X-ray nose to rectum for foreign body child at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$79.86
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.
$336.00
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.
$24.60 with Horizon Blue Cross Blue Shield of New Jersey vs $326.28 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 | $24.60 | ↓ -69% |
| Amerihealth | Regional Preferred | $40.56 | ↓ -49% |
| Amerihealth | Local Value | $40.56 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $43.34 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $43.34 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $43.34 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $43.34 | ↓ -46% |
| Aetna | HMO | $54.54 | ↓ -32% |
| Aetna | PPO | $54.54 | ↓ -32% |
| Qualcare Inc | HMO/POS | $57.00 | ↓ -29% |
| United Healthcare | Community Plan | $62.12 | ↓ -22% |
| Fidelis Care | NJ Family Care | $63.30 | ↓ -21% |
| Aetna | Better Health | $68.04 | ↓ -15% |
| Wellpoint | Medicare Advantage | $96.23 | ↑ +20% |
| Fidelis Care | Medicare Advantage | $96.23 | ↑ +20% |
| Aetna | Medicare | $96.23 | ↑ +20% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $96.23 | ↑ +20% |
| Clover | Medicare Advantage | $96.23 | ↑ +20% |
| Humana | Medicare | $96.23 | ↑ +20% |
| United Healthcare | Medicare | $98.15 | ↑ +23% |
| Cigna | HMO | $109.21 | ↑ +37% |
| Cigna | PPO | $109.21 | ↑ +37% |
| Cigna | Local Plus | $109.21 | ↑ +37% |
| United Healthcare | Oxford Metro | $116.42 | ↑ +46% |
| United Healthcare | Nexus | $116.42 | ↑ +46% |
| United Healthcare | Commercial | $126.10 | ↑ +58% |
| United Healthcare | Oxford Commercial | $126.10 | ↑ +58% |
| Emblem Health | Commercial | $168.40 | ↑ +111% |
| Wellcare | Ambetter Health Commercial | $191.50 | ↑ +140% |
| Wellpoint | NJ Family Care | $191.52 | ↑ +140% |
| First Health | Commercial | $201.60 | ↑ +152% |
| Qualcare Inc | PPO/WC | $275.18 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $320.47 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $326.28 | ↑ +309% |
Visitor-reported prices
Comments
X-ray nose to rectum for foreign body child at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $63.06 | $15.25 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $51.70 | $24.60 – $197.58 |
| Community Medical Center | Toms River | $69.68 | $24.60 – $191.50 |
| Clara Maass Medical Center | Belleville | $51.71 | $24.60 – $196.59 |
| Jersey City Medical Center | Jersey City | $69.82 | $19.73 – $206.34 |
| Monmouth Medical Center | Long Branch | $73.51 | $24.60 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $38.52 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.30 – $250.18 |