Lower Back (Lumbar Spine) CT scan (with contrast) at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$514.49
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.
$2,428.00
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.
$279.10 with Horizon Blue Cross Blue Shield of New Jersey vs $2,063.80 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 | $279.10 | ↓ -46% |
| Cigna | HMO | $281.00 | ↓ -45% |
| Cigna | PPO | $296.00 | ↓ -42% |
| Aetna | PPO | $320.59 | ↓ -38% |
| Aetna | HMO | $320.59 | ↓ -38% |
| United Healthcare | Community Plan | $384.35 | ↓ -25% |
| Fidelis Care | NJ Family Care | $391.87 | ↓ -24% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $400.67 | ↓ -22% |
| Humana | Medicare | $400.67 | ↓ -22% |
| Aetna | Medicare | $400.67 | ↓ -22% |
| Wellpoint | Medicare Advantage | $400.67 | ↓ -22% |
| Clover Health | Medicare Advantage | $400.67 | ↓ -22% |
| Fidelis Care | Medicare Advantage | $400.67 | ↓ -22% |
| United Healthcare | Medicare | $408.68 | ↓ -21% |
| Aetna | Better Health | $421.01 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $442.62 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $442.62 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $442.62 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $442.62 | ↓ -14% |
| Amerihealth | Regional Preferred | $451.73 | ↓ -12% |
| Amerihealth | Local Value | $451.73 | ↓ -12% |
| United Healthcare | Oxford Metro | $493.70 | ↓ -4% |
| United Healthcare | Nexus | $493.70 | ↓ -4% |
| United Healthcare | Commercial | $603.32 | ↑ +17% |
| United Healthcare | Oxford Commercial | $603.32 | ↑ +17% |
| Qualcare Inc | PPO/WC | $726.00 | ↑ +41% |
| Wellcare | Ambetter Health Commercial | $797.33 | ↑ +55% |
| Emblem Health | Commercial | $801.34 | ↑ +56% |
| Wellpoint | NJ Family Care | $1,383.96 | ↑ +169% |
| First Health | Commercial | $1,456.80 | ↑ +183% |
| Qualcare Inc | HMO/POS | $1,797.00 | ↑ +249% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,063.80 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,063.80 | ↑ +301% |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $448.22 | $89.95 – $780.60 |
| Community Medical Center | Toms River | $495.27 | $221.00 – $776.70 |
| Clara Maass Medical Center | Belleville | $768.74 | $221.00 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $505.75 | $92.60 – $801.34 |
| Jersey City Medical Center | Jersey City | $496.22 | $116.41 – $836.95 |
| Monmouth Medical Center | Long Branch | $522.49 | $221.00 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $347.76 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $253.01 – $2,426.69 |