Stent iliac/open/perc/ea ad/ipsila 37223 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.
$14,355.00
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 $13,882.72 with Horizon Blue Cross Blue Shield of New Jersey — 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% |
| United Healthcare | Community Plan | $3,567.21 | ↓ -34% |
| Fidelis Care | NJ Family Care | $3,636.12 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,789.71 | ↓ -30% |
| Aetna | Better Health | $3,907.43 | ↓ -28% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -23% |
| Aetna | HMO | $4,294.00 | ↓ -21% |
| Aetna | PPO | $4,294.00 | ↓ -21% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +31% |
| United Healthcare | Nexus | $7,987.00 | ↑ +47% |
| Amerihealth | Local Value | $8,037.36 | ↑ +48% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,271.35 | ↑ +53% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +54% |
| First Health | Commercial | $8,613.00 | ↑ +59% |
| United Healthcare | Commercial | $9,396.00 | ↑ +73% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,398.21 | ↑ +73% |
| Amerihealth | Regional Preferred | $9,465.68 | ↑ +75% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,959.49 | ↑ +84% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $10,054.24 | ↑ +86% |
| Qualcare Inc | PPO/WC | $12,488.85 | ↑ +130% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,515.23 | ↑ +149% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $13,882.72 | ↑ +156% |
Visitor-reported prices
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Stent iliac/open/perc/ea ad/ipsila 37223 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $1,964.18 – $1,964.18 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $668.51 – $3,477.75 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $4,725.59 – $4,725.59 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $1,744.65 – $2,040.89 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $2,229.92 – $2,229.92 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $687.61 – $1,744.65 |
| Trinitas Regional Medical Center | Elizabeth | not published | $649.41 – $4,869.28 |
| Cooperman Barnabas Medical Center | Livingston | not published | $1,917.96 – $1,917.96 |