Pr incision & drainage abscess simple/single 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.
$1,029.00
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.
$42.35 with Horizon Blue Cross Blue Shield of New Jersey vs $4,294.00 with Aetna — 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 | $42.35 | ↓ -99% |
| United Healthcare | Community Plan | $162.89 | ↓ -98% |
| Fidelis Care | NJ Family Care | $166.08 | ↓ -98% |
| Aetna | Better Health | $178.42 | ↓ -97% |
| Fidelis Care | Medicare Advantage | $222.93 | ↓ -97% |
| Humana | Medicare | $222.93 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $222.93 | ↓ -97% |
| Aetna | Medicare | $222.93 | ↓ -97% |
| Clover Health | Medicare Advantage | $222.93 | ↓ -97% |
| Wellpoint | Medicare Advantage | $222.93 | ↓ -97% |
| United Healthcare | Medicare | $227.39 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $341.11 | ↓ -95% |
| Wellcare | Ambetter Health Commercial | $443.63 | ↓ -94% |
| Emblem Health | Commercial | $445.86 | ↓ -93% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $565.22 | ↓ -92% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $591.57 | ↓ -91% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $602.47 | ↓ -91% |
| First Health | Commercial | $617.40 | ↓ -91% |
| Amerihealth | Local Value | $637.56 | ↓ -91% |
| Amerihealth | Regional Preferred | $867.03 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $874.65 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $874.65 | ↓ -87% |
| Qualcare Inc | PPO/WC | $895.23 | ↓ -87% |
| Cigna | HMO | $2,039.00 | ↓ -70% |
| Cigna | PPO | $2,148.00 | ↓ -69% |
| United Healthcare | Oxford Metro | $2,626.00 | ↓ -62% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -61% |
| United Healthcare | Nexus | $2,788.00 | ↓ -59% |
| United Healthcare | Oxford Commercial | $3,089.00 | ↓ -55% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -52% |
| United Healthcare | Commercial | $3,280.00 | ↓ -52% |
| Aetna | PPO | $4,294.00 | ↓ -37% |
| Aetna | HMO | $4,294.00 | ↓ -37% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $43.37 – $432.15 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $41.84 – $443.63 |
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $368.00 |
| Hackensack University Medical Center | Hackensack | $234.00 | $187.20 – $245.70 |
| Ocean University Medical Center | Brick | $217.16 | $198.70 – $368.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $220.12 | $51.02 – $233.67 |
| Jersey Shore University Medical Center | Neptune City | $219.93 | $219.93 – $263.92 |
| Palisades Medical Center | North Bergen | $234.00 | $233.67 – $255.06 |