Ntsty modul rad tx dlvr smpl at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$1,146.94
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.
$5,242.00
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.
$640.29 with Wellpoint vs $5,069.53 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 |
|---|---|---|---|
| Wellpoint | Medicare Advantage | $640.29 | ↓ -44% |
| Humana | Medicare | $640.29 | ↓ -44% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $640.29 | ↓ -44% |
| Fidelis Care | Medicare Advantage | $640.29 | ↓ -44% |
| Clover Health | Medicare Advantage | $640.29 | ↓ -44% |
| Aetna | Medicare | $640.29 | ↓ -44% |
| United Healthcare | Medicare | $644.84 | ↓ -44% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $874.00 | ↓ -24% |
| Emblem Health | Commercial | $1,120.51 | ↓ -2% |
| Wellcare | Ambetter Health Commercial | $1,274.18 | ↑ +11% |
| United Healthcare | Community Plan | $1,302.63 | ↑ +14% |
| Fidelis Care | NJ Family Care | $1,327.79 | ↑ +16% |
| Aetna | Better Health | $1,426.87 | ↑ +24% |
| Cigna | Local Plus | $1,715.00 | ↑ +50% |
| Cigna | HMO | $2,179.00 | ↑ +90% |
| Cigna | PPO | $2,295.00 | ↑ +100% |
| Amerihealth | Local Value | $2,407.00 | ↑ +110% |
| United Healthcare | Nexus | $2,568.00 | ↑ +124% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +124% |
| Amerihealth | Regional Preferred | $2,676.00 | ↑ +133% |
| Wellpoint | NJ Family Care | $2,987.94 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,020.44 | ↑ +163% |
| United Healthcare | Commercial | $3,021.00 | ↑ +163% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +163% |
| First Health | Commercial | $3,145.20 | ↑ +174% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,431.93 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,636.89 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,671.49 | ↑ +220% |
| Qualcare Inc | HMO/POS | $4,025.85 | ↑ +251% |
| Qualcare Inc | PPO/WC | $4,293.19 | ↑ +274% |
| Aetna | PPO | $4,908.00 | ↑ +328% |
| Aetna | HMO | $4,908.00 | ↑ +328% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,935.34 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,069.53 | ↑ +342% |
Visitor-reported prices
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Ntsty modul rad tx dlvr smpl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $983.92 | $466.86 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,110.77 | $649.00 – $2,511.00 |
| Community Medical Center | Toms River | $1,087.19 | $632.20 – $2,395.00 |
| Clara Maass Medical Center | Belleville | $1,058.94 | $649.00 – $2,396.00 |
| Newark Beth Israel Medical Center | Newark | $1,091.90 | $649.00 – $2,396.00 |
| Jersey City Medical Center | Jersey City | $1,089.28 | $681.24 – $2,395.00 |
| Bayshore Medical Center | Holmdel | $640.29 | $640.29 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $681.24 | $266.95 – $4,098.66 |