Ins pm gen exist dual lead at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$6,839.00
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.
$44,593.00
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.
$3,266.00 with Wellpoint vs $52,449.00 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -52% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -39% |
| United Healthcare | Community Plan | $7,059.07 | ↑ +3% |
| Fidelis Care | NJ Family Care | $7,197.31 | ↑ +5% |
| Aetna | Better Health | $7,732.42 | ↑ +13% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $16,392.00 | ↑ +140% |
| Fidelis Care | Medicare Advantage | $25,182.83 | ↑ +268% |
| Wellpoint | Medicare Advantage | $25,182.83 | ↑ +268% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $25,182.83 | ↑ +268% |
| Clover Health | Medicare Advantage | $25,182.83 | ↑ +268% |
| Aetna | Medicare | $25,182.83 | ↑ +268% |
| Humana | Medicare | $25,182.83 | ↑ +268% |
| United Healthcare | Medicare | $25,686.49 | ↑ +276% |
| First Health | Commercial | $26,755.80 | ↑ +291% |
| Amerihealth | Local Value | $27,893.00 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $29,198.00 | ↑ +327% |
| Cigna | HMO | $34,046.00 | ↑ +398% |
| Amerihealth | Regional Preferred | $34,867.00 | ↑ +410% |
| Cigna | PPO | $35,859.00 | ↑ +424% |
| United Healthcare | Oxford Metro | $37,369.00 | ↑ +446% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $37,904.05 | ↑ +454% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $37,904.05 | ↑ +454% |
| United Healthcare | Nexus | $39,676.00 | ↑ +480% |
| Aetna | PPO | $41,712.00 | ↑ +510% |
| Aetna | HMO | $41,712.00 | ↑ +510% |
| United Healthcare | Oxford Commercial | $43,964.00 | ↑ +543% |
| United Healthcare | Commercial | $46,678.00 | ↑ +583% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $49,251.00 | ↑ +620% |
| Wellcare | Ambetter Health Commercial | $50,113.83 | ↑ +633% |
| Emblem Health | Commercial | $50,365.66 | ↑ +636% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $51,497.00 | ↑ +653% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $52,449.00 | ↑ +667% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $186.90 – $49,061.98 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $192.40 – $50,365.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $241.88 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Bayshore Medical Center | Holmdel | $24,844.79 | $24,844.79 – $29,813.75 |
| Hackensack University Medical Center | Hackensack | $26,433.98 | $780.17 – $27,755.68 |