Gi tract capsule endoscopy (pillcam) 91110 at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$1,005.16
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.
$4,594.00
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.
$1,037.75 with Aetna vs $4,523.00 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Medicare | $1,037.75 | ↑ +3% |
| Humana | Medicare | $1,037.75 | ↑ +3% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,037.75 | ↑ +3% |
| Fidelis Care | Medicare Advantage | $1,037.75 | ↑ +3% |
| Clover Health | Medicare Advantage | $1,037.75 | ↑ +3% |
| Wellpoint | Medicare Advantage | $1,037.75 | ↑ +3% |
| United Healthcare | Medicare | $1,045.13 | ↑ +4% |
| United Healthcare | Community Plan | $1,141.60 | ↑ +14% |
| Fidelis Care | NJ Family Care | $1,163.66 | ↑ +16% |
| Aetna | Better Health | $1,250.48 | ↑ +24% |
| Emblem Health | Commercial | $1,816.06 | ↑ +81% |
| Wellcare | Ambetter Health Commercial | $2,065.12 | ↑ +105% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $2,194.32 | ↑ +118% |
| Cigna | Local Plus | $2,246.46 | ↑ +123% |
| Wellpoint | NJ Family Care | $2,618.58 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,647.06 | ↑ +163% |
| Aetna | PPO | $2,756.40 | ↑ +174% |
| First Health | Commercial | $2,756.40 | ↑ +174% |
| Aetna | HMO | $2,756.40 | ↑ +174% |
| Cigna | HMO | $2,854.25 | ↑ +184% |
| Cigna | PPO | $2,854.25 | ↑ +184% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,007.69 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,187.31 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,217.63 | ↑ +220% |
| United Healthcare | Oxford Metro | $3,417.00 | ↑ +240% |
| Amerihealth | Local Value | $3,428.96 | ↑ +241% |
| Amerihealth | Regional Preferred | $3,428.96 | ↑ +241% |
| Qualcare Inc | HMO/POS | $3,528.19 | ↑ +251% |
| Qualcare Inc | PPO/WC | $3,762.48 | ↑ +274% |
| United Healthcare | Nexus | $3,845.00 | ↑ +283% |
| United Healthcare | Oxford Commercial | $4,020.00 | ↑ +300% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,325.25 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,442.85 | ↑ +342% |
| United Healthcare | Commercial | $4,523.00 | ↑ +350% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $862.29 | $381.94 – $2,049.28 |
| Cooperman Barnabas Medical Center | Livingston | $904.81 | $1,051.87 – $2,103.74 |
| Community Medical Center | Toms River | $952.79 | $1,024.64 – $2,039.03 |
| Clara Maass Medical Center | Belleville | $752.43 | $1,051.87 – $2,093.22 |
| Newark Beth Israel Medical Center | Newark | $889.44 | $393.17 – $2,103.74 |
| Jersey City Medical Center | Jersey City | $954.63 | $494.27 – $2,197.22 |
| Bayshore Medical Center | Holmdel | $1,037.75 | $1,037.75 – $1,245.30 |
| Hackensack University Medical Center | Hackensack | $1,104.13 | $883.30 – $1,317.51 |