Change cystostomy tube; complex 51710 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.
?
What you pay up front if you don't use insurance.
$2,806.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$127.00 with Horizon Blue Cross Blue Shield of New Jersey vs $4,294.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $127.00 | ↓ -98% |
| United Healthcare | Community Plan | $697.29 | ↓ -87% |
| Fidelis Care | NJ Family Care | $710.75 | ↓ -87% |
| Fidelis Care | Medicare Advantage | $738.80 | ↓ -86% |
| Clover Health | Medicare Advantage | $738.80 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $738.80 | ↓ -86% |
| Aetna | Medicare | $738.80 | ↓ -86% |
| Wellpoint | Medicare Advantage | $738.80 | ↓ -86% |
| Humana | Medicare | $738.80 | ↓ -86% |
| United Healthcare | Medicare | $744.05 | ↓ -86% |
| Aetna | Better Health | $763.79 | ↓ -86% |
| Emblem Health | Commercial | $1,292.90 | ↓ -76% |
| Wellcare | Ambetter Health Commercial | $1,470.21 | ↓ -73% |
| Amerihealth | Local Value | $1,571.07 | ↓ -71% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,616.81 | ↓ -70% |
| First Health | Commercial | $1,683.60 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,837.08 | ↓ -66% |
| Amerihealth | Regional Preferred | $1,850.27 | ↓ -66% |
| Cigna | Local Plus | $1,893.00 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,946.80 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,965.32 | ↓ -64% |
| Cigna | HMO | $2,405.00 | ↓ -56% |
| Qualcare Inc | PPO/WC | $2,441.22 | ↓ -55% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -54% |
| Cigna | PPO | $2,533.00 | ↓ -53% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,641.84 | ↓ -51% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,713.68 | ↓ -50% |
| United Healthcare | Nexus | $2,806.00 | ↓ -48% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -46% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| United Healthcare | Commercial | $3,301.00 | ↓ -39% |
| Aetna | PPO | $4,294.00 | ↓ -21% |
| Aetna | HMO | $4,294.00 | ↓ -21% |
Visitor-reported prices
Comments
Change cystostomy tube; complex 51710 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $70.30 – $1,458.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $64.28 – $1,497.70 |
| Community Medical Center | Toms River | $3,786.00 | $65.82 – $1,451.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $63.50 – $1,490.21 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $72.37 – $1,497.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $69.70 – $1,564.24 |
| Bayshore Medical Center | Holmdel | $738.80 | $368.00 – $886.55 |
| Hackensack University Medical Center | Hackensack | $786.05 | $169.68 – $825.36 |