Oth resp proc, group at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$67.39
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.
$308.00
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.
$43.44 with Aetna vs $383.00 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Medicare | $43.44 | ↓ -36% |
| Humana | Medicare | $43.44 | ↓ -36% |
| Wellpoint | Medicare Advantage | $43.44 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $43.44 | ↓ -36% |
| Fidelis Care | Medicare Advantage | $43.44 | ↓ -36% |
| Clover Health | Medicare Advantage | $43.44 | ↓ -36% |
| Emblem Health | Commercial | $76.02 | ↑ +13% |
| United Healthcare | Community Plan | $76.53 | ↑ +14% |
| Fidelis Care | NJ Family Care | $78.01 | ↑ +16% |
| Aetna | Better Health | $83.83 | ↑ +24% |
| Wellcare | Ambetter Health Commercial | $86.45 | ↑ +28% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $91.84 | ↑ +36% |
| Cigna | Local Plus | $150.61 | ↑ +123% |
| Wellpoint | NJ Family Care | $175.56 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $177.46 | ↑ +163% |
| Aetna | PPO | $184.80 | ↑ +174% |
| First Health | Commercial | $184.80 | ↑ +174% |
| Aetna | HMO | $184.80 | ↑ +174% |
| Cigna | HMO | $191.36 | ↑ +184% |
| Cigna | PPO | $201.55 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $201.64 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $213.69 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $215.72 | ↑ +220% |
| Amerihealth | Local Value | $229.89 | ↑ +241% |
| Amerihealth | Regional Preferred | $229.89 | ↑ +241% |
| Qualcare Inc | HMO/POS | $236.54 | ↑ +251% |
| Qualcare Inc | PPO/WC | $252.25 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $289.98 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $297.86 | ↑ +342% |
| United Healthcare | Nexus | $326.00 | ↑ +384% |
| United Healthcare | Oxford Metro | $326.00 | ↑ +384% |
| United Healthcare | Commercial | $383.00 | ↑ +468% |
| United Healthcare | Oxford Commercial | $383.00 | ↑ +468% |
Visitor-reported prices
Comments
Oth resp proc, group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.81 | $42.90 – $85.80 |
| Cooperman Barnabas Medical Center | Livingston | $90.26 | $44.04 – $88.08 |
| Community Medical Center | Toms River | $63.87 | $42.90 – $85.37 |
| Clara Maass Medical Center | Belleville | $71.80 | $44.04 – $87.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $24.81 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $23.46 – $604.00 |
| Palisades Medical Center | North Bergen | $46.22 | $24.81 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $24.81 – $396.00 |