Perq transcath cls mitral at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$8,516.55
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.
?
What you pay up front if you don't use insurance.
$40,886.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$540.89 with United Healthcare vs $49,005.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $540.89 | ↓ -94% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $2,530.36 | ↓ -70% |
| United Healthcare | Oxford Metro | $9,656.00 | ↑ +13% |
| Aetna | Better Health | $10,172.43 | ↑ +19% |
| United Healthcare | Nexus | $10,252.00 | ↑ +20% |
| Fidelis Care | NJ Family Care | $10,614.00 | ↑ +25% |
| Aetna | HMO | $11,042.00 | ↑ +30% |
| Aetna | PPO | $11,042.00 | ↑ +30% |
| United Healthcare | Oxford Commercial | $11,360.00 | ↑ +33% |
| United Healthcare | Commercial | $12,061.00 | ↑ +42% |
| Wellpoint | Medicare Advantage | $20,146.00 | ↑ +137% |
| Humana | Medicare | $20,146.00 | ↑ +137% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $20,146.00 | ↑ +137% |
| Aetna | Medicare | $20,146.00 | ↑ +137% |
| Fidelis Care | Medicare Advantage | $20,146.00 | ↑ +137% |
| Clover Health | Medicare Advantage | $20,146.00 | ↑ +137% |
| United Healthcare | Medicare | $20,548.92 | ↑ +141% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $21,309.78 | ↑ +150% |
| Wellpoint | NJ Family Care | $23,305.02 | ↑ +174% |
| First Health | Commercial | $24,531.60 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $26,539.10 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $28,260.40 | ↑ +232% |
| Amerihealth | Regional Preferred | $28,260.40 | ↑ +232% |
| Amerihealth | Local Value | $28,260.40 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $28,526.16 | ↑ +235% |
| Qualcare Inc | HMO/POS | $31,400.44 | ↑ +269% |
| Qualcare Inc | PPO/WC | $33,485.63 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $34,753.10 | ↑ +308% |
| Cigna | Local Plus | $36,617.00 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $38,158.90 | ↑ +348% |
| Wellcare | Ambetter Health Commercial | $40,090.54 | ↑ +371% |
| Emblem Health | Commercial | $40,292.00 | ↑ +373% |
| Cigna | HMO | $46,527.00 | ↑ +446% |
| Cigna | PPO | $49,005.00 | ↑ +475% |
Visitor-reported prices
Comments
Perq transcath cls mitral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $7,142.91 | $679.97 – $42,082.35 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $1,765.07 – $22,204.26 |
| Ocean University Medical Center | Brick | $19,624.54 | $1,717.01 – $23,549.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $1,681.30 – $19,892.81 |
| Jersey Shore University Medical Center | Neptune City | $19,875.58 | $1,717.01 – $23,850.69 |
| Palisades Medical Center | North Bergen | $21,146.91 | $1,656.08 – $23,050.13 |
| Raritan Bay Medical Center | Perth Amboy | $19,892.81 | $1,765.07 – $23,871.38 |