Pelvic ring fracture uni/bil at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
not published by hospital
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.
not published by hospital
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.
$5,145.00 with United Healthcare vs $16,029.38 with Emblem Health — 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 |
|---|---|---|---|
| United Healthcare | Oxford Metro | $5,145.00 | — |
| United Healthcare | Nexus | $5,463.00 | — |
| United Healthcare | Oxford Commercial | $6,053.00 | — |
| United Healthcare | Commercial | $6,427.00 | — |
| Wellpoint | Medicare Advantage | $8,014.69 | — |
| Humana | Medicare | $8,014.69 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $8,014.69 | — |
| Fidelis Care | Medicare Advantage | $8,014.69 | — |
| Clover Health | Medicare Advantage | $8,014.69 | — |
| Aetna | Medicare | $8,014.69 | — |
| United Healthcare | Medicare | $8,174.98 | — |
| Aetna | HMO | $8,466.00 | — |
| Aetna | PPO | $8,466.00 | — |
| Cigna | HMO | $9,673.00 | — |
| Cigna | PPO | $10,188.00 | — |
| Wellcare | Ambetter Health Commercial | $15,949.23 | — |
| Emblem Health | Commercial | $16,029.38 | — |
| Aetna | Better Health | not published by hospital | — |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Self Pay | Self Pay | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Fidelis Care | NJ Family Care | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic ring fracture uni/bil at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,913.97 | $1,932.31 – $7,913.97 |
| Jersey Shore University Medical Center | Neptune City | $7,907.11 | $1,872.64 – $9,488.53 |
| Palisades Medical Center | North Bergen | $8,412.89 | $1,932.31 – $9,170.04 |
| Raritan Bay Medical Center | Perth Amboy | $7,913.97 | $1,932.31 – $9,496.76 |
| Riverview Medical Center | Red Bank | $7,907.11 | $1,872.64 – $9,488.53 |
| Southern Ocean Medical Center | Manahawkin | $7,807.24 | $1,872.64 – $9,368.69 |
| Trinitas Regional Medical Center | Elizabeth | not published | $545.72 – $15,614.48 |
| Community Medical Center | Toms River | not published | $7,807.24 – $15,536.41 |