Trnscath plc vas stent w/s&i ea addl vein 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.
$7,037.00
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.
$269.86 with Horizon Blue Cross Blue Shield of New Jersey vs $9,396.00 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $269.86 | ↓ -94% |
| United Healthcare | Community Plan | $1,301.14 | ↓ -70% |
| Fidelis Care | NJ Family Care | $1,325.77 | ↓ -70% |
| Aetna | Better Health | $1,424.99 | ↓ -67% |
| Amerihealth | Local Value | $2,963.98 | ↓ -32% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Amerihealth | Regional Preferred | $3,557.90 | ↓ -18% |
| First Health | Commercial | $4,222.20 | ↓ -3% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,493.12 | ↑ +3% |
| Aetna | PPO | $4,540.00 | ↑ +4% |
| Aetna | HMO | $4,540.00 | ↑ +4% |
| Qualcare Inc | HMO/POS | $5,003.30 | ↑ +15% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,154.60 | ↑ +18% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,393.86 | ↑ +24% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,450.15 | ↑ +25% |
| Qualcare Inc | PPO/WC | $6,122.19 | ↑ +41% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,711.89 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,833.63 | ↑ +57% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +63% |
| United Healthcare | Nexus | $7,987.00 | ↑ +84% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +92% |
| United Healthcare | Commercial | $9,396.00 | ↑ +116% |
Visitor-reported prices
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Trnscath plc vas stent w/s&i ea addl vein at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $884.66 – $1,978.15 |
| Community Medical Center | Toms River | $3,786.00 | $112.17 – $112.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $198.60 – $910.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $118.76 – $1,144.85 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $216.41 – $216.41 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $104.25 – $104.25 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $99.63 – $3,242.26 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $127.34 – $127.34 |