Rmvl icd pulse gen only 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.
?
What you pay up front if you don't use insurance.
$6,058.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$437.55 with Horizon Blue Cross Blue Shield of New Jersey vs $39,258.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $437.55 | ↓ -92% |
| United Healthcare | Community Plan | $1,505.41 | ↓ -72% |
| Fidelis Care | NJ Family Care | $1,534.49 | ↓ -72% |
| Aetna | Better Health | $1,648.98 | ↓ -70% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,490.61 | ↓ -36% |
| First Health | Commercial | $3,634.80 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,966.17 | ↓ -27% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $4,028.20 | ↓ -26% |
| Humana | Medicare | $4,028.20 | ↓ -26% |
| Aetna | Medicare | $4,028.20 | ↓ -26% |
| Wellpoint | Medicare Advantage | $4,028.20 | ↓ -26% |
| Clover Health | Medicare Advantage | $4,028.20 | ↓ -26% |
| Fidelis Care | Medicare Advantage | $4,028.20 | ↓ -26% |
| United Healthcare | Medicare | $4,056.87 | ↓ -25% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,203.04 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,243.02 | ↓ -22% |
| United Healthcare | Oxford Metro | $4,791.00 | ↓ -12% |
| 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 | $5,703.60 | ↑ +5% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,858.69 | ↑ +8% |
| United Healthcare | Commercial | $6,341.00 | ↑ +17% |
| Emblem Health | Commercial | $7,049.35 | ↑ +30% |
| Wellcare | Ambetter Health Commercial | $8,016.12 | ↑ +48% |
| Cigna | Local Plus | $22,851.00 | ↑ +322% |
| Cigna | HMO | $29,035.00 | ↑ +436% |
| Cigna | PPO | $30,581.00 | ↑ +464% |
| Aetna | HMO | $39,258.00 | ↑ +624% |
| Aetna | PPO | $39,258.00 | ↑ +624% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd pulse gen only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $108.27 – $7,954.64 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $221.44 – $8,166.00 |
| Community Medical Center | Toms River | $3,786.00 | $226.78 – $7,914.87 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $218.78 – $8,125.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $111.46 – $8,166.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $140.12 – $8,528.86 |
| Bayshore Medical Center | Holmdel | $4,028.20 | $4,028.20 – $4,833.83 |
| Hackensack University Medical Center | Hackensack | $4,285.86 | $453.91 – $4,541.28 |