Established Patient Office Visit (level 5) at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$145.50
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.
$665.00
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.
$161.06 with Horizon Blue Cross Blue Shield of New Jersey vs $643.12 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $161.06 | ↑ +11% |
| United Healthcare | Community Plan | $165.25 | ↑ +14% |
| Fidelis Care | NJ Family Care | $168.44 | ↑ +16% |
| Aetna | Better Health | $181.01 | ↑ +24% |
| United Healthcare | Oxford Metro | $191.52 | ↑ +32% |
| United Healthcare | Nexus | $191.52 | ↑ +32% |
| United Healthcare | Oxford Commercial | $224.77 | ↑ +54% |
| United Healthcare | Commercial | $224.77 | ↑ +54% |
| Cigna | Local Plus | $325.18 | ↑ +123% |
| Wellpoint | NJ Family Care | $379.05 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $383.17 | ↑ +163% |
| First Health | Commercial | $399.00 | ↑ +174% |
| Aetna | HMO | $399.00 | ↑ +174% |
| Aetna | PPO | $399.00 | ↑ +174% |
| Cigna | HMO | $413.16 | ↑ +184% |
| Cigna | PPO | $413.16 | ↑ +184% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $435.37 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $461.37 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $465.76 | ↑ +220% |
| Amerihealth | Regional Preferred | $496.35 | ↑ +241% |
| Amerihealth | Local Value | $496.35 | ↑ +241% |
| Qualcare Inc | HMO/POS | $510.72 | ↑ +251% |
| Qualcare Inc | PPO/WC | $544.63 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $626.09 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $643.12 | ↑ +342% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $124.82 | $100.60 – $161.06 |
| Cooperman Barnabas Medical Center | Livingston | $140.91 | $161.06 – $161.06 |
| Community Medical Center | Toms River | $137.92 | $161.06 – $161.06 |
| Clara Maass Medical Center | Belleville | $132.26 | $161.06 – $161.06 |
| Childrens Specialized Hospital | Mountainside | $385.00 | $366.00 – $366.00 |
| Newark Beth Israel Medical Center | Newark | $138.51 | $103.56 – $161.06 |
| Jersey City Medical Center | Jersey City | $138.18 | $130.19 – $161.06 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $108.99 | $161.06 – $161.06 |