Rectal sensation test at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$474.92
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.
$1,998.00
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.
$340.32 with Wellpoint 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 |
|---|---|---|---|
| Wellpoint | Medicare Advantage | $340.32 | ↓ -28% |
| Clover | Medicare Advantage | $340.32 | ↓ -28% |
| Humana | Medicare | $340.32 | ↓ -28% |
| Fidelis Care | Medicare Advantage | $340.32 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $340.32 | ↓ -28% |
| Aetna | Medicare | $340.32 | ↓ -28% |
| United Healthcare | Medicare | $347.13 | ↓ -27% |
| United Healthcare | Community Plan | $369.43 | ↓ -22% |
| Fidelis Care | NJ Family Care | $376.42 | ↓ -21% |
| Aetna | Better Health | $404.59 | ↓ -15% |
| Emblem Health | Commercial | $595.56 | ↑ +25% |
| Wellcare | Ambetter Health Commercial | $677.24 | ↑ +43% |
| Cigna | Local Plus | $880.71 | ↑ +85% |
| Cigna | HMO | $1,119.07 | ↑ +136% |
| Wellpoint | NJ Family Care | $1,138.86 | ↑ +140% |
| Cigna | PPO | $1,178.62 | ↑ +148% |
| First Health | Commercial | $1,198.80 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,275.72 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,463.53 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,531.46 | ↑ +222% |
| Qualcare Inc | HMO/POS | $1,534.46 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,547.45 | ↑ +226% |
| Amerihealth | Local Value | $1,563.03 | ↑ +229% |
| Amerihealth | Regional Preferred | $1,563.03 | ↑ +229% |
| Qualcare Inc | PPO/WC | $1,636.36 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,905.69 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,940.25 | ↑ +309% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,996.62 | ↑ +320% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +415% |
| United Healthcare | Nexus | $2,751.00 | ↑ +479% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +506% |
| United Healthcare | Commercial | $3,236.00 | ↑ +581% |
| Aetna | HMO | $4,540.00 | ↑ +856% |
| Aetna | PPO | $4,540.00 | ↑ +856% |
Visitor-reported prices
Comments
Rectal sensation test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $375.02 | $215.61 – $680.64 |
| Cooperman Barnabas Medical Center | Livingston | $396.04 | $349.37 – $698.74 |
| Community Medical Center | Toms River | $414.38 | $340.32 – $677.24 |
| Clara Maass Medical Center | Belleville | $297.35 | $349.37 – $695.25 |
| Newark Beth Israel Medical Center | Newark | $389.31 | $269.88 – $698.74 |
| Jersey City Medical Center | Jersey City | $415.18 | $339.28 – $729.77 |
| Monmouth Medical Center | Long Branch | $437.16 | $344.68 – $685.91 |
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $413.61 |