Coombs direct at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$5.93
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.
?
What you pay up front if you don't use insurance.
$126.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.53 with United Healthcare vs $133.28 with Emblem Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Oxford Metro | $2.53 | ↓ -57% |
| United Healthcare | Nexus | $2.53 | ↓ -57% |
| United Healthcare | Oxford Commercial | $2.96 | ↓ -50% |
| United Healthcare | Commercial | $2.96 | ↓ -50% |
| United Healthcare | Community Plan | $4.53 | ↓ -24% |
| Fidelis Care | NJ Family Care | $5.17 | ↓ -13% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5.39 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5.39 | ↓ -9% |
| Aetna | PPO | $6.63 | ↑ +12% |
| Aetna | HMO | $6.63 | ↑ +12% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $8.20 | ↑ +38% |
| Amerihealth | Local Value | $16.24 | ↑ +174% |
| Amerihealth | Regional Preferred | $16.24 | ↑ +174% |
| Cigna | PPO | $21.37 | ↑ +260% |
| Cigna | HMO | $21.37 | ↑ +260% |
| Cigna | Local Plus | $21.37 | ↑ +260% |
| Aetna | Better Health | $31.34 | ↑ +428% |
| Humana | Medicare | $66.64 | ↑ +1024% |
| Wellpoint | Medicare Advantage | $66.64 | ↑ +1024% |
| Clover Health | Medicare Advantage | $66.64 | ↑ +1024% |
| Fidelis Care | Medicare Advantage | $66.64 | ↑ +1024% |
| Aetna | Medicare | $66.64 | ↑ +1024% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $66.64 | ↑ +1024% |
| United Healthcare | Medicare | $67.97 | ↑ +1046% |
| Wellpoint | NJ Family Care | $71.82 | ↑ +1111% |
| First Health | Commercial | $75.60 | ↑ +1175% |
| Qualcare Inc | HMO/POS | $96.76 | ↑ +1532% |
| Qualcare Inc | PPO/WC | $103.19 | ↑ +1640% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $107.10 | ↑ +1706% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $117.59 | ↑ +1883% |
| Wellcare | Ambetter Health Commercial | $132.61 | ↑ +2136% |
| Emblem Health | Commercial | $133.28 | ↑ +2148% |
Visitor-reported prices
Comments
Coombs direct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5.93 | $2.53 – $222.80 |
| Cooperman Barnabas Medical Center | Livingston | $5.93 | $2.53 – $133.28 |
| Community Medical Center | Toms River | $5.93 | $2.53 – $129.19 |
| Clara Maass Medical Center | Belleville | $5.93 | $2.53 – $132.61 |
| Childrens Specialized Hospital | Mountainside | $54.50 | $4.31 – $4.44 |
| Jersey City Medical Center | Jersey City | $5.93 | $2.53 – $139.20 |
| Monmouth Medical Center | Long Branch | $5.93 | $2.53 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $5.39 – $71.66 |