MRI tmj at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$580.74
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.
$2,788.00
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.
$145.60 with United Healthcare vs $3,317.00 with Qualcare Inc — 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 | $145.60 | ↓ -75% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $271.19 | ↓ -53% |
| Humana | Medicare | $271.19 | ↓ -53% |
| Wellpoint | Medicare Advantage | $271.19 | ↓ -53% |
| Fidelis Care | Medicare Advantage | $271.19 | ↓ -53% |
| Aetna | Medicare | $271.19 | ↓ -53% |
| Clover Health | Medicare Advantage | $271.19 | ↓ -53% |
| United Healthcare | Medicare | $276.61 | ↓ -52% |
| United Healthcare | Oxford Metro | $312.92 | ↓ -46% |
| United Healthcare | Nexus | $312.92 | ↓ -46% |
| Cigna | Local Plus | $326.00 | ↓ -44% |
| United Healthcare | Oxford Commercial | $368.20 | ↓ -37% |
| United Healthcare | Commercial | $368.20 | ↓ -37% |
| Cigna | HMO | $414.00 | ↓ -29% |
| Cigna | PPO | $436.00 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $492.00 | ↓ -15% |
| Wellcare | Ambetter Health Commercial | $539.67 | ↓ -7% |
| Emblem Health | Commercial | $542.38 | ↓ -7% |
| Aetna | PPO | $549.88 | ↓ -5% |
| Aetna | HMO | $549.88 | ↓ -5% |
| Amerihealth | Local Value | $664.30 | ↑ +14% |
| Amerihealth | Regional Preferred | $664.30 | ↑ +14% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $680.57 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $680.57 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $680.57 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $680.57 | ↑ +17% |
| Aetna | Better Health | $693.65 | ↑ +19% |
| Fidelis Care | NJ Family Care | $723.76 | ↑ +25% |
| Wellpoint | NJ Family Care | $1,589.16 | ↑ +174% |
| First Health | Commercial | $1,672.80 | ↑ +188% |
| Qualcare Inc | PPO/WC | $2,072.00 | ↑ +257% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,369.80 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,602.04 | ↑ +348% |
| Qualcare Inc | HMO/POS | $3,317.00 | ↑ +471% |
Visitor-reported prices
Comments
MRI tmj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $585.62 | $141.44 – $896.25 |
| Community Medical Center | Toms River | $647.08 | $264.17 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $648.33 | $183.04 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $682.65 | $267.55 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $4,332.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $4,332.00 |