Gastro/jejuno tube, std at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$65.88
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.
$316.30
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.
$21.04 with United Healthcare vs $295.20 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 | $21.04 | ↓ -68% |
| Aetna | Better Health | $78.69 | ↑ +19% |
| Fidelis Care | NJ Family Care | $82.11 | ↑ +25% |
| United Healthcare | Nexus | $87.93 | ↑ +33% |
| United Healthcare | Oxford Metro | $87.93 | ↑ +33% |
| United Healthcare | Commercial | $103.43 | ↑ +57% |
| United Healthcare | Oxford Commercial | $103.43 | ↑ +57% |
| Aetna | PPO | $158.15 | ↑ +140% |
| Aetna | HMO | $158.15 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $164.85 | ↑ +150% |
| Wellpoint | NJ Family Care | $180.29 | ↑ +174% |
| Cigna | Local Plus | $182.37 | ↑ +177% |
| First Health | Commercial | $189.78 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $205.31 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $218.62 | ↑ +232% |
| Amerihealth | Local Value | $218.62 | ↑ +232% |
| Amerihealth | Regional Preferred | $218.62 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $220.68 | ↑ +235% |
| Cigna | HMO | $231.75 | ↑ +252% |
| Qualcare Inc | HMO/POS | $242.91 | ↑ +269% |
| Cigna | PPO | $244.08 | ↑ +270% |
| Qualcare Inc | PPO/WC | $259.04 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $268.85 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $295.20 | ↑ +348% |
Visitor-reported prices
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Gastro/jejuno tube, std at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $83.11 | $20.44 – $20.44 |
| Jersey City Medical Center | Jersey City | $65.72 | $26.45 – $26.45 |
| Robert Wood Johnson University Hospital | New Brunswick | $94.45 | $31.55 – $31.55 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $74.83 | $21.64 – $21.64 |
| Hackensack University Medical Center | Hackensack | not published | $53.56 – $53.56 |
| Ocean University Medical Center | Brick | not published | $15.29 – $52.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $15.29 – $53.56 |
| Jersey Shore University Medical Center | Neptune City | not published | $52.45 – $52.45 |