Venogram ext bil s&i at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$957.69
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.
$4,029.00
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.
$129.56 with Horizon Blue Cross Blue Shield of New Jersey vs $3,912.56 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $129.56 | ↓ -86% |
| Qualcare Inc | HMO/POS | $162.00 | ↓ -83% |
| Aetna | PPO | $170.70 | ↓ -82% |
| Aetna | HMO | $170.70 | ↓ -82% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $222.36 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $222.36 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $222.36 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $222.36 | ↓ -77% |
| Cigna | PPO | $341.97 | ↓ -64% |
| Cigna | HMO | $341.97 | ↓ -64% |
| Cigna | Local Plus | $341.97 | ↓ -64% |
| United Healthcare | Community Plan | $744.96 | ↓ -22% |
| Fidelis Care | NJ Family Care | $759.06 | ↓ -21% |
| Aetna | Better Health | $815.87 | ↓ -15% |
| Clover | Medicare Advantage | $1,697.72 | ↑ +77% |
| Humana | Medicare | $1,697.72 | ↑ +77% |
| Aetna | Medicare | $1,697.72 | ↑ +77% |
| Wellpoint | Medicare Advantage | $1,697.72 | ↑ +77% |
| Fidelis Care | Medicare Advantage | $1,697.72 | ↑ +77% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,697.72 | ↑ +77% |
| United Healthcare | Medicare | $1,731.67 | ↑ +81% |
| United Healthcare | Nexus | $1,993.72 | ↑ +108% |
| United Healthcare | Oxford Metro | $1,993.72 | ↑ +108% |
| Wellpoint | NJ Family Care | $2,296.53 | ↑ +140% |
| First Health | Commercial | $2,417.40 | ↑ +152% |
| United Healthcare | Commercial | $2,577.19 | ↑ +169% |
| United Healthcare | Oxford Commercial | $2,577.19 | ↑ +169% |
| Emblem Health | Commercial | $2,971.01 | ↑ +210% |
| Qualcare Inc | PPO/WC | $3,299.75 | ↑ +245% |
| Wellcare | Ambetter Health Commercial | $3,378.46 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,842.86 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,912.56 | ↑ +309% |
Visitor-reported prices
Comments
Venogram ext bil s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $756.24 | $68.61 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $877.47 | $129.56 – $3,485.68 |
| Community Medical Center | Toms River | $835.61 | $129.56 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $512.76 | $129.56 – $3,468.25 |
| Newark Beth Israel Medical Center | Newark | $862.57 | $70.62 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $837.22 | $88.78 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $881.54 | $129.56 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $110.99 – $3,807.12 |