Oth resp proc, group at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$90.26
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.
?
What you pay up front if you don't use insurance.
$426.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$44.04 with Fidelis Care vs $383.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Fidelis Care | Medicare Advantage | $44.04 | ↓ -51% |
| Humana | Medicare | $44.04 | ↓ -51% |
| Aetna | Medicare | $44.04 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $44.04 | ↓ -51% |
| Wellpoint | Medicare Advantage | $44.04 | ↓ -51% |
| Clover Health | Medicare Advantage | $44.04 | ↓ -51% |
| United Healthcare | Medicare | $44.92 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $46.48 | ↓ -49% |
| United Healthcare | Community Plan | $67.43 | ↓ -25% |
| Fidelis Care | NJ Family Care | $68.75 | ↓ -24% |
| Aetna | Better Health | $73.86 | ↓ -18% |
| Wellcare | Ambetter Health Commercial | $87.64 | ↓ -3% |
| Emblem Health | Commercial | $88.08 | ↓ -2% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $141.21 | ↑ +56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $234.00 | ↑ +159% |
| Wellpoint | NJ Family Care | $242.82 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $244.90 | ↑ +171% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $249.42 | ↑ +176% |
| First Health | Commercial | $255.60 | ↑ +183% |
| Amerihealth | Regional Preferred | $263.94 | ↑ +192% |
| Amerihealth | Local Value | $263.94 | ↑ +192% |
| Cigna | HMO | $294.06 | ↑ +226% |
| Cigna | PPO | $309.74 | ↑ +243% |
| Aetna | PPO | $310.98 | ↑ +245% |
| Aetna | HMO | $310.98 | ↑ +245% |
| United Healthcare | Oxford Metro | $326.00 | ↑ +261% |
| United Healthcare | Nexus | $326.00 | ↑ +261% |
| Qualcare Inc | HMO/POS | $327.16 | ↑ +262% |
| Qualcare Inc | PPO/WC | $348.89 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $362.10 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $362.10 | ↑ +301% |
| United Healthcare | Oxford Commercial | $383.00 | ↑ +324% |
| United Healthcare | Commercial | $383.00 | ↑ +324% |
Visitor-reported prices
Comments
Oth resp proc, group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.81 | $42.90 – $85.80 |
| Community Medical Center | Toms River | $63.87 | $42.90 – $85.37 |
| Clara Maass Medical Center | Belleville | $71.80 | $44.04 – $87.64 |
| Monmouth Medical Center | Long Branch | $67.39 | $43.44 – $326.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $24.81 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $23.46 – $604.00 |
| Palisades Medical Center | North Bergen | $46.22 | $24.81 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $24.81 – $396.00 |