Place device/marker, non pro at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$1,460.66
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.
$6,145.00
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.
$435.83 with United Healthcare vs $4,540.00 with Aetna — 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 | $435.83 | ↓ -70% |
| Fidelis Care | NJ Family Care | $444.08 | ↓ -70% |
| Aetna | Better Health | $477.32 | ↓ -67% |
| First Health | Commercial | $1,414.28 | ↓ -3% |
| Fidelis Care | Medicare Advantage | $1,495.34 | ↑ +2% |
| Aetna | Medicare | $1,495.34 | ↑ +2% |
| Clover | Medicare Advantage | $1,495.34 | ↑ +2% |
| Humana | Medicare | $1,495.34 | ↑ +2% |
| Wellpoint | Medicare Advantage | $1,495.34 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,495.34 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,505.03 | ↑ +3% |
| United Healthcare | Medicare | $1,525.25 | ↑ +4% |
| Cigna | Local Plus | $1,572.00 | ↑ +8% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,726.60 | ↑ +18% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,806.74 | ↑ +24% |
| Qualcare Inc | HMO/POS | $1,810.28 | ↑ +24% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,825.60 | ↑ +25% |
| Amerihealth | Regional Preferred | $1,843.99 | ↑ +26% |
| Amerihealth | Local Value | $1,843.99 | ↑ +26% |
| Qualcare Inc | PPO/WC | $1,930.49 | ↑ +32% |
| Cigna | HMO | $1,997.00 | ↑ +37% |
| Cigna | PPO | $2,103.00 | ↑ +44% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,248.24 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,289.01 | ↑ +57% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +76% |
| United Healthcare | Nexus | $2,568.00 | ↑ +76% |
| Emblem Health | Commercial | $2,616.85 | ↑ +79% |
| Wellcare | Ambetter Health Commercial | $2,975.73 | ↑ +104% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +107% |
| United Healthcare | Commercial | $3,021.00 | ↑ +107% |
| Aetna | PPO | $4,540.00 | ↑ +211% |
| Aetna | HMO | $4,540.00 | ↑ +211% |
| Wellpoint | NJ Family Care | not published by hospital | — |
Visitor-reported prices
Comments
Place device/marker, non pro at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $619.41 | $409.21 – $2,990.68 |
| Cooperman Barnabas Medical Center | Livingston | $499.47 | $1,535.08 – $3,070.16 |
| Community Medical Center | Toms River | $1,274.47 | $1,495.34 – $2,975.73 |
| Clara Maass Medical Center | Belleville | $468.83 | $1,440.00 – $3,054.81 |
| Newark Beth Israel Medical Center | Newark | $490.99 | $1,535.08 – $3,070.16 |
| Jersey City Medical Center | Jersey City | $489.81 | $1,566.00 – $3,206.59 |
| Monmouth Medical Center | Long Branch | $515.74 | $1,514.47 – $3,013.80 |
| Bayshore Medical Center | Holmdel | $1,514.47 | $1,514.47 – $1,817.37 |