Whfo w/joint(s) custom fab at Cooperman Barnabas Medical Center
94 Old Short Hills Rd, Livingston, NJ · RWJBarnabas Health · · NPI 1396857488
$364.79
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.
$1,721.55
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.
$272.52 with United Healthcare vs $1,032.93 with First Health — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $272.52 | ↓ -25% |
| Fidelis Care | NJ Family Care | $277.85 | ↓ -24% |
| Aetna | Better Health | $298.51 | ↓ -18% |
| Aetna | Medicare | $486.17 | ↑ +33% |
| Clover Health | Medicare Advantage | $486.17 | ↑ +33% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $486.17 | ↑ +33% |
| Fidelis Care | Medicare Advantage | $486.17 | ↑ +33% |
| Humana | Medicare | $486.17 | ↑ +33% |
| Wellpoint | Medicare Advantage | $486.17 | ↑ +33% |
| United Healthcare | Medicare | $495.89 | ↑ +36% |
| United Healthcare | Nexus | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $688.62 | ↑ +89% |
| United Healthcare | Commercial | $688.62 | ↑ +89% |
| United Healthcare | Oxford Commercial | $688.62 | ↑ +89% |
| United Healthcare | Oxford Metro | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $688.62 | ↑ +89% |
| Cigna | PPO | $688.62 | ↑ +89% |
| Cigna | HMO | $688.62 | ↑ +89% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $688.62 | ↑ +89% |
| Aetna | PPO | $791.91 | ↑ +117% |
| Aetna | HMO | $791.91 | ↑ +117% |
| Qualcare Inc | PPO/WC | $860.77 | ↑ +136% |
| Amerihealth | Local Value | $860.77 | ↑ +136% |
| Amerihealth | Regional Preferred | $860.77 | ↑ +136% |
| Wellpoint | NJ Family Care | $860.77 | ↑ +136% |
| Qualcare Inc | HMO/POS | $860.77 | ↑ +136% |
| Wellcare | Ambetter Health Commercial | $967.48 | ↑ +165% |
| Emblem Health | Commercial | $972.34 | ↑ +167% |
| First Health | Commercial | $1,032.93 | ↑ +183% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $452.38 | $289.21 – $967.48 |
| Community Medical Center | Toms River | $357.04 | $486.17 – $967.48 |
| Clara Maass Medical Center | Belleville | $342.41 | $486.17 – $967.48 |
| Newark Beth Israel Medical Center | Newark | $358.59 | $297.72 – $967.48 |
| Jersey City Medical Center | Jersey City | $357.73 | $374.27 – $967.48 |
| Monmouth Medical Center | Long Branch | $376.67 | $486.17 – $967.48 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $395.02 | $486.17 – $967.48 |
| Monmouth Medical Center Southern Campus | Lakewood | $409.21 | $486.17 – $967.48 |