Puncture aspiration abscess/hematoma/bulla/cyst 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.
$925.00
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.
$171.03 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 | $171.03 | ↓ -96% |
| Fidelis Care | NJ Family Care | $174.27 | ↓ -96% |
| Aetna | Better Health | $187.31 | ↓ -96% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $296.48 | ↓ -93% |
| Amerihealth | Local Value | $389.61 | ↓ -91% |
| Wellpoint | Medicare Advantage | $436.64 | ↓ -90% |
| Clover | Medicare Advantage | $436.64 | ↓ -90% |
| Humana | Medicare | $436.64 | ↓ -90% |
| Aetna | Medicare | $436.64 | ↓ -90% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $436.64 | ↓ -90% |
| Fidelis Care | Medicare Advantage | $436.64 | ↓ -90% |
| United Healthcare | Medicare | $445.37 | ↓ -90% |
| Amerihealth | Regional Preferred | $467.68 | ↓ -89% |
| First Health | Commercial | $555.00 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $590.61 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $677.56 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $709.01 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $716.41 | ↓ -84% |
| Emblem Health | Commercial | $764.12 | ↓ -82% |
| Qualcare Inc | PPO/WC | $804.75 | ↓ -82% |
| Wellcare | Ambetter Health Commercial | $868.91 | ↓ -80% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $882.26 | ↓ -80% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $898.26 | ↓ -79% |
| Cigna | Local Plus | $2,101.00 | ↓ -52% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -44% |
| Cigna | HMO | $2,670.00 | ↓ -39% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -38% |
| United Healthcare | Nexus | $2,751.00 | ↓ -37% |
| Cigna | PPO | $2,812.00 | ↓ -35% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -34% |
| United Healthcare | Commercial | $3,236.00 | ↓ -26% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Aetna | PPO | $4,540.00 | ↑ +4% |
| Aetna | HMO | $4,540.00 | ↑ +4% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $123.23 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $118.88 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $69.23 – $896.48 |
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $209.77 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $201.99 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $144.98 – $442.61 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $201.99 – $530.67 |