Phlebotomy therapeutic at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$186.84
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.
$897.00
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.
$1.93 with Amerihealth vs $4,049.00 with Aetna — 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 |
|---|---|---|---|
| Amerihealth | Local Value | $1.93 | ↓ -99% |
| Amerihealth | Regional Preferred | $1.93 | ↓ -99% |
| United Healthcare | Community Plan | $51.81 | ↓ -72% |
| Clover Health | Medicare Advantage | $144.62 | ↓ -23% |
| Humana | Medicare | $144.62 | ↓ -23% |
| Aetna | Medicare | $144.62 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $144.62 | ↓ -23% |
| Fidelis Care | Medicare Advantage | $144.62 | ↓ -23% |
| Wellpoint | Medicare Advantage | $144.62 | ↓ -23% |
| United Healthcare | Medicare | $147.51 | ↓ -21% |
| Aetna | Better Health | $223.17 | ↑ +19% |
| Fidelis Care | NJ Family Care | $232.86 | ↑ +25% |
| Wellcare | Ambetter Health Commercial | $287.79 | ↑ +54% |
| Emblem Health | Commercial | $289.24 | ↑ +55% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $467.51 | ↑ +150% |
| Wellpoint | NJ Family Care | $511.29 | ↑ +174% |
| Cigna | Local Plus | $517.21 | ↑ +177% |
| First Health | Commercial | $538.20 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $582.24 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $620.00 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $625.83 | ↑ +235% |
| Cigna | HMO | $657.23 | ↑ +252% |
| Qualcare Inc | HMO/POS | $688.89 | ↑ +269% |
| Cigna | PPO | $692.21 | ↑ +270% |
| Qualcare Inc | PPO/WC | $734.64 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $762.45 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $837.17 | ↑ +348% |
| United Healthcare | Oxford Metro | $946.00 | ↑ +406% |
| United Healthcare | Nexus | $946.00 | ↑ +406% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↑ +496% |
| United Healthcare | Commercial | $1,113.00 | ↑ +496% |
| Aetna | HMO | $4,049.00 | ↑ +2067% |
| Aetna | PPO | $4,049.00 | ↑ +2067% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $130.45 | $3.04 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $190.07 | $1.93 – $289.24 |
| Community Medical Center | Toms River | $144.14 | $1.93 – $280.33 |
| Clara Maass Medical Center | Belleville | $105.81 | $1.93 – $287.79 |
| Jersey City Medical Center | Jersey City | $144.42 | $1.93 – $302.08 |
| Monmouth Medical Center | Long Branch | $152.06 | $1.93 – $283.91 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $171.21 |
| Hackensack University Medical Center | Hackensack | $151.80 | $121.44 – $4,221.00 |