Radphm lcl tumor plr sgl day at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$451.77
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.
$2,132.00
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.
$224.68 with Horizon Blue Cross Blue Shield of New Jersey vs $1,812.20 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $224.68 | ↓ -50% |
| Amerihealth | Local Value | $241.95 | ↓ -46% |
| Amerihealth | Regional Preferred | $241.95 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $261.77 | ↓ -42% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $261.77 | ↓ -42% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $261.77 | ↓ -42% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $261.77 | ↓ -42% |
| United Healthcare | Community Plan | $337.49 | ↓ -25% |
| Fidelis Care | NJ Family Care | $344.10 | ↓ -24% |
| Aetna | Better Health | $369.68 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $450.82 | ↓ -0% |
| Humana | Medicare | $450.82 | ↓ -0% |
| Aetna | Medicare | $450.82 | ↓ -0% |
| Wellpoint | Medicare Advantage | $450.82 | ↓ -0% |
| Clover Health | Medicare Advantage | $450.82 | ↓ -0% |
| Fidelis Care | Medicare Advantage | $450.82 | ↓ -0% |
| United Healthcare | Medicare | $459.84 | ↑ +2% |
| United Healthcare | Oxford Metro | $520.83 | ↑ +15% |
| United Healthcare | Nexus | $520.83 | ↑ +15% |
| Aetna | HMO | $552.59 | ↑ +22% |
| Aetna | PPO | $552.59 | ↑ +22% |
| United Healthcare | Oxford Commercial | $581.65 | ↑ +29% |
| United Healthcare | Commercial | $581.65 | ↑ +29% |
| Qualcare Inc | PPO/WC | $828.00 | ↑ +83% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +83% |
| Wellcare | Ambetter Health Commercial | $897.13 | ↑ +99% |
| Emblem Health | Commercial | $901.64 | ↑ +100% |
| Cigna | HMO | $1,051.73 | ↑ +133% |
| Cigna | PPO | $1,051.73 | ↑ +133% |
| Wellpoint | NJ Family Care | $1,215.24 | ↑ +169% |
| First Health | Commercial | $1,279.20 | ↑ +183% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,812.20 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,812.20 | ↑ +301% |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $203.68 – $1,166.24 |