Hopd mntl hlt, 15-29 min at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$66.07
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.
$302.00
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.
$32.97 with Aetna vs $187.61 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 |
|---|---|---|---|
| Aetna | Medicare | $32.97 | ↓ -50% |
| Humana | Medicare | $32.97 | ↓ -50% |
| Wellpoint | Medicare Advantage | $32.97 | ↓ -50% |
| Clover Health | Medicare Advantage | $32.97 | ↓ -50% |
| Fidelis Care | Medicare Advantage | $32.97 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $32.97 | ↓ -50% |
| Fidelis Care | NJ Family Care | $49.14 | ↓ -26% |
| Aetna | Better Health | $52.80 | ↓ -20% |
| Emblem Health | Commercial | $57.70 | ↓ -13% |
| Wellcare | Ambetter Health Commercial | $65.61 | ↓ -1% |
| United Healthcare | Community Plan | $75.04 | ↑ +14% |
| United Healthcare | Oxford Metro | $86.97 | ↑ +32% |
| United Healthcare | Nexus | $86.97 | ↑ +32% |
| Cigna | Local Plus | $94.86 | ↑ +44% |
| United Healthcare | Commercial | $102.07 | ↑ +54% |
| United Healthcare | Oxford Commercial | $102.07 | ↑ +54% |
| Wellpoint | NJ Family Care | $110.58 | ↑ +67% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $111.78 | ↑ +69% |
| Aetna | HMO | $116.40 | ↑ +76% |
| Aetna | PPO | $116.40 | ↑ +76% |
| First Health | Commercial | $116.40 | ↑ +76% |
| Cigna | PPO | $120.53 | ↑ +82% |
| Cigna | HMO | $120.53 | ↑ +82% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $127.01 | ↑ +92% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $134.59 | ↑ +104% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $135.87 | ↑ +106% |
| Amerihealth | Local Value | $144.80 | ↑ +119% |
| Amerihealth | Regional Preferred | $144.80 | ↑ +119% |
| Qualcare Inc | HMO/POS | $148.99 | ↑ +126% |
| Qualcare Inc | PPO/WC | $158.88 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $182.65 | ↑ +176% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $187.61 | ↑ +184% |
Visitor-reported prices
Comments
Hopd mntl hlt, 15-29 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $53.94 | $33.42 – $66.84 |
| Jersey City Medical Center | Jersey City | $40.31 | $35.08 – $69.81 |
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $39.57 |
| Hackensack University Medical Center | Hackensack | $35.08 | $28.07 – $36.84 |
| Ocean University Medical Center | Brick | $32.56 | $29.79 – $39.07 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $29.79 – $33.00 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $32.97 – $39.57 |
| Palisades Medical Center | North Bergen | $35.08 | $35.08 – $38.24 |