Phlebotomy therapeutic at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$152.06
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.
$695.00
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.
$1.93 with Amerihealth vs $4,294.00 with Aetna — 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 |
|---|---|---|---|
| Amerihealth | Local Value | $1.93 | ↓ -99% |
| Amerihealth | Regional Preferred | $1.93 | ↓ -99% |
| Wellpoint | Medicare Advantage | $142.67 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $142.67 | ↓ -6% |
| Fidelis Care | Medicare Advantage | $142.67 | ↓ -6% |
| Aetna | Medicare | $142.67 | ↓ -6% |
| Clover Health | Medicare Advantage | $142.67 | ↓ -6% |
| Humana | Medicare | $142.67 | ↓ -6% |
| United Healthcare | Medicare | $143.69 | ↓ -6% |
| United Healthcare | Community Plan | $172.70 | ↑ +14% |
| Fidelis Care | NJ Family Care | $176.04 | ↑ +16% |
| Aetna | Better Health | $189.17 | ↑ +24% |
| Emblem Health | Commercial | $249.67 | ↑ +64% |
| Wellcare | Ambetter Health Commercial | $283.91 | ↑ +87% |
| Cigna | Local Plus | $339.85 | ↑ +123% |
| Wellpoint | NJ Family Care | $396.15 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $400.45 | ↑ +163% |
| First Health | Commercial | $417.00 | ↑ +174% |
| Cigna | HMO | $431.80 | ↑ +184% |
| Cigna | PPO | $431.80 | ↑ +184% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $455.01 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $482.19 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $486.77 | ↑ +220% |
| Qualcare Inc | HMO/POS | $533.76 | ↑ +251% |
| Qualcare Inc | PPO/WC | $569.20 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $654.34 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $672.13 | ↑ +342% |
| United Healthcare | Nexus | $946.00 | ↑ +522% |
| United Healthcare | Oxford Metro | $946.00 | ↑ +522% |
| United Healthcare | Commercial | $1,113.00 | ↑ +632% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↑ +632% |
| Aetna | HMO | $4,294.00 | ↑ +2724% |
| Aetna | PPO | $4,294.00 | ↑ +2724% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $130.45 | $3.04 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $190.07 | $1.93 – $289.24 |
| Community Medical Center | Toms River | $144.14 | $1.93 – $280.33 |
| Clara Maass Medical Center | Belleville | $105.81 | $1.93 – $287.79 |
| Newark Beth Israel Medical Center | Newark | $186.84 | $1.93 – $289.24 |
| Jersey City Medical Center | Jersey City | $144.42 | $1.93 – $302.08 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $171.21 |
| Hackensack University Medical Center | Hackensack | $151.80 | $121.44 – $4,221.00 |