Npsy tst eval phsy/qhp 1st hr at Childrens Specialized Hospital
150 New Providence Rd, Mountainside, NJ · RWJBarnabas Health · · NPI 1396886297
$270.50
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.
$541.00
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.
$258.00 with Horizon Blue Cross Blue Shield of New Jersey vs $530.18 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $258.00 | ↓ -5% |
| First Health | Commercial | $324.60 | ↑ +20% |
| Cigna | PPO | $325.84 | ↑ +20% |
| Cigna | HMO | $325.84 | ↑ +20% |
| Emblem Health | Commercial | $367.88 | ↑ +36% |
| Amerihealth | Regional Preferred | $409.86 | ↑ +52% |
| Amerihealth | Local Value | $409.86 | ↑ +52% |
| Wellpoint | NJ Family Care | $413.64 | ↑ +53% |
| Aetna | Better Health | $413.64 | ↑ +53% |
| Fidelis Care | NJ Family Care | $413.64 | ↑ +53% |
| Aetna | PPO | $416.57 | ↑ +54% |
| Aetna | HMO | $416.57 | ↑ +54% |
| Qualcare Inc | HMO | $421.98 | ↑ +56% |
| Qualcare Inc | PPO | $421.98 | ↑ +56% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $530.18 | ↑ +96% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $530.18 | ↑ +96% |
Visitor-reported prices
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Npsy tst eval phsy/qhp 1st hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $587.30 | $393.00 – $640.16 |
| Hackensack University Medical Center | Hackensack | $624.87 | $175.80 – $1,673.00 |
| Ocean University Medical Center | Brick | $579.88 | $154.00 – $566.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $68.60 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $68.60 – $640.16 |
| Palisades Medical Center | North Bergen | $624.87 | $142.00 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $175.80 – $705.37 |
| Riverview Medical Center | Red Bank | $587.30 | $171.37 – $640.16 |