Tilt table study at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$934.05
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.
$4,269.00
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.
$395.00 with United Healthcare vs $4,128.54 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 |
|---|---|---|---|
| United Healthcare | Oxford Metro | $395.00 | ↓ -58% |
| United Healthcare | Nexus | $395.00 | ↓ -58% |
| United Healthcare | Commercial | $465.00 | ↓ -50% |
| United Healthcare | Oxford Commercial | $465.00 | ↓ -50% |
| Clover Health | Medicare Advantage | $587.30 | ↓ -37% |
| Humana | Medicare | $587.30 | ↓ -37% |
| Wellpoint | Medicare Advantage | $587.30 | ↓ -37% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $587.30 | ↓ -37% |
| Aetna | Medicare | $587.30 | ↓ -37% |
| Fidelis Care | Medicare Advantage | $587.30 | ↓ -37% |
| United Healthcare | Medicare | $591.48 | ↓ -37% |
| Emblem Health | Commercial | $1,027.78 | ↑ +10% |
| United Healthcare | Community Plan | $1,060.84 | ↑ +14% |
| Fidelis Care | NJ Family Care | $1,081.33 | ↑ +16% |
| Aetna | Better Health | $1,162.02 | ↑ +24% |
| Wellcare | Ambetter Health Commercial | $1,168.73 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,882.72 | ↑ +102% |
| Cigna | Local Plus | $2,087.54 | ↑ +123% |
| Wellpoint | NJ Family Care | $2,433.33 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,459.79 | ↑ +163% |
| Aetna | PPO | $2,561.40 | ↑ +174% |
| First Health | Commercial | $2,561.40 | ↑ +174% |
| Aetna | HMO | $2,561.40 | ↑ +174% |
| Cigna | HMO | $2,652.32 | ↑ +184% |
| Cigna | PPO | $2,652.32 | ↑ +184% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,794.91 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,961.83 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,990.00 | ↑ +220% |
| Amerihealth | Regional Preferred | $3,186.38 | ↑ +241% |
| Amerihealth | Local Value | $3,186.38 | ↑ +241% |
| Qualcare Inc | HMO/POS | $3,278.59 | ↑ +251% |
| Qualcare Inc | PPO/WC | $3,496.31 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,019.26 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,128.54 | ↑ +342% |
Visitor-reported prices
Comments
Tilt table study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $801.29 | $83.30 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $786.99 | $395.00 – $1,190.58 |
| Community Medical Center | Toms River | $885.39 | $395.00 – $1,153.96 |
| Clara Maass Medical Center | Belleville | $672.48 | $345.00 – $1,184.63 |
| Newark Beth Israel Medical Center | Newark | $773.62 | $85.75 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $887.09 | $107.80 – $1,243.49 |
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $704.76 |
| Hackensack University Medical Center | Hackensack | $624.87 | $284.06 – $2,033.00 |