Revsc opn/prq tib/pero 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.
$17,272.00
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.
$3,193.59 with United Healthcare vs $16,772.83 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $3,193.59 | ↓ -27% |
| Fidelis Care | NJ Family Care | $3,254.04 | ↓ -25% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Aetna | Better Health | $3,497.58 | ↓ -20% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -5% |
| Aetna | PPO | $4,540.00 | ↑ +4% |
| Aetna | HMO | $4,540.00 | ↑ +4% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7,107.81 | ↑ +63% |
| Amerihealth | Local Value | $7,274.96 | ↑ +67% |
| United Healthcare | Nexus | $7,987.00 | ↑ +84% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +92% |
| Amerihealth | Regional Preferred | $8,732.72 | ↑ +101% |
| United Healthcare | Commercial | $9,396.00 | ↑ +116% |
| First Health | Commercial | $10,363.20 | ↑ +138% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $11,028.17 | ↑ +154% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $12,651.74 | ↑ +191% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $13,238.98 | ↑ +204% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $13,377.16 | ↑ +208% |
| Qualcare Inc | PPO/WC | $15,026.64 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $16,474.03 | ↑ +279% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $16,772.83 | ↑ +286% |
Visitor-reported prices
Comments
Revsc opn/prq tib/pero stent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,920.43 – $5,230.93 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $2,624.15 – $2,768.82 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $3,354.05 – $3,354.05 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $1,975.30 – $2,624.15 |
| Trinitas Regional Medical Center | Elizabeth | not published | $1,865.56 – $4,869.28 |
| Cooperman Barnabas Medical Center | Livingston | not published | $2,884.83 – $2,884.83 |
| Community Medical Center | Toms River | not published | $2,954.35 – $2,954.35 |
| Clara Maass Medical Center | Belleville | not published | $2,850.07 – $2,850.07 |