Ins icd gen exist sgl lead at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$4,881.00
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.
$37,069.00
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.
$189.65 with United Healthcare vs $50,365.66 with Emblem Health — 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 | $189.65 | ↓ -96% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -33% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -15% |
| Aetna | Better Health | $9,222.76 | ↑ +89% |
| Fidelis Care | NJ Family Care | $9,623.11 | ↑ +97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $16,392.00 | ↑ +236% |
| First Health | Commercial | $22,241.40 | ↑ +356% |
| Clover Health | Medicare Advantage | $25,182.83 | ↑ +416% |
| Humana | Medicare | $25,182.83 | ↑ +416% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $25,182.83 | ↑ +416% |
| Aetna | Medicare | $25,182.83 | ↑ +416% |
| Fidelis Care | Medicare Advantage | $25,182.83 | ↑ +416% |
| Wellpoint | Medicare Advantage | $25,182.83 | ↑ +416% |
| United Healthcare | Medicare | $25,686.49 | ↑ +426% |
| Cigna | Local Plus | $26,155.00 | ↑ +436% |
| Amerihealth | Local Value | $26,630.00 | ↑ +446% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $31,508.65 | ↑ +546% |
| Cigna | HMO | $33,234.00 | ↑ +581% |
| Amerihealth | Regional Preferred | $33,286.00 | ↑ +582% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $34,596.49 | ↑ +609% |
| Cigna | PPO | $35,004.00 | ↑ +617% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $35,864.00 | ↑ +635% |
| United Healthcare | Oxford Metro | $37,369.00 | ↑ +666% |
| Aetna | PPO | $39,258.00 | ↑ +704% |
| Aetna | HMO | $39,258.00 | ↑ +704% |
| United Healthcare | Nexus | $39,676.00 | ↑ +713% |
| United Healthcare | Oxford Commercial | $43,964.00 | ↑ +801% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $45,761.00 | ↑ +838% |
| United Healthcare | Commercial | $46,678.00 | ↑ +856% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $48,661.00 | ↑ +897% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $49,114.00 | ↑ +906% |
| Wellcare | Ambetter Health Commercial | $50,113.83 | ↑ +927% |
| Emblem Health | Commercial | $50,365.66 | ↑ +932% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $184.23 – $49,061.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $25,182.83 – $50,365.66 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $238.42 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Bayshore Medical Center | Holmdel | $24,844.79 | $24,844.79 – $29,813.75 |
| Hackensack University Medical Center | Hackensack | $26,433.98 | $769.83 – $27,755.68 |