Intro long gi tube w/mult fluo at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$174.13
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.
$836.00
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.
$42.00 with United Healthcare vs $780.23 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 | $42.00 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $91.84 | ↓ -47% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $142.64 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $142.64 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $142.64 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $142.64 | ↓ -18% |
| Aetna | Better Health | $207.99 | ↑ +19% |
| Fidelis Care | NJ Family Care | $217.02 | ↑ +25% |
| Qualcare Inc | HMO/POS | $285.00 | ↑ +64% |
| Aetna | PPO | $418.00 | ↑ +140% |
| Aetna | HMO | $418.00 | ↑ +140% |
| Wellpoint | NJ Family Care | $476.52 | ↑ +174% |
| First Health | Commercial | $501.60 | ↑ +188% |
| Qualcare Inc | PPO/WC | $684.68 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $710.60 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $780.23 | ↑ +348% |
Visitor-reported prices
Comments
Intro long gi tube w/mult fluo at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $91.97 | $40.80 – $145.60 |
| Community Medical Center | Toms River | $101.62 | $91.84 – $91.84 |
| Monmouth Medical Center Southern Campus | Lakewood | $116.47 | $91.84 – $285.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $178.31 | $69.75 – $91.84 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $131.48 | $43.20 – $91.84 |
| Cooperman Barnabas Medical Center | Livingston | not published | $91.84 – $285.00 |
| Clara Maass Medical Center | Belleville | not published | $91.84 – $91.84 |
| Jersey City Medical Center | Jersey City | not published | $52.80 – $249.24 |