Psytx pt w/e&m 16-37 min at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$61.02
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.
$288.00
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.
$46.48 with Fidelis Care vs $244.80 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $46.48 | ↓ -24% |
| Aetna | Better Health | $49.93 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $81.62 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $95.47 | ↑ +56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $158.19 | ↑ +159% |
| Wellpoint | NJ Family Care | $164.16 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $165.57 | ↑ +171% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $168.62 | ↑ +176% |
| First Health | Commercial | $172.80 | ↑ +183% |
| Amerihealth | Local Value | $178.44 | ↑ +192% |
| Amerihealth | Regional Preferred | $178.44 | ↑ +192% |
| Cigna | HMO | $198.80 | ↑ +226% |
| Cigna | PPO | $209.40 | ↑ +243% |
| Aetna | PPO | $210.24 | ↑ +245% |
| Aetna | HMO | $210.24 | ↑ +245% |
| Qualcare Inc | HMO/POS | $221.18 | ↑ +262% |
| Qualcare Inc | PPO/WC | $235.87 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $244.80 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $244.80 | ↑ +301% |
Visitor-reported prices
Comments
Psytx pt w/e&m 16-37 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $54.05 | $80.03 – $83.25 |
| Newark Beth Israel Medical Center | Newark | $59.99 | $81.62 – $81.62 |
| Jersey City Medical Center | Jersey City | $59.84 | $81.62 – $107.74 |
| Monmouth Medical Center | Long Branch | $63.01 | $81.62 – $81.62 |
| Community Medical Center | Toms River | not published | $81.62 – $81.62 |
| Clara Maass Medical Center | Belleville | not published | $81.62 – $81.62 |
| Childrens Specialized Hospital | Mountainside | not published | $165.00 – $165.00 |
| Bayshore Medical Center | Holmdel | not published | $267.00 – $267.00 |