Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 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.
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What you pay up front if you don't use insurance.
$4,010.00
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.
$289.85 with Horizon Blue Cross Blue Shield of New Jersey vs $5,153.00 with Aetna — 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 | $289.85 | ↓ -95% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $578.00 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $578.00 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $578.00 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $578.00 | ↓ -89% |
| Wellpoint | Medicare Advantage | $778.78 | ↓ -86% |
| Humana | Medicare | $778.78 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $778.78 | ↓ -86% |
| Aetna | Medicare | $778.78 | ↓ -86% |
| Fidelis Care | Medicare Advantage | $778.78 | ↓ -86% |
| Clover Health | Medicare Advantage | $778.78 | ↓ -86% |
| United Healthcare | Medicare | $784.32 | ↓ -86% |
| United Healthcare | Community Plan | $996.48 | ↓ -82% |
| Fidelis Care | NJ Family Care | $1,015.73 | ↓ -81% |
| Aetna | Better Health | $1,091.52 | ↓ -80% |
| Emblem Health | Commercial | $1,362.87 | ↓ -75% |
| Wellcare | Ambetter Health Commercial | $1,549.77 | ↓ -71% |
| Cigna | Local Plus | $1,893.00 | ↓ -65% |
| Amerihealth | Local Value | $2,245.19 | ↓ -59% |
| Cigna | HMO | $2,405.00 | ↓ -56% |
| First Health | Commercial | $2,406.00 | ↓ -56% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -54% |
| Cigna | PPO | $2,533.00 | ↓ -53% |
| Amerihealth | Regional Preferred | $2,644.19 | ↓ -51% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -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% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,775.41 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,878.07 | ↓ -28% |
| Aetna | PPO | $5,153.00 | ↓ -5% |
| Aetna | HMO | $5,153.00 | ↓ -5% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $82.99 – $1,537.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $146.69 – $1,578.74 |
| Community Medical Center | Toms River | $3,786.00 | $150.23 – $1,530.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $144.93 – $1,570.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $85.43 – $1,578.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $107.40 – $1,648.89 |
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |
| Hackensack University Medical Center | Hackensack | $828.59 | $236.86 – $870.02 |