Assay of PSA complexed at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$20.23
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.
$228.00
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.
$8.64 with United Healthcare vs $193.80 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| United Healthcare | Nexus | $8.64 | ↓ -57% |
| United Healthcare | Oxford Metro | $8.64 | ↓ -57% |
| United Healthcare | Oxford Commercial | $10.11 | ↓ -50% |
| United Healthcare | Commercial | $10.11 | ↓ -50% |
| United Healthcare | Community Plan | $15.45 | ↓ -24% |
| Fidelis Care | NJ Family Care | $15.74 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $17.09 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $18.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $18.39 | ↓ -9% |
| Aetna | Medicare | $18.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $18.39 | ↓ -9% |
| Humana | Medicare | $18.39 | ↓ -9% |
| Wellpoint | Medicare Advantage | $18.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $18.39 | ↓ -9% |
| Clover Health | Medicare Advantage | $18.39 | ↓ -9% |
| Fidelis Care | Medicare Advantage | $18.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $18.39 | ↓ -9% |
| United Healthcare | Medicare | $18.76 | ↓ -7% |
| Aetna | PPO | $22.62 | ↑ +12% |
| Aetna | HMO | $22.62 | ↑ +12% |
| Wellcare | Ambetter Health Commercial | $36.60 | ↑ +81% |
| Emblem Health | Commercial | $36.78 | ↑ +82% |
| Aetna | Better Health | $39.53 | ↑ +95% |
| Amerihealth | Local Value | $50.46 | ↑ +149% |
| Amerihealth | Regional Preferred | $50.46 | ↑ +149% |
| Cigna | HMO | $74.78 | ↑ +270% |
| Cigna | PPO | $74.78 | ↑ +270% |
| Wellpoint | NJ Family Care | $129.96 | ↑ +542% |
| First Health | Commercial | $136.80 | ↑ +576% |
| Qualcare Inc | HMO/POS | $175.10 | ↑ +766% |
| Qualcare Inc | PPO/WC | $186.73 | ↑ +823% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $193.80 | ↑ +858% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $193.80 | ↑ +858% |
Visitor-reported prices
Comments
Assay of PSA complexed at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $20.23 | $8.64 – $79.43 |
| Community Medical Center | Toms River | $20.23 | $8.64 – $74.78 |
| Clara Maass Medical Center | Belleville | $20.23 | $8.64 – $74.78 |
| Newark Beth Israel Medical Center | Newark | $20.23 | $8.64 – $74.78 |
| Jersey City Medical Center | Jersey City | $20.23 | $8.64 – $74.78 |
| Monmouth Medical Center | Long Branch | $20.23 | $8.64 – $74.78 |
| Bayshore Medical Center | Holmdel | $18.39 | $18.39 – $84.27 |
| Hackensack University Medical Center | Hackensack | $18.39 | $14.71 – $82.58 |