Hopd mntl hlt, 30-60 min at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$64.78
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.
$311.00
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.
$77.37 with Aetna vs $290.25 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 |
|---|---|---|---|
| Aetna | Better Health | $77.37 | ↑ +19% |
| Fidelis Care | NJ Family Care | $80.73 | ↑ +25% |
| Aetna | Medicare | $103.78 | ↑ +60% |
| Clover Health | Medicare Advantage | $103.78 | ↑ +60% |
| Humana | Medicare | $103.78 | ↑ +60% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $103.78 | ↑ +60% |
| Wellpoint | Medicare Advantage | $103.78 | ↑ +60% |
| Fidelis Care | Medicare Advantage | $103.78 | ↑ +60% |
| Aetna | PPO | $155.50 | ↑ +140% |
| Aetna | HMO | $155.50 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $162.09 | ↑ +150% |
| Wellpoint | NJ Family Care | $177.27 | ↑ +174% |
| Cigna | Local Plus | $179.32 | ↑ +177% |
| First Health | Commercial | $186.60 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $201.87 | ↑ +212% |
| Wellcare | Ambetter Health Commercial | $206.52 | ↑ +219% |
| Emblem Health | Commercial | $207.56 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $214.96 | ↑ +232% |
| Amerihealth | Regional Preferred | $214.96 | ↑ +232% |
| Amerihealth | Local Value | $214.96 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $216.98 | ↑ +235% |
| Cigna | HMO | $227.86 | ↑ +252% |
| Qualcare Inc | HMO/POS | $238.84 | ↑ +269% |
| Cigna | PPO | $239.99 | ↑ +270% |
| Qualcare Inc | PPO/WC | $254.70 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $264.35 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $290.25 | ↑ +348% |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $64.62 | $108.93 – $216.77 |
| Monmouth Medical Center | Long Branch | $68.04 | $102.38 – $203.74 |
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $122.86 |
| Hackensack University Medical Center | Hackensack | $108.93 | $87.15 – $114.38 |
| Ocean University Medical Center | Brick | $101.09 | $92.50 – $121.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $92.50 – $102.47 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $102.38 – $122.86 |
| Palisades Medical Center | North Bergen | $108.93 | $108.93 – $118.74 |