Gi tract capsule endoscopy (pillcam) 91110 at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$904.81
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.
$4,270.00
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.
$675.94 with United Healthcare vs $4,584.00 with United Healthcare — 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 | $675.94 | ↓ -25% |
| Fidelis Care | NJ Family Care | $689.17 | ↓ -24% |
| Aetna | Better Health | $740.41 | ↓ -18% |
| Fidelis Care | Medicare Advantage | $1,051.87 | ↑ +16% |
| Humana | Medicare | $1,051.87 | ↑ +16% |
| Aetna | Medicare | $1,051.87 | ↑ +16% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,051.87 | ↑ +16% |
| Wellpoint | Medicare Advantage | $1,051.87 | ↑ +16% |
| Clover Health | Medicare Advantage | $1,051.87 | ↑ +16% |
| United Healthcare | Medicare | $1,072.91 | ↑ +19% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,110.54 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,415.50 | ↑ +56% |
| Wellcare | Ambetter Health Commercial | $2,093.22 | ↑ +131% |
| Emblem Health | Commercial | $2,103.74 | ↑ +133% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,345.51 | ↑ +159% |
| Wellpoint | NJ Family Care | $2,433.90 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,454.82 | ↑ +171% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,500.08 | ↑ +176% |
| First Health | Commercial | $2,562.00 | ↑ +183% |
| Amerihealth | Local Value | $2,645.69 | ↑ +192% |
| Amerihealth | Regional Preferred | $2,645.69 | ↑ +192% |
| Cigna | HMO | $2,947.58 | ↑ +226% |
| Cigna | PPO | $3,104.71 | ↑ +243% |
| Aetna | PPO | $3,117.10 | ↑ +245% |
| Aetna | HMO | $3,117.10 | ↑ +245% |
| Qualcare Inc | HMO/POS | $3,279.36 | ↑ +262% |
| Qualcare Inc | PPO/WC | $3,497.13 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,629.50 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,629.50 | ↑ +301% |
| United Healthcare | Oxford Metro | $3,670.00 | ↑ +306% |
| United Healthcare | Nexus | $3,896.00 | ↑ +331% |
| United Healthcare | Oxford Commercial | $4,318.00 | ↑ +377% |
| United Healthcare | Commercial | $4,584.00 | ↑ +407% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $862.29 | $381.94 – $2,049.28 |
| Community Medical Center | Toms River | $952.79 | $1,024.64 – $2,039.03 |
| Clara Maass Medical Center | Belleville | $752.43 | $1,051.87 – $2,093.22 |
| Newark Beth Israel Medical Center | Newark | $889.44 | $393.17 – $2,103.74 |
| Jersey City Medical Center | Jersey City | $954.63 | $494.27 – $2,197.22 |
| Monmouth Medical Center | Long Branch | $1,005.16 | $1,037.75 – $2,065.12 |
| Bayshore Medical Center | Holmdel | $1,037.75 | $1,037.75 – $1,245.30 |
| Hackensack University Medical Center | Hackensack | $1,104.13 | $883.30 – $1,317.51 |