Cardiac MRI w/stress img at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$681.55
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.
$3,272.00
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.
$205.30 with United Healthcare vs $3,317.00 with Qualcare Inc — 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 | $205.30 | ↓ -70% |
| Cigna | Local Plus | $326.00 | ↓ -52% |
| Cigna | HMO | $414.00 | ↓ -39% |
| Cigna | PPO | $436.00 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $492.00 | ↓ -28% |
| Fidelis Care | Medicare Advantage | $615.15 | ↓ -10% |
| Humana | Medicare | $615.15 | ↓ -10% |
| Aetna | Medicare | $615.15 | ↓ -10% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $615.15 | ↓ -10% |
| Wellpoint | Medicare Advantage | $615.15 | ↓ -10% |
| Clover Health | Medicare Advantage | $615.15 | ↓ -10% |
| United Healthcare | Medicare | $627.45 | ↓ -8% |
| Aetna | PPO | $671.14 | ↓ -2% |
| Aetna | HMO | $671.14 | ↓ -2% |
| United Healthcare | Nexus | $674.19 | ↓ -1% |
| United Healthcare | Oxford Metro | $674.19 | ↓ -1% |
| United Healthcare | Oxford Commercial | $760.90 | ↑ +12% |
| United Healthcare | Commercial | $760.90 | ↑ +12% |
| Amerihealth | Local Value | $769.19 | ↑ +13% |
| Amerihealth | Regional Preferred | $769.19 | ↑ +13% |
| Aetna | Better Health | $814.07 | ↑ +19% |
| Fidelis Care | NJ Family Care | $849.41 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $916.53 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $916.53 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $916.53 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $916.53 | ↑ +34% |
| Wellcare | Ambetter Health Commercial | $1,224.15 | ↑ +80% |
| Emblem Health | Commercial | $1,230.30 | ↑ +81% |
| Wellpoint | NJ Family Care | $1,865.04 | ↑ +174% |
| First Health | Commercial | $1,963.20 | ↑ +188% |
| Qualcare Inc | PPO/WC | $2,072.00 | ↑ +204% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,781.20 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,053.75 | ↑ +348% |
| Qualcare Inc | HMO/POS | $3,317.00 | ↑ +387% |
Visitor-reported prices
Comments
Cardiac MRI w/stress img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Monmouth Medical Center | Long Branch | $715.91 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $606.89 | $606.89 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $645.71 | $446.01 – $4,332.00 |
| Ocean University Medical Center | Brick | $599.23 | $548.30 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $548.30 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $606.89 – $4,332.00 |
| Palisades Medical Center | North Bergen | $645.71 | $492.00 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $607.42 – $4,332.00 |