Mopath procedure level 8 at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$930.90
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.
$2,496.00
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.
$249.60 with Horizon Blue Cross Blue Shield of New Jersey vs $3,450.21 with Cigna — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $249.60 | ↓ -73% |
| United Healthcare | Nexus | $397.75 | ↓ -57% |
| United Healthcare | Oxford Metro | $397.75 | ↓ -57% |
| United Healthcare | Oxford Commercial | $465.45 | ↓ -50% |
| United Healthcare | Commercial | $465.45 | ↓ -50% |
| Aetna | Better Health | $621.00 | ↓ -33% |
| Amerihealth | Regional Preferred | $632.07 | ↓ -32% |
| Amerihealth | Local Value | $632.07 | ↓ -32% |
| United Healthcare | Community Plan | $710.87 | ↓ -24% |
| Fidelis Care | NJ Family Care | $812.42 | ↓ -13% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $846.27 | ↓ -9% |
| Humana | Medicare | $846.27 | ↓ -9% |
| Aetna | Medicare | $846.27 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $846.27 | ↓ -9% |
| Wellpoint | Medicare Advantage | $846.27 | ↓ -9% |
| Clover Health | Medicare Advantage | $846.27 | ↓ -9% |
| Fidelis Care | Medicare Advantage | $846.27 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $846.27 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $846.27 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $846.27 | ↓ -9% |
| United Healthcare | Medicare | $863.20 | ↓ -7% |
| Aetna | HMO | $1,040.91 | ↑ +12% |
| Aetna | PPO | $1,040.91 | ↑ +12% |
| Wellpoint | NJ Family Care | $1,422.72 | ↑ +53% |
| First Health | Commercial | $1,497.60 | ↑ +61% |
| Wellcare | Ambetter Health Commercial | $1,684.08 | ↑ +81% |
| Emblem Health | Commercial | $1,692.54 | ↑ +82% |
| Qualcare Inc | HMO/POS | $1,916.92 | ↑ +106% |
| Qualcare Inc | PPO/WC | $2,044.22 | ↑ +120% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,121.60 | ↑ +128% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,329.51 | ↑ +150% |
| Cigna | Local Plus | $3,450.21 | ↑ +271% |
| Cigna | HMO | $3,450.21 | ↑ +271% |
| Cigna | PPO | $3,450.21 | ↑ +271% |
Visitor-reported prices
Comments
Mopath procedure level 8 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $930.90 | $397.75 – $3,450.21 |
| Cooperman Barnabas Medical Center | Livingston | $930.90 | $397.75 – $3,450.21 |
| Community Medical Center | Toms River | $930.90 | $397.75 – $3,450.21 |
| Clara Maass Medical Center | Belleville | $930.90 | $397.75 – $3,450.21 |
| Jersey City Medical Center | Jersey City | $930.90 | $397.75 – $3,450.21 |
| Monmouth Medical Center | Long Branch | $930.90 | $397.75 – $3,450.21 |
| Bayshore Medical Center | Holmdel | $846.27 | $846.27 – $3,877.91 |
| Hackensack University Medical Center | Hackensack | $846.27 | $677.02 – $3,800.17 |