Unlisted procedure spine 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.
$12,788.00
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.
$265.51 with Fidelis Care vs $12,367.27 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 |
|---|---|---|---|
| Fidelis Care | Medicare Advantage | $265.51 | ↓ -95% |
| Humana | Medicare | $265.51 | ↓ -95% |
| Aetna | Medicare | $265.51 | ↓ -95% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $265.51 | ↓ -95% |
| Wellpoint | Medicare Advantage | $265.51 | ↓ -95% |
| Clover Health | Medicare Advantage | $265.51 | ↓ -95% |
| United Healthcare | Medicare | $267.40 | ↓ -95% |
| Emblem Health | Commercial | $464.64 | ↓ -91% |
| Wellcare | Ambetter Health Commercial | $528.36 | ↓ -90% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -55% |
| United Healthcare | Nexus | $2,751.00 | ↓ -49% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -47% |
| United Healthcare | Community Plan | $3,177.81 | ↓ -41% |
| United Healthcare | Commercial | $3,236.00 | ↓ -40% |
| Fidelis Care | NJ Family Care | $3,239.20 | ↓ -40% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -40% |
| Aetna | Better Health | $3,480.89 | ↓ -36% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -23% |
| Aetna | PPO | $4,294.00 | ↓ -21% |
| Aetna | HMO | $4,294.00 | ↓ -21% |
| Cigna | Local Plus | $6,253.33 | ↑ +15% |
| Amerihealth | Local Value | $7,160.00 | ↑ +32% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,368.44 | ↑ +36% |
| First Health | Commercial | $7,672.80 | ↑ +42% |
| Cigna | HMO | $7,945.18 | ↑ +47% |
| Cigna | PPO | $8,368.46 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,372.30 | ↑ +54% |
| Amerihealth | Regional Preferred | $8,432.40 | ↑ +56% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,872.31 | ↑ +64% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,956.71 | ↑ +65% |
| Qualcare Inc | PPO/WC | $11,125.56 | ↑ +105% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $12,039.90 | ↑ +122% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,367.27 | ↑ +128% |
Visitor-reported prices
Comments
Unlisted procedure spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $262.16 – $524.32 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.13 – $538.26 |
| Community Medical Center | Toms River | $3,786.00 | $262.16 – $521.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $269.13 – $535.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.13 – $538.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $282.50 – $562.18 |
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $318.62 |
| Hackensack University Medical Center | Hackensack | $282.50 | $226.00 – $296.62 |