Intro cath dialysis circuit w/pta 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.
$15,965.00
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.
$636.27 with United Healthcare vs $14,900.13 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 | $636.27 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,044.40 | ↓ -79% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -33% |
| Aetna | Better Health | $3,972.09 | ↓ -19% |
| Fidelis Care | NJ Family Care | $4,144.51 | ↓ -15% |
| Amerihealth | Local Value | $5,911.83 | ↑ +21% |
| Fidelis Care | Medicare Advantage | $6,396.65 | ↑ +31% |
| Humana | Medicare | $6,396.65 | ↑ +31% |
| Aetna | Medicare | $6,396.65 | ↑ +31% |
| Wellpoint | Medicare Advantage | $6,396.65 | ↑ +31% |
| Clover Health | Medicare Advantage | $6,396.65 | ↑ +31% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,396.65 | ↑ +31% |
| United Healthcare | Medicare | $6,524.58 | ↑ +34% |
| Amerihealth | Regional Preferred | $7,489.18 | ↑ +53% |
| Cigna | Local Plus | $7,490.77 | ↑ +53% |
| United Healthcare | Oxford Metro | $7,624.00 | ↑ +56% |
| United Healthcare | Nexus | $8,095.00 | ↑ +66% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,320.95 | ↑ +70% |
| United Healthcare | Oxford Commercial | $8,969.00 | ↑ +84% |
| Aetna | PPO | $9,200.00 | ↑ +88% |
| Aetna | HMO | $9,200.00 | ↑ +88% |
| Cigna | HMO | $9,518.33 | ↑ +95% |
| United Healthcare | Commercial | $9,523.00 | ↑ +95% |
| First Health | Commercial | $9,579.00 | ↑ +96% |
| Cigna | PPO | $10,024.42 | ↑ +105% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,362.88 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,035.00 | ↑ +126% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,138.78 | ↑ +128% |
| Qualcare Inc | HMO/POS | $11,351.11 | ↑ +133% |
| Wellcare | Ambetter Health Commercial | $12,729.33 | ↑ +161% |
| Emblem Health | Commercial | $12,793.30 | ↑ +162% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,570.25 | ↑ +178% |
| Qualcare Inc | PPO/WC | $13,889.55 | ↑ +185% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,900.13 | ↑ +205% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $618.09 – $12,462.16 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,044.40 – $12,793.30 |
| Community Medical Center | Toms River | $3,786.00 | $1,044.40 – $12,399.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,044.40 – $12,729.33 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $799.88 – $13,361.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,044.40 – $12,558.45 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $488.12 – $7,050.17 |