ER Visit (level 2) at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$324.41
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.
$1,531.00
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.
$140.00 with Horizon Blue Cross Blue Shield of New Jersey vs $2,912.00 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 | $140.00 | ↓ -57% |
| Humana | Medicare | $177.67 | ↓ -45% |
| Aetna | Medicare | $177.67 | ↓ -45% |
| Fidelis Care | Medicare Advantage | $177.67 | ↓ -45% |
| Wellpoint | Medicare Advantage | $177.67 | ↓ -45% |
| Clover Health | Medicare Advantage | $177.67 | ↓ -45% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $177.67 | ↓ -45% |
| United Healthcare | Medicare | $181.22 | ↓ -44% |
| United Healthcare | Community Plan | $242.35 | ↓ -25% |
| Fidelis Care | NJ Family Care | $247.10 | ↓ -24% |
| Aetna | Better Health | $265.47 | ↓ -18% |
| Wellcare | Ambetter Health Commercial | $353.56 | ↑ +9% |
| Emblem Health | Commercial | $398.00 | ↑ +23% |
| Cigna | HMO | $400.00 | ↑ +23% |
| Cigna | PPO | $421.00 | ↑ +30% |
| United Healthcare | Oxford Metro | $570.00 | ↑ +76% |
| United Healthcare | Nexus | $605.00 | ↑ +86% |
| Aetna | PPO | $614.00 | ↑ +89% |
| Aetna | HMO | $614.00 | ↑ +89% |
| Wellpoint | NJ Family Care | $620.00 | ↑ +91% |
| United Healthcare | Oxford Commercial | $671.00 | ↑ +107% |
| United Healthcare | Commercial | $712.00 | ↑ +119% |
| First Health | Commercial | $918.60 | ↑ +183% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,000.00 | ↑ +208% |
| Qualcare Inc | PPO/WC | $1,253.88 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,301.35 | ↑ +301% |
| Amerihealth | Local Value | $1,343.00 | ↑ +314% |
| Qualcare Inc | HMO/POS | $1,387.00 | ↑ +328% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,456.00 | ↑ +349% |
| Amerihealth | Regional Preferred | $1,637.00 | ↑ +405% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,960.00 | ↑ +504% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,859.00 | ↑ +781% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,912.00 | ↑ +798% |
Visitor-reported prices
Comments
ER Visit (level 2) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $267.84 | $20.76 – $400.00 |
| Community Medical Center | Toms River | $295.95 | $173.07 – $1,387.00 |
| Clara Maass Medical Center | Belleville | $313.26 | $177.67 – $1,387.00 |
| Newark Beth Israel Medical Center | Newark | $318.90 | $21.37 – $1,387.00 |
| Jersey City Medical Center | Jersey City | $296.53 | $26.86 – $1,387.00 |
| Monmouth Medical Center | Long Branch | $312.22 | $175.28 – $1,387.00 |
| Bayshore Medical Center | Holmdel | $175.28 | $175.28 – $1,522.00 |
| Hackensack University Medical Center | Hackensack | $186.49 | $69.41 – $1,522.00 |