Cad breast MRI w/r&i at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
not published by hospital
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.
not published by hospital
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.
$0.64 with Aetna vs $406.18 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 |
|---|---|---|---|
| Aetna | PPO | $0.64 | — |
| Aetna | HMO | $0.64 | — |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $42.00 | — |
| United Healthcare | Community Plan | $104.37 | — |
| Fidelis Care | NJ Family Care | $106.38 | — |
| Aetna | Better Health | $114.32 | — |
| Wellpoint | NJ Family Care | $239.40 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $242.00 | — |
| First Health | Commercial | $252.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $274.97 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $291.39 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $294.16 | — |
| Amerihealth | Local Value | $313.48 | — |
| Amerihealth | Regional Preferred | $313.48 | — |
| Qualcare Inc | HMO/POS | $322.56 | — |
| Qualcare Inc | PPO/WC | $343.98 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $395.43 | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $406.18 | — |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | not published | $0.64 – $0.64 |
| Community Medical Center | Toms River | not published | $0.62 – $0.62 |
| Clara Maass Medical Center | Belleville | not published | $0.64 – $0.64 |
| Newark Beth Israel Medical Center | Newark | not published | $0.64 – $0.64 |
| Jersey City Medical Center | Jersey City | not published | $0.62 – $0.62 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $0.62 – $0.62 |
| Monmouth Medical Center Southern Campus | Lakewood | not published | $0.64 – $0.64 |
| Robert Wood Johnson University Hospital | New Brunswick | not published | $0.65 – $0.65 |