Electrophysiology evaluation at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$2,625.62
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.
$12,605.00
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.
$103.58 with United Healthcare vs $11,764.24 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 | $103.58 | ↓ -96% |
| United Healthcare | Oxford Metro | $2,626.00 | ↑ +0% |
| United Healthcare | Nexus | $2,788.00 | ↑ +6% |
| United Healthcare | Oxford Commercial | $3,089.00 | ↑ +18% |
| Aetna | Better Health | $3,136.12 | ↑ +19% |
| Fidelis Care | NJ Family Care | $3,272.25 | ↑ +25% |
| United Healthcare | Commercial | $3,280.00 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,569.72 | ↑ +150% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7,052.43 | ↑ +169% |
| Wellpoint | NJ Family Care | $7,184.85 | ↑ +174% |
| First Health | Commercial | $7,563.00 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,181.90 | ↑ +212% |
| Amerihealth | Regional Preferred | $8,712.57 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,712.57 | ↑ +232% |
| Amerihealth | Local Value | $8,712.57 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,794.50 | ↑ +235% |
| Aetna | HMO | $9,200.00 | ↑ +250% |
| Aetna | PPO | $9,200.00 | ↑ +250% |
| Qualcare Inc | HMO/POS | $9,680.64 | ↑ +269% |
| Qualcare Inc | PPO/WC | $10,323.49 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,714.25 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $11,764.24 | ↑ +348% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,670.99 | $3,889.38 – $3,889.38 |
| Clara Maass Medical Center | Belleville | $1,104.09 | $3,842.52 – $3,842.52 |
| Jersey City Medical Center | Jersey City | $2,256.50 | $130.22 – $4,217.40 |
| Robert Wood Johnson University Hospital | New Brunswick | $2,688.64 | $203.07 – $3,537.93 |
| Trinitas Regional Medical Center | Elizabeth | not published | $100.62 – $6,115.23 |
| Community Medical Center | Toms River | not published | $3,983.10 – $3,983.10 |
| Monmouth Medical Center | Long Branch | not published | $7,685.04 – $7,685.04 |
| Bayshore Medical Center | Holmdel | not published | not published |