Rmvl icd gen w/rplc icd gen mlt lead sys 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.
$41,534.00
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 $70,620.48 with Wellcare — 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% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -23% |
| United Healthcare | Community Plan | $10,321.19 | ↑ +90% |
| Fidelis Care | NJ Family Care | $10,520.56 | ↑ +94% |
| Aetna | Better Health | $11,305.55 | ↑ +109% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $16,392.00 | ↑ +202% |
| Cigna | Local Plus | $22,851.00 | ↑ +322% |
| First Health | Commercial | $24,920.40 | ↑ +360% |
| Amerihealth | Local Value | $26,759.00 | ↑ +394% |
| Cigna | HMO | $29,035.00 | ↑ +436% |
| Cigna | PPO | $30,581.00 | ↑ +464% |
| Amerihealth | Regional Preferred | $33,448.00 | ↑ +517% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $34,387.00 | ↑ +535% |
| United Healthcare | Oxford Metro | $34,797.00 | ↑ +542% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $35,487.68 | ↑ +555% |
| Aetna | Medicare | $35,487.68 | ↑ +555% |
| Wellpoint | Medicare Advantage | $35,487.68 | ↑ +555% |
| Clover Health | Medicare Advantage | $35,487.68 | ↑ +555% |
| Humana | Medicare | $35,487.68 | ↑ +555% |
| Fidelis Care | Medicare Advantage | $35,487.68 | ↑ +555% |
| United Healthcare | Medicare | $35,740.25 | ↑ +560% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $39,104.26 | ↑ +622% |
| United Healthcare | Nexus | $39,147.00 | ↑ +622% |
| Aetna | HMO | $39,258.00 | ↑ +624% |
| Aetna | PPO | $39,258.00 | ↑ +624% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $39,896.00 | ↑ +636% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $40,167.53 | ↑ +641% |
| United Healthcare | Oxford Commercial | $40,938.00 | ↑ +655% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $42,191.00 | ↑ +679% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $42,596.00 | ↑ +686% |
| United Healthcare | Commercial | $46,055.00 | ↑ +750% |
| Emblem Health | Commercial | $62,103.44 | ↑ +1046% |
| Wellcare | Ambetter Health Commercial | $70,620.48 | ↑ +1203% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $201.67 – $70,078.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $35,970.53 – $71,941.06 |
| Community Medical Center | Toms River | $3,786.00 | $35,039.46 – $69,728.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $35,970.53 – $71,581.35 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $207.61 – $71,941.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $260.99 – $75,137.70 |
| Bayshore Medical Center | Holmdel | $35,487.68 | $35,487.68 – $42,585.22 |
| Hackensack University Medical Center | Hackensack | $37,757.64 | $842.67 – $39,645.52 |