Dch pulmonary stress test at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$526.79
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.
$2,529.00
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.
$82.26 with United Healthcare vs $2,081.25 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 | $82.26 | ↓ -84% |
| Humana | Medicare | $349.37 | ↓ -34% |
| Clover Health | Medicare Advantage | $349.37 | ↓ -34% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $349.37 | ↓ -34% |
| Aetna | Medicare | $349.37 | ↓ -34% |
| Fidelis Care | Medicare Advantage | $349.37 | ↓ -34% |
| Wellpoint | Medicare Advantage | $349.37 | ↓ -34% |
| United Healthcare | Medicare | $356.36 | ↓ -32% |
| United Healthcare | Oxford Metro | $507.00 | ↓ -4% |
| United Healthcare | Nexus | $507.00 | ↓ -4% |
| Aetna | Better Health | $554.82 | ↑ +5% |
| Fidelis Care | NJ Family Care | $578.90 | ↑ +10% |
| United Healthcare | Commercial | $596.00 | ↑ +13% |
| United Healthcare | Oxford Commercial | $596.00 | ↑ +13% |
| Wellcare | Ambetter Health Commercial | $695.25 | ↑ +32% |
| Emblem Health | Commercial | $698.74 | ↑ +33% |
| Aetna | PPO | $1,115.00 | ↑ +112% |
| Aetna | HMO | $1,115.00 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,162.27 | ↑ +121% |
| Wellpoint | NJ Family Care | $1,271.10 | ↑ +141% |
| Cigna | Local Plus | $1,285.81 | ↑ +144% |
| First Health | Commercial | $1,338.00 | ↑ +154% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,447.49 | ↑ +175% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,541.37 | ↑ +193% |
| Amerihealth | Local Value | $1,541.37 | ↑ +193% |
| Amerihealth | Regional Preferred | $1,541.37 | ↑ +193% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,555.87 | ↑ +195% |
| Cigna | HMO | $1,633.92 | ↑ +210% |
| Qualcare Inc | HMO/POS | $1,712.64 | ↑ +225% |
| Cigna | PPO | $1,720.89 | ↑ +227% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,799.98 | ↑ +242% |
| Qualcare Inc | PPO/WC | $1,826.37 | ↑ +247% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,895.50 | ↑ +260% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,081.25 | ↑ +295% |
Visitor-reported prices
Comments
Dch pulmonary stress test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $535.89 | $349.37 – $698.74 |
| Clara Maass Medical Center | Belleville | $229.72 | $349.37 – $695.25 |
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $910.00 |
| Hackensack University Medical Center | Hackensack | $366.72 | $273.18 – $5,456.00 |
| Ocean University Medical Center | Brick | $340.32 | $261.13 – $408.39 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $273.18 – $610.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $261.13 – $676.00 |
| Palisades Medical Center | North Bergen | $366.72 | $273.18 – $1,815.00 |