Tomosynthesis breast diagnostic left at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$121.22
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.
$510.00
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.
$13.99 with Amerihealth vs $247.63 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 |
|---|---|---|---|
| Amerihealth | Local Value | $13.99 | ↓ -88% |
| Amerihealth | Regional Preferred | $13.99 | ↓ -88% |
| United Healthcare | Nexus | $32.70 | ↓ -73% |
| United Healthcare | Oxford Metro | $32.70 | ↓ -73% |
| United Healthcare | Commercial | $39.91 | ↓ -67% |
| United Healthcare | Oxford Commercial | $39.91 | ↓ -67% |
| Aetna | PPO | $41.35 | ↓ -66% |
| Aetna | HMO | $41.35 | ↓ -66% |
| United Healthcare | Community Plan | $47.14 | ↓ -61% |
| Fidelis Care | NJ Family Care | $48.04 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $49.74 | ↓ -59% |
| Aetna | Better Health | $51.63 | ↓ -57% |
| Cigna | HMO | $100.73 | ↓ -17% |
| Cigna | PPO | $100.73 | ↓ -17% |
| Cigna | Local Plus | $100.73 | ↓ -17% |
| Wellpoint | NJ Family Care | $145.35 | ↑ +20% |
| First Health | Commercial | $153.00 | ↑ +26% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $162.81 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $186.78 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $195.45 | ↑ +61% |
| Qualcare Inc | HMO/POS | $195.84 | ↑ +62% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $197.49 | ↑ +63% |
| Qualcare Inc | PPO/WC | $208.84 | ↑ +72% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $243.21 | ↑ +101% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $247.63 | ↑ +104% |
Visitor-reported prices
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Tomosynthesis breast diagnostic left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $95.72 | $18.87 – $161.81 |
| Community Medical Center | Toms River | $105.77 | $13.99 – $100.73 |
| Newark Beth Israel Medical Center | Newark | $106.23 | $13.99 – $100.73 |
| Jersey City Medical Center | Jersey City | $105.97 | $13.99 – $100.73 |
| Monmouth Medical Center | Long Branch | $111.58 | $13.99 – $100.73 |
| Bayshore Medical Center | Holmdel | $53.92 | $19.89 – $94.73 |
| Hackensack University Medical Center | Hackensack | $53.92 | $19.94 – $92.83 |
| Ocean University Medical Center | Brick | $53.92 | $19.89 – $94.73 |