Nm radiopharmaceutical therapy oral administration at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$594.69
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.
$2,855.00
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.
$70.50 with United Healthcare vs $2,664.57 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 | $70.50 | ↓ -88% |
| Aetna | PPO | $144.33 | ↓ -76% |
| Aetna | HMO | $144.33 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $176.19 | ↓ -70% |
| Fidelis Care | Medicare Advantage | $251.46 | ↓ -58% |
| Humana | Medicare | $251.46 | ↓ -58% |
| Aetna | Medicare | $251.46 | ↓ -58% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $251.46 | ↓ -58% |
| Wellpoint | Medicare Advantage | $251.46 | ↓ -58% |
| Clover Health | Medicare Advantage | $251.46 | ↓ -58% |
| United Healthcare | Medicare | $256.49 | ↓ -57% |
| Cigna | HMO | $267.06 | ↓ -55% |
| Cigna | Local Plus | $267.06 | ↓ -55% |
| Cigna | PPO | $267.06 | ↓ -55% |
| Amerihealth | Local Value | $307.68 | ↓ -48% |
| Amerihealth | Regional Preferred | $307.68 | ↓ -48% |
| United Healthcare | Oxford Metro | $334.64 | ↓ -44% |
| United Healthcare | Nexus | $334.64 | ↓ -44% |
| United Healthcare | Oxford Commercial | $375.09 | ↓ -37% |
| United Healthcare | Commercial | $375.09 | ↓ -37% |
| Wellcare | Ambetter Health Commercial | $500.41 | ↓ -16% |
| Emblem Health | Commercial | $502.92 | ↓ -15% |
| Aetna | Better Health | $710.32 | ↑ +19% |
| Fidelis Care | NJ Family Care | $741.15 | ↑ +25% |
| Qualcare Inc | PPO/WC | $828.00 | ↑ +39% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +39% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,488.02 | ↑ +150% |
| Wellpoint | NJ Family Care | $1,627.35 | ↑ +174% |
| First Health | Commercial | $1,713.00 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,853.18 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,973.37 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,991.93 | ↑ +235% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,426.75 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,664.57 | ↑ +348% |
Visitor-reported prices
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Nm radiopharmaceutical therapy oral administration at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $625.79 | $68.48 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $604.97 | $144.33 – $828.00 |
| Community Medical Center | Toms River | $691.47 | $132.48 – $828.00 |
| Clara Maass Medical Center | Belleville | $353.84 | $144.33 – $828.00 |
| Jersey City Medical Center | Jersey City | $692.80 | $88.62 – $805.00 |
| Monmouth Medical Center | Long Branch | $729.47 | $136.36 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $139.43 – $675.85 |
| Hackensack University Medical Center | Hackensack | $263.95 | $144.96 – $771.95 |