Air conduction bilat at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$95.40
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.
$458.00
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.
$20.59 with United Healthcare vs $427.45 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 | Community Plan | $20.59 | ↓ -78% |
| Aetna | Better Health | $113.95 | ↑ +19% |
| Fidelis Care | NJ Family Care | $118.89 | ↑ +25% |
| Wellpoint | Medicare Advantage | $144.62 | ↑ +52% |
| Humana | Medicare | $144.62 | ↑ +52% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $144.62 | ↑ +52% |
| Aetna | Medicare | $144.62 | ↑ +52% |
| Fidelis Care | Medicare Advantage | $144.62 | ↑ +52% |
| Clover Health | Medicare Advantage | $144.62 | ↑ +52% |
| United Healthcare | Medicare | $147.51 | ↑ +55% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $177.59 | ↑ +86% |
| Aetna | HMO | $229.00 | ↑ +140% |
| Aetna | PPO | $229.00 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $238.70 | ↑ +150% |
| Wellpoint | NJ Family Care | $261.06 | ↑ +174% |
| Cigna | Local Plus | $264.08 | ↑ +177% |
| First Health | Commercial | $274.80 | ↑ +188% |
| United Healthcare | Oxford Metro | $282.00 | ↑ +196% |
| United Healthcare | Nexus | $282.00 | ↑ +196% |
| Wellcare | Ambetter Health Commercial | $287.79 | ↑ +202% |
| Emblem Health | Commercial | $289.24 | ↑ +203% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $297.28 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $316.56 | ↑ +232% |
| Amerihealth | Regional Preferred | $316.56 | ↑ +232% |
| Amerihealth | Local Value | $316.56 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $319.54 | ↑ +235% |
| United Healthcare | Commercial | $332.00 | ↑ +248% |
| United Healthcare | Oxford Commercial | $332.00 | ↑ +248% |
| Cigna | HMO | $335.57 | ↑ +252% |
| Qualcare Inc | HMO/POS | $351.74 | ↑ +269% |
| Cigna | PPO | $353.43 | ↑ +270% |
| Qualcare Inc | PPO/WC | $375.10 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $389.30 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $427.45 | ↑ +348% |
Visitor-reported prices
Comments
Air conduction bilat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $97.05 | $97.94 – $289.24 |
| Childrens Specialized Hospital | Mountainside | $114.50 | $128.62 – $394.00 |
| Jersey City Medical Center | Jersey City | $57.14 | $25.89 – $302.08 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $69.19 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $65.35 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $69.19 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $65.35 – $443.00 |