Pq vrtbrplst 1 bdy inj lmb-scr w/img ini 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.
$6,451.00
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.
$1,603.07 with United Healthcare vs $12,565.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,603.07 | ↓ -70% |
| Fidelis Care | NJ Family Care | $1,634.03 | ↓ -70% |
| Aetna | Better Health | $1,755.96 | ↓ -68% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,372.73 | ↓ -38% |
| Clover Health | Medicare Advantage | $3,591.33 | ↓ -34% |
| Humana | Medicare | $3,591.33 | ↓ -34% |
| Wellpoint | Medicare Advantage | $3,591.33 | ↓ -34% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,591.33 | ↓ -34% |
| Aetna | Medicare | $3,591.33 | ↓ -34% |
| Fidelis Care | Medicare Advantage | $3,591.33 | ↓ -34% |
| Amerihealth | Local Value | $3,611.91 | ↓ -33% |
| United Healthcare | Medicare | $3,616.89 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,717.06 | ↓ -31% |
| First Health | Commercial | $3,870.60 | ↓ -29% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,223.46 | ↓ -22% |
| Amerihealth | Regional Preferred | $4,253.78 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,475.70 | ↓ -17% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,518.28 | ↓ -17% |
| United Healthcare | Oxford Metro | $4,791.00 | ↓ -12% |
| Qualcare Inc | HMO/POS | $4,954.36 | ↓ -9% |
| Qualcare Inc | PPO/WC | $5,283.36 | ↓ -3% |
| United Healthcare | Nexus | $5,390.00 | ↓ -1% |
| United Healthcare | Oxford Commercial | $5,637.00 | ↑ +4% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,073.61 | ↑ +12% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,238.76 | ↑ +15% |
| Emblem Health | Commercial | $6,284.83 | ↑ +16% |
| United Healthcare | Commercial | $6,341.00 | ↑ +17% |
| Aetna | PPO | $6,871.00 | ↑ +27% |
| Aetna | HMO | $6,871.00 | ↑ +27% |
| Wellcare | Ambetter Health Commercial | $7,146.75 | ↑ +32% |
| Cigna | Local Plus | $9,389.00 | ↑ +73% |
| Cigna | HMO | $11,930.00 | ↑ +120% |
| Cigna | PPO | $12,565.00 | ↑ +132% |
Visitor-reported prices
Comments
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $927.85 – $7,091.94 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,706.93 – $7,280.38 |
| Community Medical Center | Toms River | $3,786.00 | $1,748.06 – $7,056.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,686.36 – $7,243.98 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $955.14 – $7,280.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,200.75 – $7,603.89 |
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $4,309.59 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $852.21 – $4,012.10 |