Electrophysiology evaluation at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$1,614.46
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.
$7,619.00
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.
$1,206.08 with United Healthcare vs $10,843.12 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 | $1,206.08 | ↓ -25% |
| Fidelis Care | NJ Family Care | $1,229.70 | ↓ -24% |
| Aetna | Better Health | $1,321.13 | ↓ -18% |
| Clover Health | Medicare Advantage | $1,362.00 | ↓ -16% |
| Wellpoint | Medicare Advantage | $1,362.00 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,362.00 | ↓ -16% |
| Humana | Medicare | $1,362.00 | ↓ -16% |
| Fidelis Care | Medicare Advantage | $1,362.00 | ↓ -16% |
| Aetna | Medicare | $1,362.00 | ↓ -16% |
| United Healthcare | Medicare | $1,389.24 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,525.69 | ↑ +56% |
| Wellcare | Ambetter Health Commercial | $2,710.38 | ↑ +68% |
| Emblem Health | Commercial | $2,724.00 | ↑ +69% |
| United Healthcare | Oxford Metro | $3,670.00 | ↑ +127% |
| United Healthcare | Nexus | $3,896.00 | ↑ +141% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,185.11 | ↑ +159% |
| United Healthcare | Oxford Commercial | $4,318.00 | ↑ +167% |
| Wellpoint | NJ Family Care | $4,342.83 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,380.16 | ↑ +171% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,460.92 | ↑ +176% |
| First Health | Commercial | $4,571.40 | ↑ +183% |
| United Healthcare | Commercial | $4,584.00 | ↑ +184% |
| Amerihealth | Local Value | $4,720.73 | ↑ +192% |
| Amerihealth | Regional Preferred | $4,720.73 | ↑ +192% |
| Cigna | HMO | $5,259.39 | ↑ +226% |
| Cigna | PPO | $5,539.77 | ↑ +243% |
| Qualcare Inc | HMO/POS | $5,851.39 | ↑ +262% |
| Qualcare Inc | PPO/WC | $6,239.96 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,476.15 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,476.15 | ↑ +301% |
| Aetna | PPO | $10,182.00 | ↑ +531% |
| Aetna | HMO | $10,182.00 | ↑ +531% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $10,843.12 | ↑ +572% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clara Maass Medical Center | Belleville | $3,430.03 | $1,362.00 – $2,710.38 |
| Newark Beth Israel Medical Center | Newark | $1,587.03 | $171.08 – $2,724.00 |
| Jersey City Medical Center | Jersey City | $1,053.13 | $215.07 – $2,845.04 |
| Bayshore Medical Center | Holmdel | $1,343.72 | $1,343.72 – $1,612.46 |
| Hackensack University Medical Center | Hackensack | $1,429.67 | $561.02 – $1,501.15 |
| Ocean University Medical Center | Brick | $1,326.75 | $104.00 – $1,592.09 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,344.88 | $104.00 – $1,344.88 |
| Jersey Shore University Medical Center | Neptune City | $1,343.72 | $543.07 – $1,612.46 |