Pt evaluation low complexity patient/family at Childrens Specialized Hospital
150 New Providence Rd, Mountainside, NJ · RWJBarnabas Health · · NPI 1396886297
$291.50
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.
$583.00
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.
$237.00 with Horizon Blue Cross Blue Shield of New Jersey vs $571.34 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 | $237.00 | ↓ -19% |
| First Health | Commercial | $349.80 | ↑ +20% |
| Cigna | HMO | $351.14 | ↑ +20% |
| Cigna | PPO | $351.14 | ↑ +20% |
| United Healthcare | Nexus | $394.00 | ↑ +35% |
| United Healthcare | Oxford Metro | $394.00 | ↑ +35% |
| Emblem Health | Commercial | $396.44 | ↑ +36% |
| Amerihealth | Local Value | $441.68 | ↑ +52% |
| Amerihealth | Regional Preferred | $441.68 | ↑ +52% |
| Wellpoint | NJ Family Care | $445.76 | ↑ +53% |
| Aetna | Better Health | $445.76 | ↑ +53% |
| Fidelis Care | NJ Family Care | $445.76 | ↑ +53% |
| Aetna | HMO | $448.91 | ↑ +54% |
| Aetna | PPO | $448.91 | ↑ +54% |
| Qualcare Inc | PPO | $454.74 | ↑ +56% |
| Qualcare Inc | HMO | $454.74 | ↑ +56% |
| United Healthcare | Community Plan | $459.11 | ↑ +57% |
| United Healthcare | Oxford Commercial | $464.00 | ↑ +59% |
| United Healthcare | Commercial | $464.00 | ↑ +59% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $571.34 | ↑ +96% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $571.34 | ↑ +96% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $158.40 | $57.42 – $57.42 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Bayshore Medical Center | Holmdel | $126.19 | $126.19 – $517.00 |
| Hackensack University Medical Center | Hackensack | $126.19 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $126.19 | $60.00 – $517.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $126.19 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $126.19 | $80.00 – $561.00 |
| Palisades Medical Center | North Bergen | $126.19 | $118.00 – $558.00 |