Established Patient Office Visit (level 3) at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$106.85
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.
$513.00
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.
$49.80 with United Healthcare vs $478.78 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 | $49.80 | ↓ -53% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $81.60 | ↓ -24% |
| Aetna | Better Health | $127.63 | ↑ +19% |
| Fidelis Care | NJ Family Care | $133.17 | ↑ +25% |
| United Healthcare | Oxford Metro | $142.61 | ↑ +33% |
| United Healthcare | Nexus | $142.61 | ↑ +33% |
| United Healthcare | Oxford Commercial | $167.75 | ↑ +57% |
| United Healthcare | Commercial | $167.75 | ↑ +57% |
| Aetna | HMO | $256.50 | ↑ +140% |
| Aetna | PPO | $256.50 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $267.37 | ↑ +150% |
| Wellpoint | NJ Family Care | $292.41 | ↑ +174% |
| Cigna | Local Plus | $295.79 | ↑ +177% |
| First Health | Commercial | $307.80 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $332.98 | ↑ +212% |
| Amerihealth | Regional Preferred | $354.58 | ↑ +232% |
| Amerihealth | Local Value | $354.58 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $354.58 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $357.92 | ↑ +235% |
| Cigna | HMO | $375.87 | ↑ +252% |
| Qualcare Inc | HMO/POS | $393.98 | ↑ +269% |
| Cigna | PPO | $395.88 | ↑ +271% |
| Qualcare Inc | PPO/WC | $420.14 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $436.05 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $478.78 | ↑ +348% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $96.29 | $48.38 – $81.60 |
| Cooperman Barnabas Medical Center | Livingston | $108.70 | $81.60 – $81.60 |
| Community Medical Center | Toms River | $106.39 | $81.60 – $81.60 |
| Clara Maass Medical Center | Belleville | $102.03 | $81.60 – $81.60 |
| Childrens Specialized Hospital | Mountainside | $224.00 | $223.15 – $223.15 |
| Jersey City Medical Center | Jersey City | $106.60 | $62.61 – $81.60 |
| Monmouth Medical Center | Long Branch | $112.24 | $81.60 – $81.60 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $84.08 | $81.60 – $106.67 |