CT colonography screening at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$381.80
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.
$1,745.00
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.
$221.00 with Cigna vs $1,797.00 with Qualcare Inc — 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 |
|---|---|---|---|
| Cigna | Local Plus | $221.00 | ↓ -42% |
| Humana | Medicare | $267.55 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $267.55 | ↓ -30% |
| Aetna | Medicare | $267.55 | ↓ -30% |
| Wellpoint | Medicare Advantage | $267.55 | ↓ -30% |
| Clover Health | Medicare Advantage | $267.55 | ↓ -30% |
| Fidelis Care | Medicare Advantage | $267.55 | ↓ -30% |
| United Healthcare | Medicare | $269.45 | ↓ -29% |
| Cigna | HMO | $281.00 | ↓ -26% |
| Cigna | PPO | $296.00 | ↓ -22% |
| Amerihealth | Regional Preferred | $419.56 | ↑ +10% |
| Amerihealth | Local Value | $419.56 | ↑ +10% |
| United Healthcare | Community Plan | $433.63 | ↑ +14% |
| Fidelis Care | NJ Family Care | $442.00 | ↑ +16% |
| Emblem Health | Commercial | $468.21 | ↑ +23% |
| Aetna | Better Health | $474.98 | ↑ +24% |
| Wellcare | Ambetter Health Commercial | $532.42 | ↑ +39% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $558.80 | ↑ +46% |
| Aetna | HMO | $657.39 | ↑ +72% |
| Aetna | PPO | $657.39 | ↑ +72% |
| Qualcare Inc | PPO/WC | $726.00 | ↑ +90% |
| United Healthcare | Nexus | $788.30 | ↑ +106% |
| United Healthcare | Oxford Metro | $788.30 | ↑ +106% |
| Wellpoint | NJ Family Care | $994.65 | ↑ +161% |
| United Healthcare | Oxford Commercial | $1,020.68 | ↑ +167% |
| United Healthcare | Commercial | $1,020.68 | ↑ +167% |
| First Health | Commercial | $1,047.00 | ↑ +174% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,448.92 | ↑ +279% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,448.92 | ↑ +279% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,448.92 | ↑ +279% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,448.92 | ↑ +279% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,642.91 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,687.58 | ↑ +342% |
| Qualcare Inc | HMO/POS | $1,797.00 | ↑ +371% |
Visitor-reported prices
Comments
CT colonography screening at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $2,215.52 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $1,706.72 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $2,083.00 |
| Palisades Medical Center | North Bergen | $284.66 | $284.66 – $1,607.59 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $1,752.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $2,083.00 |