Stent/athrectomy/fem/pop/unilat 37227 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.
$30,346.00
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.
$3,266.00 with Wellpoint vs $39,552.40 with Wellcare — 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -23% |
| Aetna | HMO | $6,871.00 | ↑ +27% |
| Aetna | PPO | $6,871.00 | ↑ +27% |
| United Healthcare | Community Plan | $7,540.98 | ↑ +39% |
| Fidelis Care | NJ Family Care | $7,686.64 | ↑ +42% |
| Aetna | Better Health | $8,260.18 | ↑ +52% |
| United Healthcare | Oxford Metro | $8,991.00 | ↑ +66% |
| United Healthcare | Nexus | $10,115.00 | ↑ +87% |
| United Healthcare | Oxford Commercial | $10,578.00 | ↑ +95% |
| United Healthcare | Commercial | $11,900.00 | ↑ +120% |
| Cigna | Local Plus | $14,839.19 | ↑ +174% |
| Amerihealth | Local Value | $16,990.72 | ↑ +214% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $17,485.36 | ↑ +223% |
| First Health | Commercial | $18,207.60 | ↑ +236% |
| Cigna | HMO | $18,853.96 | ↑ +248% |
| Cigna | PPO | $19,858.42 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $19,867.52 | ↑ +267% |
| Clover Health | Medicare Advantage | $19,875.58 | ↑ +267% |
| Aetna | Medicare | $19,875.58 | ↑ +267% |
| Wellpoint | Medicare Advantage | $19,875.58 | ↑ +267% |
| Fidelis Care | Medicare Advantage | $19,875.58 | ↑ +267% |
| Humana | Medicare | $19,875.58 | ↑ +267% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $19,875.58 | ↑ +267% |
| Amerihealth | Regional Preferred | $20,010.15 | ↑ +269% |
| United Healthcare | Medicare | $20,017.03 | ↑ +269% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $21,054.05 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $21,254.33 | ↑ +292% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $21,398.06 | ↑ +295% |
| Qualcare Inc | PPO/WC | $26,401.02 | ↑ +387% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $28,570.75 | ↑ +427% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $29,347.61 | ↑ +442% |
| Emblem Health | Commercial | $34,782.27 | ↑ +542% |
| Wellcare | Ambetter Health Commercial | $39,552.40 | ↑ +630% |
Visitor-reported prices
Comments
Stent/athrectomy/fem/pop/unilat 37227 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $5,735.38 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $10,829.51 – $40,292.00 |
| Community Medical Center | Toms River | $3,786.00 | $11,090.46 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $10,699.03 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $5,904.07 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $7,422.25 – $42,082.35 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $1,447.23 – $22,204.26 |