X-ray sinus tract/fistula/abscess at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$272.87
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.
?
What you pay up front if you don't use insurance.
$1,148.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.44 with Horizon Blue Cross Blue Shield of New Jersey vs $1,192.47 with Wellcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $34.44 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $81.46 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $81.46 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $81.46 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $81.46 | ↓ -70% |
| Aetna | PPO | $93.26 | ↓ -66% |
| Aetna | HMO | $93.26 | ↓ -66% |
| Qualcare Inc | HMO/POS | $116.00 | ↓ -57% |
| Cigna | PPO | $183.91 | ↓ -33% |
| Cigna | HMO | $183.91 | ↓ -33% |
| Cigna | Local Plus | $183.91 | ↓ -33% |
| United Healthcare | Community Plan | $212.26 | ↓ -22% |
| Fidelis Care | NJ Family Care | $216.28 | ↓ -21% |
| Aetna | Better Health | $232.47 | ↓ -15% |
| Clover | Medicare Advantage | $599.23 | ↑ +120% |
| Humana | Medicare | $599.23 | ↑ +120% |
| Aetna | Medicare | $599.23 | ↑ +120% |
| Wellpoint | Medicare Advantage | $599.23 | ↑ +120% |
| Fidelis Care | Medicare Advantage | $599.23 | ↑ +120% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $599.23 | ↑ +120% |
| United Healthcare | Medicare | $611.21 | ↑ +124% |
| Wellpoint | NJ Family Care | $654.36 | ↑ +140% |
| United Healthcare | Nexus | $674.19 | ↑ +147% |
| United Healthcare | Oxford Metro | $674.19 | ↑ +147% |
| First Health | Commercial | $688.80 | ↑ +152% |
| United Healthcare | Commercial | $760.90 | ↑ +179% |
| United Healthcare | Oxford Commercial | $760.90 | ↑ +179% |
| Qualcare Inc | PPO/WC | $940.21 | ↑ +245% |
| Emblem Health | Commercial | $1,048.65 | ↑ +284% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,094.96 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,114.82 | ↑ +309% |
| Wellcare | Ambetter Health Commercial | $1,192.47 | ↑ +337% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $215.47 | $17.25 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $241.98 | $34.44 – $1,230.30 |
| Community Medical Center | Toms River | $238.09 | $34.44 – $1,192.47 |
| Clara Maass Medical Center | Belleville | $214.21 | $34.44 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $237.87 | $31.74 – $1,230.30 |
| Jersey City Medical Center | Jersey City | $238.55 | $34.44 – $1,284.96 |
| Monmouth Medical Center | Long Branch | $251.18 | $34.44 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $78.93 – $1,307.42 |