Mnt subs tx for change dx at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$31.99
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.
$151.00
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.
$12.95 with Horizon Blue Cross Blue Shield of New Jersey vs $232.00 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 | $12.95 | ↓ -60% |
| United Healthcare | Community Plan | $23.90 | ↓ -25% |
| Fidelis Care | NJ Family Care | $24.37 | ↓ -24% |
| Aetna | Better Health | $26.18 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $50.05 | ↑ +56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $82.94 | ↑ +159% |
| Wellpoint | NJ Family Care | $86.07 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $86.80 | ↑ +171% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $88.41 | ↑ +176% |
| First Health | Commercial | $90.60 | ↑ +183% |
| Amerihealth | Local Value | $93.55 | ↑ +192% |
| Amerihealth | Regional Preferred | $93.55 | ↑ +192% |
| Cigna | HMO | $104.23 | ↑ +226% |
| Cigna | PPO | $109.79 | ↑ +243% |
| Aetna | HMO | $110.23 | ↑ +245% |
| Aetna | PPO | $110.23 | ↑ +245% |
| Qualcare Inc | HMO/POS | $115.96 | ↑ +262% |
| Qualcare Inc | PPO/WC | $123.66 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $128.35 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $128.35 | ↑ +301% |
| United Healthcare | Oxford Metro | $197.00 | ↑ +516% |
| United Healthcare | Nexus | $197.00 | ↑ +516% |
| United Healthcare | Oxford Commercial | $232.00 | ↑ +625% |
| United Healthcare | Commercial | $232.00 | ↑ +625% |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $34.61 | $15.60 – $792.00 |
| Jersey Shore University Medical Center | Neptune City | $34.61 | $27.69 – $443.00 |
| Palisades Medical Center | North Bergen | $34.61 | $15.37 – $981.00 |
| Raritan Bay Medical Center | Perth Amboy | $34.61 | $19.50 – $308.00 |
| Riverview Medical Center | Red Bank | $34.61 | $34.61 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $34.61 | $34.61 – $465.00 |
| Trinitas Regional Medical Center | Elizabeth | not published | $20.36 – $197.00 |
| Community Medical Center | Toms River | not published | $13.26 – $197.00 |