Bx pleura pq ndl at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$5,419.00
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.
$4,375.00
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.
$96.43 with Horizon Blue Cross Blue Shield of New Jersey vs $4,523.00 with United Healthcare — 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 | $96.43 | ↓ -98% |
| United Healthcare | Community Plan | $1,087.18 | ↓ -80% |
| Fidelis Care | NJ Family Care | $1,108.18 | ↓ -80% |
| Aetna | Better Health | $1,190.87 | ↓ -78% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,793.38 | ↓ -67% |
| Humana | Medicare | $1,793.38 | ↓ -67% |
| Aetna | Medicare | $1,793.38 | ↓ -67% |
| Wellpoint | Medicare Advantage | $1,793.38 | ↓ -67% |
| Clover Health | Medicare Advantage | $1,793.38 | ↓ -67% |
| Fidelis Care | Medicare Advantage | $1,793.38 | ↓ -67% |
| United Healthcare | Medicare | $1,806.14 | ↓ -67% |
| Cigna | Local Plus | $1,893.00 | ↓ -65% |
| Cigna | HMO | $2,405.00 | ↓ -56% |
| Amerihealth | Local Value | $2,449.56 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,520.87 | ↓ -53% |
| Cigna | PPO | $2,533.00 | ↓ -53% |
| First Health | Commercial | $2,625.00 | ↓ -52% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,864.31 | ↓ -47% |
| Amerihealth | Regional Preferred | $2,884.87 | ↓ -47% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,035.37 | ↓ -44% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,064.25 | ↓ -43% |
| Emblem Health | Commercial | $3,138.42 | ↓ -42% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| United Healthcare | Oxford Metro | $3,417.00 | ↓ -37% |
| Wellcare | Ambetter Health Commercial | $3,568.83 | ↓ -34% |
| Qualcare Inc | PPO/WC | $3,806.25 | ↓ -30% |
| United Healthcare | Nexus | $3,845.00 | ↓ -29% |
| United Healthcare | Oxford Commercial | $4,020.00 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,119.06 | ↓ -24% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,231.06 | ↓ -22% |
| Aetna | PPO | $4,294.00 | ↓ -21% |
| Aetna | HMO | $4,294.00 | ↓ -21% |
| United Healthcare | Commercial | $4,523.00 | ↓ -17% |
Visitor-reported prices
Comments
Bx pleura pq ndl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $86.55 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $48.80 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $49.98 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $48.22 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $88.49 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $52.92 – $3,797.10 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |
| Hackensack University Medical Center | Hackensack | $1,908.09 | $172.03 – $2,003.50 |