Inj hrt cath w/s&i sel left vent at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$185.20
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.
$874.00
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.
$37.90 with Horizon Blue Cross Blue Shield of New Jersey vs $3,280.00 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $37.90 | ↓ -80% |
| Aetna | HMO | $53.95 | ↓ -71% |
| Aetna | PPO | $53.95 | ↓ -71% |
| United Healthcare | Community Plan | $138.35 | ↓ -25% |
| Fidelis Care | NJ Family Care | $141.06 | ↓ -24% |
| Aetna | Better Health | $151.55 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $289.73 | ↑ +56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $480.08 | ↑ +159% |
| Wellpoint | NJ Family Care | $498.18 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $502.46 | ↑ +171% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $511.72 | ↑ +176% |
| First Health | Commercial | $524.40 | ↑ +183% |
| Qualcare Inc | HMO/POS | $671.23 | ↑ +262% |
| Qualcare Inc | PPO/WC | $715.80 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $742.90 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $742.90 | ↑ +301% |
| United Healthcare | Oxford Metro | $2,626.00 | ↑ +1318% |
| United Healthcare | Nexus | $2,788.00 | ↑ +1405% |
| United Healthcare | Oxford Commercial | $3,089.00 | ↑ +1568% |
| United Healthcare | Commercial | $3,280.00 | ↑ +1671% |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Inj hrt cath w/s&i sel left vent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $98.35 | $13.29 – $59.59 |
| Clara Maass Medical Center | Belleville | $58.87 | $37.44 – $53.95 |
| Newark Beth Israel Medical Center | Newark | $182.05 | $13.68 – $68.72 |
| Jersey City Medical Center | Jersey City | $108.88 | $17.20 – $52.63 |
| Robert Wood Johnson University Hospital | New Brunswick | $186.42 | $17.48 – $54.83 |
| Community Medical Center | Toms River | not published | $38.81 – $52.63 |
| Monmouth Medical Center | Long Branch | not published | $53.95 – $74.88 |
| Bayshore Medical Center | Holmdel | not published | not published |