Ins/rpl pm gen exist dual 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.
$20,970.00
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.
$174.37 with United Healthcare vs $49,114.00 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 | $174.37 | ↓ -96% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $680.92 | ↓ -86% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -33% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -15% |
| Aetna | Better Health | $5,217.33 | ↑ +7% |
| Fidelis Care | NJ Family Care | $5,443.81 | ↑ +12% |
| Aetna | HMO | $5,766.00 | ↑ +18% |
| Aetna | PPO | $5,766.00 | ↑ +18% |
| United Healthcare | Oxford Metro | $9,133.00 | ↑ +87% |
| United Healthcare | Nexus | $10,060.00 | ↑ +106% |
| United Healthcare | Oxford Commercial | $10,745.00 | ↑ +120% |
| Wellpoint | Medicare Advantage | $11,741.26 | ↑ +141% |
| Humana | Medicare | $11,741.26 | ↑ +141% |
| Aetna | Medicare | $11,741.26 | ↑ +141% |
| Fidelis Care | Medicare Advantage | $11,741.26 | ↑ +141% |
| Clover Health | Medicare Advantage | $11,741.26 | ↑ +141% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $11,741.26 | ↑ +141% |
| United Healthcare | Commercial | $11,835.00 | ↑ +142% |
| United Healthcare | Medicare | $11,976.09 | ↑ +145% |
| First Health | Commercial | $12,582.00 | ↑ +158% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $21,036.00 | ↑ +331% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $21,036.00 | ↑ +331% |
| Wellcare | Ambetter Health Commercial | $23,365.11 | ↑ +379% |
| Emblem Health | Commercial | $23,482.52 | ↑ +381% |
| Cigna | Local Plus | $26,155.00 | ↑ +436% |
| Cigna | HMO | $33,234.00 | ↑ +581% |
| Cigna | PPO | $35,004.00 | ↑ +617% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $35,864.00 | ↑ +635% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $45,761.00 | ↑ +838% |
| 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% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $169.39 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $375.53 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $384.57 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $371.00 – $23,365.11 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $219.21 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $742.00 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |
| Hackensack University Medical Center | Hackensack | $12,324.60 | $708.03 – $12,940.83 |