Special physics consult at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$378.52
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.
$1,730.00
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.
$96.43 with Horizon Blue Cross Blue Shield of New Jersey vs $3,021.00 with United Healthcare — 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 | $96.43 | ↓ -75% |
| Humana | Medicare | $146.96 | ↓ -61% |
| Wellpoint | Medicare Advantage | $146.96 | ↓ -61% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $146.96 | ↓ -61% |
| Fidelis Care | Medicare Advantage | $146.96 | ↓ -61% |
| Aetna | Medicare | $146.96 | ↓ -61% |
| Clover Health | Medicare Advantage | $146.96 | ↓ -61% |
| United Healthcare | Medicare | $148.00 | ↓ -61% |
| Emblem Health | Commercial | $257.18 | ↓ -32% |
| Wellcare | Ambetter Health Commercial | $292.45 | ↓ -23% |
| Aetna | HMO | $396.00 | ↑ +5% |
| Aetna | PPO | $396.00 | ↑ +5% |
| United Healthcare | Community Plan | $429.90 | ↑ +14% |
| Fidelis Care | NJ Family Care | $438.20 | ↑ +16% |
| Aetna | Better Health | $470.90 | ↑ +24% |
| Qualcare Inc | HMO/POS | $597.00 | ↑ +58% |
| Cigna | Local Plus | $845.97 | ↑ +123% |
| Wellpoint | NJ Family Care | $986.10 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $996.82 | ↑ +163% |
| First Health | Commercial | $1,038.00 | ↑ +174% |
| Cigna | PPO | $1,074.84 | ↑ +184% |
| Cigna | HMO | $1,074.84 | ↑ +184% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,132.63 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,200.27 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,211.69 | ↑ +220% |
| Amerihealth | Local Value | $1,291.27 | ↑ +241% |
| Amerihealth | Regional Preferred | $1,291.27 | ↑ +241% |
| Qualcare Inc | PPO/WC | $1,416.87 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,628.79 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,673.08 | ↑ +342% |
| United Healthcare | Nexus | $2,568.00 | ↑ +578% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +578% |
| United Healthcare | Commercial | $3,021.00 | ↑ +698% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +698% |
Visitor-reported prices
Comments
Special physics consult at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $324.72 | $76.06 – $491.06 |
| Cooperman Barnabas Medical Center | Livingston | $415.74 | $96.43 – $597.00 |
| Community Medical Center | Toms River | $358.80 | $96.43 – $288.75 |
| Clara Maass Medical Center | Belleville | $579.19 | $96.43 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $408.68 | $78.30 – $597.00 |
| Jersey City Medical Center | Jersey City | $359.49 | $96.43 – $521.31 |
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $21,431.00 |
| Hackensack University Medical Center | Hackensack | $156.36 | $87.42 – $3,250.00 |