Peritoneogram rs&i at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$520.74
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.
$2,380.00
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.
$86.92 with Horizon Blue Cross Blue Shield of New Jersey vs $2,301.69 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 | $86.92 | ↓ -83% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $115.96 | ↓ -78% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $115.96 | ↓ -78% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $115.96 | ↓ -78% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $115.96 | ↓ -78% |
| Qualcare Inc | HMO/POS | $142.00 | ↓ -73% |
| Cigna | Local Plus | $169.18 | ↓ -68% |
| Cigna | HMO | $169.18 | ↓ -68% |
| Cigna | PPO | $169.18 | ↓ -68% |
| United Healthcare | Community Plan | $591.43 | ↑ +14% |
| Fidelis Care | NJ Family Care | $602.85 | ↑ +16% |
| Humana | Medicare | $606.89 | ↑ +17% |
| Aetna | Medicare | $606.89 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $606.89 | ↑ +17% |
| Wellpoint | Medicare Advantage | $606.89 | ↑ +17% |
| Clover Health | Medicare Advantage | $606.89 | ↑ +17% |
| Fidelis Care | Medicare Advantage | $606.89 | ↑ +17% |
| United Healthcare | Medicare | $611.21 | ↑ +17% |
| Aetna | Better Health | $647.83 | ↑ +24% |
| United Healthcare | Oxford Metro | $674.19 | ↑ +29% |
| United Healthcare | Nexus | $674.19 | ↑ +29% |
| United Healthcare | Commercial | $760.90 | ↑ +46% |
| United Healthcare | Oxford Commercial | $760.90 | ↑ +46% |
| Emblem Health | Commercial | $1,062.06 | ↑ +104% |
| Wellcare | Ambetter Health Commercial | $1,207.71 | ↑ +132% |
| Wellpoint | NJ Family Care | $1,356.60 | ↑ +161% |
| First Health | Commercial | $1,428.00 | ↑ +174% |
| Aetna | HMO | $1,428.00 | ↑ +174% |
| Aetna | PPO | $1,428.00 | ↑ +174% |
| Qualcare Inc | PPO/WC | $1,949.22 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,240.77 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,301.69 | ↑ +342% |
Visitor-reported prices
Comments
Peritoneogram rs&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $446.72 | $54.06 – $1,198.46 |
| Community Medical Center | Toms River | $493.61 | $86.92 – $1,192.47 |
| Newark Beth Israel Medical Center | Newark | $380.98 | $55.65 – $1,230.30 |
| Bayshore Medical Center | Holmdel | $606.89 | $98.19 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $78.80 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $98.19 – $599.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $262.52 – $1,384.69 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $98.19 – $661.51 |