Bld prd mix at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$46.45
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.
$223.00
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.
$26.25 with United Healthcare vs $384.50 with Emblem Health — 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 | $26.25 | ↓ -43% |
| Fidelis Care | NJ Family Care | $30.00 | ↓ -35% |
| Amerihealth | Local Value | $31.24 | ↓ -33% |
| Amerihealth | Regional Preferred | $31.24 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $36.07 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $36.07 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $36.07 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $36.07 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $49.20 | ↑ +6% |
| Aetna | Better Health | $55.48 | ↑ +19% |
| United Healthcare | Nexus | $73.91 | ↑ +59% |
| United Healthcare | Oxford Metro | $73.91 | ↑ +59% |
| United Healthcare | Commercial | $78.93 | ↑ +70% |
| United Healthcare | Oxford Commercial | $78.93 | ↑ +70% |
| Aetna | PPO | $111.50 | ↑ +140% |
| Aetna | HMO | $111.50 | ↑ +140% |
| Cigna | PPO | $125.50 | ↑ +170% |
| Cigna | HMO | $125.50 | ↑ +170% |
| Cigna | Local Plus | $125.50 | ↑ +170% |
| Wellpoint | NJ Family Care | $127.11 | ↑ +174% |
| First Health | Commercial | $133.80 | ↑ +188% |
| Qualcare Inc | HMO/POS | $171.26 | ↑ +269% |
| Qualcare Inc | PPO/WC | $182.63 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $189.55 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $192.25 | ↑ +314% |
| Fidelis Care | Medicare Advantage | $192.25 | ↑ +314% |
| Clover Health | Medicare Advantage | $192.25 | ↑ +314% |
| Wellpoint | Medicare Advantage | $192.25 | ↑ +314% |
| Aetna | Medicare | $192.25 | ↑ +314% |
| Humana | Medicare | $192.25 | ↑ +314% |
| United Healthcare | Medicare | $196.10 | ↑ +322% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $208.12 | ↑ +348% |
| Wellcare | Ambetter Health Commercial | $382.58 | ↑ +724% |
| Emblem Health | Commercial | $384.50 | ↑ +728% |
Visitor-reported prices
Comments
Bld prd mix at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $41.85 | $25.50 – $374.56 |
| Cooperman Barnabas Medical Center | Livingston | $47.25 | $26.25 – $384.50 |
| Clara Maass Medical Center | Belleville | $70.80 | $26.25 – $382.58 |
| Jersey City Medical Center | Jersey City | $46.33 | $26.25 – $401.58 |
| Monmouth Medical Center | Long Branch | $48.79 | $26.25 – $377.44 |
| Bayshore Medical Center | Holmdel | $189.67 | $26.19 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $44.60 – $271.93 |
| Ocean University Medical Center | Brick | $187.28 | $26.19 – $266.30 |