Prim art mech thrmbc non-intracranial add-on 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.
?
What you pay up front if you don't use insurance.
$6,723.00
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.
$1,243.08 with United Healthcare vs $6,528.70 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,243.08 | ↓ -71% |
| Fidelis Care | NJ Family Care | $1,266.61 | ↓ -71% |
| Aetna | Better Health | $1,361.40 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,853.75 | ↓ -57% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -44% |
| United Healthcare | Nexus | $2,751.00 | ↓ -37% |
| Amerihealth | Local Value | $2,831.72 | ↓ -35% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -34% |
| United Healthcare | Commercial | $3,236.00 | ↓ -26% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Amerihealth | Regional Preferred | $3,399.14 | ↓ -22% |
| First Health | Commercial | $4,033.80 | ↓ -7% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,292.63 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,924.59 | ↑ +13% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,153.17 | ↑ +18% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,206.96 | ↑ +20% |
| Aetna | PPO | $5,398.00 | ↑ +24% |
| Aetna | HMO | $5,398.00 | ↑ +24% |
| Qualcare Inc | PPO/WC | $5,849.01 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,412.39 | ↑ +47% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,528.70 | ↑ +50% |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial add-on at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $770.51 – $770.51 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $248.16 – $1,364.25 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $716.12 – $716.12 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $684.39 – $828.18 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $874.75 – $874.75 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $255.25 – $684.39 |
| Trinitas Regional Medical Center | Elizabeth | not published | $241.07 – $2,891.14 |
| Cooperman Barnabas Medical Center | Livingston | not published | $752.38 – $752.38 |