Hopd mntl hlt, 30-60 min at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$68.04
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.
$311.00
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.
$75.04 with United Healthcare vs $292.06 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $75.04 | ↑ +10% |
| Fidelis Care | NJ Family Care | $76.49 | ↑ +12% |
| Aetna | Better Health | $82.20 | ↑ +21% |
| United Healthcare | Oxford Metro | $86.97 | ↑ +28% |
| United Healthcare | Nexus | $86.97 | ↑ +28% |
| United Healthcare | Commercial | $102.07 | ↑ +50% |
| United Healthcare | Oxford Commercial | $102.07 | ↑ +50% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $102.38 | ↑ +50% |
| Humana | Medicare | $102.38 | ↑ +50% |
| Aetna | Medicare | $102.38 | ↑ +50% |
| Wellpoint | Medicare Advantage | $102.38 | ↑ +50% |
| Clover Health | Medicare Advantage | $102.38 | ↑ +50% |
| Fidelis Care | Medicare Advantage | $102.38 | ↑ +50% |
| Cigna | Local Plus | $147.67 | ↑ +117% |
| Wellpoint | NJ Family Care | $172.14 | ↑ +153% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $174.01 | ↑ +156% |
| Emblem Health | Commercial | $179.17 | ↑ +163% |
| First Health | Commercial | $181.20 | ↑ +166% |
| Aetna | PPO | $181.20 | ↑ +166% |
| Aetna | HMO | $181.20 | ↑ +166% |
| Cigna | PPO | $187.63 | ↑ +176% |
| Cigna | HMO | $187.63 | ↑ +176% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $197.71 | ↑ +191% |
| Wellcare | Ambetter Health Commercial | $203.74 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $209.52 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $211.52 | ↑ +211% |
| Amerihealth | Local Value | $225.41 | ↑ +231% |
| Amerihealth | Regional Preferred | $225.41 | ↑ +231% |
| Qualcare Inc | HMO/POS | $231.93 | ↑ +241% |
| Qualcare Inc | PPO/WC | $247.33 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $284.33 | ↑ +318% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $292.06 | ↑ +329% |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $64.78 | $103.78 – $207.56 |
| Jersey City Medical Center | Jersey City | $64.62 | $108.93 – $216.77 |
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $122.86 |
| Hackensack University Medical Center | Hackensack | $108.93 | $87.15 – $114.38 |
| Ocean University Medical Center | Brick | $101.09 | $92.50 – $121.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $92.50 – $102.47 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $102.38 – $122.86 |
| Palisades Medical Center | North Bergen | $108.93 | $108.93 – $118.74 |