Ins pm gen w/exist mlt leads 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.
$30,643.00
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.
$497.12 with Horizon Blue Cross Blue Shield of New Jersey vs $42,596.00 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 | $497.12 | ↓ -91% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -23% |
| Aetna | HMO | $6,012.00 | ↑ +11% |
| Aetna | PPO | $6,012.00 | ↑ +11% |
| United Healthcare | Community Plan | $7,614.78 | ↑ +41% |
| Fidelis Care | NJ Family Care | $7,761.87 | ↑ +43% |
| Aetna | Better Health | $8,341.02 | ↑ +54% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +63% |
| United Healthcare | Nexus | $9,925.00 | ↑ +83% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +92% |
| United Healthcare | Commercial | $11,677.00 | ↑ +115% |
| First Health | Commercial | $18,385.80 | ↑ +239% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $21,036.00 | ↑ +288% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $21,036.00 | ↑ +288% |
| Aetna | Medicare | $21,109.10 | ↑ +290% |
| Wellpoint | Medicare Advantage | $21,109.10 | ↑ +290% |
| Clover Health | Medicare Advantage | $21,109.10 | ↑ +290% |
| Fidelis Care | Medicare Advantage | $21,109.10 | ↑ +290% |
| Humana | Medicare | $21,109.10 | ↑ +290% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $21,109.10 | ↑ +290% |
| United Healthcare | Medicare | $21,259.34 | ↑ +292% |
| Cigna | Local Plus | $22,851.00 | ↑ +322% |
| Cigna | HMO | $29,035.00 | ↑ +436% |
| Cigna | PPO | $30,581.00 | ↑ +464% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $34,387.00 | ↑ +535% |
| Emblem Health | Commercial | $36,940.93 | ↑ +582% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $39,896.00 | ↑ +636% |
| Wellcare | Ambetter Health Commercial | $42,007.11 | ↑ +675% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $42,191.00 | ↑ +679% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $42,596.00 | ↑ +686% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $178.93 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $251.59 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $257.65 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $248.56 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $184.19 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $231.55 – $44,694.09 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |
| Hackensack University Medical Center | Hackensack | $22,459.34 | $748.11 – $23,582.31 |