Scan duplex extracranial arteries unilateral/limited study at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$293.55
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.
$1,235.00
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.
$116.22 with Fidelis Care vs $2,452.00 with United Healthcare — 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 |
|---|---|---|---|
| Fidelis Care | Medicare Advantage | $116.22 | ↓ -60% |
| Clover | Medicare Advantage | $116.22 | ↓ -60% |
| Humana | Medicare | $116.22 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↓ -60% |
| Wellpoint | Medicare Advantage | $116.22 | ↓ -60% |
| Aetna | Medicare | $116.22 | ↓ -60% |
| United Healthcare | Medicare | $118.54 | ↓ -60% |
| Emblem Health | Commercial | $203.39 | ↓ -31% |
| United Healthcare | Community Plan | $228.35 | ↓ -22% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↓ -21% |
| Fidelis Care | NJ Family Care | $232.67 | ↓ -21% |
| Aetna | Better Health | $250.08 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $394.19 | ↑ +34% |
| Cigna | HMO | $527.61 | ↑ +80% |
| Cigna | PPO | $527.61 | ↑ +80% |
| Cigna | Local Plus | $527.61 | ↑ +80% |
| Wellpoint | NJ Family Care | $703.95 | ↑ +140% |
| First Health | Commercial | $741.00 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $788.54 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $904.63 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $946.62 | ↑ +222% |
| Qualcare Inc | HMO/POS | $948.48 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $956.50 | ↑ +226% |
| Amerihealth | Regional Preferred | $966.14 | ↑ +229% |
| Amerihealth | Local Value | $966.14 | ↑ +229% |
| Qualcare Inc | PPO/WC | $1,011.46 | ↑ +245% |
| Aetna | HMO | $1,037.40 | ↑ +253% |
| Aetna | PPO | $1,037.40 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,177.94 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,199.30 | ↑ +309% |
| United Healthcare | Nexus | $2,084.00 | ↑ +610% |
| United Healthcare | Oxford Metro | $2,084.00 | ↑ +610% |
| United Healthcare | Commercial | $2,452.00 | ↑ +735% |
| United Healthcare | Oxford Commercial | $2,452.00 | ↑ +735% |
Visitor-reported prices
Comments
Scan duplex extracranial arteries unilateral/limited study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $231.80 | $65.08 – $527.61 |
| Cooperman Barnabas Medical Center | Livingston | $216.77 | $119.31 – $527.61 |
| Community Medical Center | Toms River | $256.13 | $116.22 – $527.61 |
| Clara Maass Medical Center | Belleville | $111.58 | $119.31 – $527.61 |
| Newark Beth Israel Medical Center | Newark | $213.09 | $66.99 – $527.61 |
| Jersey City Medical Center | Jersey City | $256.63 | $84.22 – $527.61 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $4,324.00 |