Dup scan/ue art/graft/bilat/comp 93930 at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$559.03
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.
$2,555.00
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.
$267.55 with Clover Health vs $3,391.52 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 |
|---|---|---|---|
| Clover Health | Medicare Advantage | $267.55 | ↓ -52% |
| Humana | Medicare | $267.55 | ↓ -52% |
| Wellpoint | Medicare Advantage | $267.55 | ↓ -52% |
| Fidelis Care | Medicare Advantage | $267.55 | ↓ -52% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $267.55 | ↓ -52% |
| Aetna | Medicare | $267.55 | ↓ -52% |
| United Healthcare | Medicare | $269.45 | ↓ -52% |
| Emblem Health | Commercial | $468.21 | ↓ -16% |
| Wellcare | Ambetter Health Commercial | $532.42 | ↓ -5% |
| United Healthcare | Community Plan | $634.91 | ↑ +14% |
| Fidelis Care | NJ Family Care | $647.18 | ↑ +16% |
| Aetna | Better Health | $695.47 | ↑ +24% |
| Cigna | Local Plus | $836.55 | ↑ +50% |
| Cigna | PPO | $836.55 | ↑ +50% |
| Cigna | HMO | $836.55 | ↑ +50% |
| Wellpoint | NJ Family Care | $1,456.35 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,472.19 | ↑ +163% |
| Aetna | HMO | $1,533.00 | ↑ +174% |
| First Health | Commercial | $1,533.00 | ↑ +174% |
| Aetna | PPO | $1,533.00 | ↑ +174% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,672.75 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,772.65 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,789.52 | ↑ +220% |
| Amerihealth | Local Value | $1,907.05 | ↑ +241% |
| Amerihealth | Regional Preferred | $1,907.05 | ↑ +241% |
| Qualcare Inc | HMO/POS | $1,962.24 | ↑ +251% |
| United Healthcare | Oxford Metro | $2,084.00 | ↑ +273% |
| United Healthcare | Nexus | $2,084.00 | ↑ +273% |
| Qualcare Inc | PPO/WC | $2,092.54 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,405.53 | ↑ +330% |
| United Healthcare | Commercial | $2,452.00 | ↑ +339% |
| United Healthcare | Oxford Commercial | $2,452.00 | ↑ +339% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,470.94 | ↑ +342% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,391.52 | ↑ +507% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $479.57 | $103.35 – $836.55 |
| Cooperman Barnabas Medical Center | Livingston | $547.76 | $271.19 – $836.55 |
| Community Medical Center | Toms River | $529.90 | $264.17 – $836.55 |
| Clara Maass Medical Center | Belleville | $397.20 | $271.19 – $836.55 |
| Newark Beth Israel Medical Center | Newark | $538.45 | $106.39 – $836.55 |
| Jersey City Medical Center | Jersey City | $530.92 | $133.74 – $836.55 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $4,324.00 |