Vital capacity test at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$88.83
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.
$406.00
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.
$100.89 with United Healthcare vs $596.00 with United Healthcare — 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 | Community Plan | $100.89 | ↑ +14% |
| Fidelis Care | NJ Family Care | $102.83 | ↑ +16% |
| Aetna | Better Health | $110.51 | ↑ +24% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $173.18 | ↑ +95% |
| Humana | Medicare | $173.18 | ↑ +95% |
| Aetna | Medicare | $173.18 | ↑ +95% |
| Wellpoint | Medicare Advantage | $173.18 | ↑ +95% |
| Clover Health | Medicare Advantage | $173.18 | ↑ +95% |
| Fidelis Care | Medicare Advantage | $173.18 | ↑ +95% |
| United Healthcare | Medicare | $174.41 | ↑ +96% |
| Cigna | Local Plus | $198.53 | ↑ +123% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $213.20 | ↑ +140% |
| Wellpoint | NJ Family Care | $231.42 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $233.93 | ↑ +163% |
| Aetna | HMO | $243.60 | ↑ +174% |
| Aetna | PPO | $243.60 | ↑ +174% |
| First Health | Commercial | $243.60 | ↑ +174% |
| Cigna | PPO | $252.24 | ↑ +184% |
| Cigna | HMO | $252.24 | ↑ +184% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $265.80 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $281.68 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $284.36 | ↑ +220% |
| Amerihealth | Local Value | $303.03 | ↑ +241% |
| Amerihealth | Regional Preferred | $303.03 | ↑ +241% |
| Emblem Health | Commercial | $303.07 | ↑ +241% |
| Qualcare Inc | HMO/POS | $311.80 | ↑ +251% |
| Qualcare Inc | PPO/WC | $332.51 | ↑ +274% |
| Wellcare | Ambetter Health Commercial | $344.63 | ↑ +288% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $382.24 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $392.64 | ↑ +342% |
| United Healthcare | Nexus | $507.00 | ↑ +471% |
| United Healthcare | Oxford Metro | $507.00 | ↑ +471% |
| United Healthcare | Oxford Commercial | $596.00 | ↑ +571% |
| United Healthcare | Commercial | $596.00 | ↑ +571% |
Visitor-reported prices
Comments
Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Community Medical Center | Toms River | $84.20 | $110.50 – $340.27 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $910.00 |