00 | ↑ +44% |
| Clover | Medicare Advantage | $6,376.26 | ↑ +47% |
| Fidelis Care | Medicare Advantage | $6,376.26 | ↑ +47% |
| Aetna | Medicare | $6,376.26 | ↑ +47% |
| Humana | Medicare | $6,376.26 | ↑ +47% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,376.26 | ↑ +47% |
| Wellpoint | Medicare Advantage | $6,376.26 | ↑ +47% |
| United Healthcare | Medicare | $6,503.79 | ↑ +50% |
| First Health | Commercial | $6,874.80 | ↑ +58% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,315.93 | ↑ +68% |
| United Healthcare | Nexus | $7,987.00 | ↑ +84% |
| Qualcare Inc | HMO/POS | $8,146.63 | ↑ +87% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +92% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,392.98 | ↑ +93% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,782.55 | ↑ +102% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,874.22 | ↑ +104% |
| United Healthcare | Commercial | $9,396.00 | ↑ +116% |
| Cigna | Local Plus | $9,950.00 | ↑ +129% |
| Qualcare Inc | PPO/WC | $9,968.46 | ↑ +129% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,928.64 | ↑ +151% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $11,126.86 | ↑ +156% |
| Emblem Health | Commercial | $11,158.46 | ↑ +157% |
| Cigna | HMO | $12,643.00 | ↑ +191% |
| Wellcare | Ambetter Health Commercial | $12,688.76 | ↑ +192% |
| Cigna | PPO | $13,316.00 | ↑ +206% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $2,159.81 – $12,752.52 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $4,593.92 – $13,091.38 |
| Community Medical Center | Toms River | $3,786.00 | $4,593.92 – $12,688.76 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $4,593.92 – $13,025.92 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,223.33 – $13,091.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,795.05 – $13,673.07 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,593.92 – $12,851.06 |
| Bayshore Medical Center | Holmdel | $6,457.82 | $6,457.82 – $7,749.38 |