Kidney img w/bldflw sgl without rx at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$455.32
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.
$2,081.00
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.
$180.40 with Horizon Blue Cross Blue Shield of New Jersey vs $2,012.53 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 | $180.40 | ↓ -60% |
| Amerihealth | Local Value | $247.54 | ↓ -46% |
| Amerihealth | Regional Preferred | $247.54 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $434.10 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $434.10 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $434.10 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $434.10 | ↓ -5% |
| Aetna | HMO | $445.19 | ↓ -2% |
| Aetna | PPO | $445.19 | ↓ -2% |
| United Healthcare | Community Plan | $517.12 | ↑ +14% |
| Fidelis Care | NJ Family Care | $527.11 | ↑ +16% |
| Aetna | Better Health | $566.44 | ↑ +24% |
| Humana | Medicare | $595.79 | ↑ +31% |
| Clover Health | Medicare Advantage | $595.79 | ↑ +31% |
| Fidelis Care | Medicare Advantage | $595.79 | ↑ +31% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $595.79 | ↑ +31% |
| Wellpoint | Medicare Advantage | $595.79 | ↑ +31% |
| Aetna | Medicare | $595.79 | ↑ +31% |
| United Healthcare | Medicare | $600.03 | ↑ +32% |
| United Healthcare | Nexus | $676.03 | ↑ +48% |
| United Healthcare | Oxford Metro | $676.03 | ↑ +48% |
| United Healthcare | Oxford Commercial | $745.73 | ↑ +64% |
| United Healthcare | Commercial | $745.73 | ↑ +64% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +82% |
| Qualcare Inc | PPO/WC | $828.00 | ↑ +82% |
| Cigna | Local Plus | $893.67 | ↑ +96% |
| Cigna | PPO | $893.67 | ↑ +96% |
| Cigna | HMO | $893.67 | ↑ +96% |
| Emblem Health | Commercial | $1,042.63 | ↑ +129% |
| Wellcare | Ambetter Health Commercial | $1,185.62 | ↑ +160% |
| Wellpoint | NJ Family Care | $1,186.17 | ↑ +161% |
| First Health | Commercial | $1,248.60 | ↑ +174% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,959.26 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,012.53 | ↑ +342% |
Visitor-reported prices
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Kidney img w/bldflw sgl without rx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $441.59 | $180.40 – $1,207.80 |
| Community Medical Center | Toms River | $431.59 | $180.40 – $1,170.64 |
| Clara Maass Medical Center | Belleville | $372.93 | $180.40 – $1,201.76 |
| Newark Beth Israel Medical Center | Newark | $434.09 | $115.46 – $1,207.80 |
| Jersey City Medical Center | Jersey City | $432.43 | $145.15 – $1,261.46 |
| Bayshore Medical Center | Holmdel | $595.79 | $334.54 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $163.54 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $334.54 – $1,325.05 |