Ins/rpl pm w/tv ld atrl 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.
$19,633.00
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.
$1,344.80 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 | $1,344.80 | ↓ -75% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| United Healthcare | Community Plan | $4,878.80 | ↓ -10% |
| Fidelis Care | NJ Family Care | $4,973.03 | ↓ -8% |
| Aetna | Better Health | $5,344.10 | ↓ -1% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +63% |
| Aetna | PPO | $9,446.00 | ↑ +74% |
| Aetna | HMO | $9,446.00 | ↑ +74% |
| United Healthcare | Nexus | $9,925.00 | ↑ +83% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +92% |
| Fidelis Care | Medicare Advantage | $11,583.66 | ↑ +114% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $11,583.66 | ↑ +114% |
| Aetna | Medicare | $11,583.66 | ↑ +114% |
| Wellpoint | Medicare Advantage | $11,583.66 | ↑ +114% |
| Humana | Medicare | $11,583.66 | ↑ +114% |
| Clover Health | Medicare Advantage | $11,583.66 | ↑ +114% |
| United Healthcare | Medicare | $11,666.10 | ↑ +115% |
| United Healthcare | Commercial | $11,677.00 | ↑ +115% |
| First Health | Commercial | $11,779.80 | ↑ +117% |
| Emblem Health | Commercial | $20,271.41 | ↑ +274% |
| 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% |
| Cigna | Local Plus | $22,851.00 | ↑ +322% |
| Wellcare | Ambetter Health Commercial | $23,051.48 | ↑ +325% |
| 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% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $39,896.00 | ↑ +636% |
| 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 | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm w/tv ld atrl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $227.10 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $680.60 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $697.00 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $672.40 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $233.78 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $293.90 – $24,525.95 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |
| Hackensack University Medical Center | Hackensack | $12,324.60 | $949.17 – $12,940.83 |