Ghs phenylketonurid at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$6.05
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.
$140.00
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.
$2.59 with United Healthcare vs $130.66 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 | Oxford Metro | $2.59 | ↓ -57% |
| United Healthcare | Nexus | $2.59 | ↓ -57% |
| United Healthcare | Commercial | $3.03 | ↓ -50% |
| United Healthcare | Oxford Commercial | $3.03 | ↓ -50% |
| United Healthcare | Community Plan | $4.62 | ↓ -24% |
| Fidelis Care | NJ Family Care | $5.28 | ↓ -13% |
| Clover Health | Medicare Advantage | $5.50 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5.50 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5.50 | ↓ -9% |
| Humana | Medicare | $5.50 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5.50 | ↓ -9% |
| Wellpoint | Medicare Advantage | $5.50 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5.50 | ↓ -9% |
| Fidelis Care | Medicare Advantage | $5.50 | ↓ -9% |
| Aetna | Medicare | $5.50 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $5.50 | ↓ -9% |
| United Healthcare | Medicare | $5.61 | ↓ -7% |
| Aetna | HMO | $6.77 | ↑ +12% |
| Aetna | PPO | $6.77 | ↑ +12% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $9.84 | ↑ +63% |
| Wellcare | Ambetter Health Commercial | $10.95 | ↑ +81% |
| Emblem Health | Commercial | $11.00 | ↑ +82% |
| Amerihealth | Regional Preferred | $16.24 | ↑ +168% |
| Amerihealth | Local Value | $16.24 | ↑ +168% |
| Cigna | Local Plus | $22.70 | ↑ +275% |
| Cigna | PPO | $22.70 | ↑ +275% |
| Cigna | HMO | $22.70 | ↑ +275% |
| Aetna | Better Health | $34.83 | ↑ +476% |
| Wellpoint | NJ Family Care | $79.80 | ↑ +1219% |
| First Health | Commercial | $84.00 | ↑ +1288% |
| Qualcare Inc | HMO/POS | $107.52 | ↑ +1677% |
| Qualcare Inc | PPO/WC | $114.66 | ↑ +1795% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $119.00 | ↑ +1867% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $130.66 | ↑ +2060% |
Visitor-reported prices
Comments
Ghs phenylketonurid at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $6.05 | $2.59 – $25.56 |
| Cooperman Barnabas Medical Center | Livingston | $6.05 | $2.59 – $22.70 |
| Community Medical Center | Toms River | $6.05 | $2.59 – $22.70 |
| Clara Maass Medical Center | Belleville | $6.05 | $2.59 – $22.70 |
| Childrens Specialized Hospital | Mountainside | $41.50 | $4.40 – $4.53 |
| Jersey City Medical Center | Jersey City | $6.05 | $2.59 – $22.70 |
| Monmouth Medical Center | Long Branch | $6.05 | $2.59 – $22.70 |
| Bayshore Medical Center | Holmdel | $5.50 | $5.50 – $25.20 |