Pq kyphplsty 1 bdy lumb w/img at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$5,419.00
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.
$17,839.00
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.
$3,266.00 with Wellpoint vs $17,252.09 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 | NJ Family Care | $3,266.00 | ↓ -40% |
| United Healthcare | Community Plan | $4,432.99 | ↓ -18% |
| Fidelis Care | NJ Family Care | $4,518.61 | ↓ -17% |
| Aetna | Better Health | $4,855.77 | ↓ -10% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +31% |
| Aetna | PPO | $7,729.00 | ↑ +43% |
| Aetna | HMO | $7,729.00 | ↑ +43% |
| Wellpoint | Medicare Advantage | $7,907.11 | ↑ +46% |
| Aetna | Medicare | $7,907.11 | ↑ +46% |
| Fidelis Care | Medicare Advantage | $7,907.11 | ↑ +46% |
| Humana | Medicare | $7,907.11 | ↑ +46% |
| Clover Health | Medicare Advantage | $7,907.11 | ↑ +46% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $7,907.11 | ↑ +46% |
| United Healthcare | Medicare | $7,963.38 | ↑ +47% |
| United Healthcare | Nexus | $7,987.00 | ↑ +47% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +54% |
| Cigna | Local Plus | $8,723.27 | ↑ +61% |
| United Healthcare | Commercial | $9,396.00 | ↑ +73% |
| Amerihealth | Local Value | $9,988.05 | ↑ +84% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $10,278.83 | ↑ +90% |
| First Health | Commercial | $10,703.40 | ↑ +98% |
| Cigna | HMO | $11,083.37 | ↑ +105% |
| Cigna | PPO | $11,673.84 | ↑ +115% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $11,679.19 | ↑ +116% |
| Amerihealth | Regional Preferred | $11,763.03 | ↑ +117% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $12,376.69 | ↑ +128% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $12,494.43 | ↑ +131% |
| Qualcare Inc | HMO/POS | $13,700.35 | ↑ +153% |
| Emblem Health | Commercial | $13,837.44 | ↑ +155% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $14,304.97 | ↑ +164% |
| Qualcare Inc | PPO/WC | $14,610.14 | ↑ +170% |
| Wellcare | Ambetter Health Commercial | $15,735.15 | ↑ +190% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $16,795.41 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $17,252.09 | ↑ +218% |
Visitor-reported prices
Comments
Pq kyphplsty 1 bdy lumb w/img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,978.15 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $7,239.71 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $7,414.16 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $7,152.48 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $3,017.26 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $3,793.13 – $16,741.65 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $1,002.44 – $8,833.53 |