Interrog evl pm/ldls pm ip at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$49.78
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.
$239.00
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.
$29.88 with United Healthcare vs $223.05 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 | $29.88 | ↓ -40% |
| Humana | Medicare | $41.84 | ↓ -16% |
| Clover Health | Medicare Advantage | $41.84 | ↓ -16% |
| Aetna | Medicare | $41.84 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $41.84 | ↓ -16% |
| Fidelis Care | Medicare Advantage | $41.84 | ↓ -16% |
| Wellpoint | Medicare Advantage | $41.84 | ↓ -16% |
| United Healthcare | Medicare | $42.68 | ↓ -14% |
| Aetna | Better Health | $59.46 | ↑ +19% |
| Fidelis Care | NJ Family Care | $62.04 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $64.78 | ↑ +30% |
| United Healthcare | Oxford Metro | $66.44 | ↑ +33% |
| United Healthcare | Nexus | $66.44 | ↑ +33% |
| United Healthcare | Oxford Commercial | $78.15 | ↑ +57% |
| United Healthcare | Commercial | $78.15 | ↑ +57% |
| Wellcare | Ambetter Health Commercial | $83.26 | ↑ +67% |
| Emblem Health | Commercial | $83.68 | ↑ +68% |
| Aetna | HMO | $119.50 | ↑ +140% |
| Aetna | PPO | $119.50 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $124.56 | ↑ +150% |
| Wellpoint | NJ Family Care | $136.23 | ↑ +174% |
| Cigna | Local Plus | $137.80 | ↑ +177% |
| First Health | Commercial | $143.40 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $155.13 | ↑ +212% |
| Amerihealth | Regional Preferred | $165.19 | ↑ +232% |
| Amerihealth | Local Value | $165.19 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $165.19 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $166.75 | ↑ +235% |
| Cigna | HMO | $175.11 | ↑ +252% |
| Qualcare Inc | HMO/POS | $183.55 | ↑ +269% |
| Cigna | PPO | $184.43 | ↑ +270% |
| Qualcare Inc | PPO/WC | $195.74 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $203.15 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $223.05 | ↑ +348% |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $50.30 | $29.03 – $81.50 |
| Community Medical Center | Toms River | $55.58 | $36.58 – $81.09 |
| Jersey City Medical Center | Jersey City | $55.69 | $37.57 – $87.38 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $94.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $94.86 |