Critical care 30-74 minutes at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$1,223.72
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.
$5,775.00
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.
$914.18 with United Healthcare vs $4,908.75 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $914.18 | ↓ -25% |
| Fidelis Care | NJ Family Care | $932.08 | ↓ -24% |
| Wellpoint | Medicare Advantage | $945.34 | ↓ -23% |
| Fidelis Care | Medicare Advantage | $945.34 | ↓ -23% |
| Aetna | Medicare | $945.34 | ↓ -23% |
| Humana | Medicare | $945.34 | ↓ -23% |
| Clover Health | Medicare Advantage | $945.34 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $945.34 | ↓ -23% |
| United Healthcare | Medicare | $964.25 | ↓ -21% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $994.00 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,000.00 | ↓ -18% |
| Aetna | Better Health | $1,001.38 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,456.00 | ↑ +19% |
| United Healthcare | Oxford Metro | $1,774.00 | ↑ +45% |
| Wellcare | Ambetter Health Commercial | $1,881.23 | ↑ +54% |
| United Healthcare | Nexus | $1,883.00 | ↑ +54% |
| Emblem Health | Commercial | $1,890.68 | ↑ +55% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,960.00 | ↑ +60% |
| United Healthcare | Oxford Commercial | $2,087.00 | ↑ +71% |
| Cigna | HMO | $2,179.00 | ↑ +78% |
| United Healthcare | Commercial | $2,215.00 | ↑ +81% |
| Cigna | PPO | $2,295.00 | ↑ +88% |
| Aetna | HMO | $2,669.00 | ↑ +118% |
| Aetna | PPO | $2,669.00 | ↑ +118% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,859.00 | ↑ +134% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,912.00 | ↑ +138% |
| Amerihealth | Local Value | $3,171.00 | ↑ +159% |
| Wellpoint | NJ Family Care | $3,291.75 | ↑ +169% |
| First Health | Commercial | $3,465.00 | ↑ +183% |
| Amerihealth | Regional Preferred | $3,867.00 | ↑ +216% |
| Qualcare Inc | HMO/POS | $4,435.20 | ↑ +262% |
| Qualcare Inc | PPO/WC | $4,729.72 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,908.75 | ↑ +301% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,044.73 | $144.26 – $1,862.00 |
| Community Medical Center | Toms River | $1,154.38 | $920.87 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $1,096.33 | $945.34 – $1,881.23 |
| Newark Beth Israel Medical Center | Newark | $1,202.93 | $148.50 – $1,890.68 |
| Jersey City Medical Center | Jersey City | $1,156.61 | $186.69 – $1,974.70 |
| Monmouth Medical Center | Long Branch | $1,217.84 | $932.65 – $1,855.97 |
| Bayshore Medical Center | Holmdel | $932.65 | $932.65 – $1,522.00 |
| Hackensack University Medical Center | Hackensack | $992.31 | $355.15 – $1,522.00 |