X-ray small intestine follow-through study at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$277.15
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.
$1,166.00
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.
$60.35 with Horizon Blue Cross Blue Shield of New Jersey vs $1,132.30 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 | $60.35 | ↓ -78% |
| Aetna | PPO | $127.58 | ↓ -54% |
| Aetna | HMO | $127.58 | ↓ -54% |
| United Healthcare | Community Plan | $215.59 | ↓ -22% |
| Fidelis Care | NJ Family Care | $219.67 | ↓ -21% |
| Aetna | Better Health | $236.11 | ↓ -15% |
| Wellpoint | NJ Family Care | $664.62 | ↑ +140% |
| First Health | Commercial | $699.60 | ↑ +152% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $744.49 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $854.09 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $893.73 | ↑ +222% |
| Qualcare Inc | HMO/POS | $895.48 | ↑ +223% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $903.06 | ↑ +226% |
| Qualcare Inc | PPO/WC | $954.95 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,112.13 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,132.30 | ↑ +309% |
Visitor-reported prices
Comments
X-ray small intestine follow-through study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $218.85 | $42.60 – $498.67 |
| Cooperman Barnabas Medical Center | Livingston | $159.13 | $60.35 – $135.10 |
| Community Medical Center | Toms River | $241.82 | $60.35 – $123.95 |
| Clara Maass Medical Center | Belleville | $202.48 | $60.35 – $135.10 |
| Newark Beth Israel Medical Center | Newark | $156.43 | $43.85 – $135.10 |
| Jersey City Medical Center | Jersey City | $242.29 | $55.12 – $131.26 |
| Monmouth Medical Center | Long Branch | $255.12 | $60.35 – $127.58 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $166.85 | $60.35 – $123.95 |