Pq kyphplsty 1 bdy lumb w/img at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$4,881.00
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.
$16,410.00
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.
$3,017.26 with United Healthcare vs $16,029.38 with Emblem Health — 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 | $3,017.26 | ↓ -38% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -33% |
| Aetna | Better Health | $4,082.80 | ↓ -16% |
| Fidelis Care | NJ Family Care | $4,260.03 | ↓ -13% |
| Amerihealth | Local Value | $6,076.62 | ↑ +24% |
| Aetna | HMO | $7,484.00 | ↑ +53% |
| Aetna | PPO | $7,484.00 | ↑ +53% |
| United Healthcare | Oxford Metro | $7,624.00 | ↑ +56% |
| Amerihealth | Regional Preferred | $7,697.93 | ↑ +58% |
| Cigna | Local Plus | $7,699.57 | ↑ +58% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $8,014.69 | ↑ +64% |
| Humana | Medicare | $8,014.69 | ↑ +64% |
| Aetna | Medicare | $8,014.69 | ↑ +64% |
| Wellpoint | Medicare Advantage | $8,014.69 | ↑ +64% |
| Clover Health | Medicare Advantage | $8,014.69 | ↑ +64% |
| Fidelis Care | Medicare Advantage | $8,014.69 | ↑ +64% |
| United Healthcare | Nexus | $8,095.00 | ↑ +66% |
| United Healthcare | Medicare | $8,174.98 | ↑ +67% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,552.89 | ↑ +75% |
| United Healthcare | Oxford Commercial | $8,969.00 | ↑ +84% |
| United Healthcare | Commercial | $9,523.00 | ↑ +95% |
| Cigna | HMO | $9,783.64 | ↑ +100% |
| First Health | Commercial | $9,846.00 | ↑ +102% |
| Cigna | PPO | $10,303.83 | ↑ +111% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,651.73 | ↑ +118% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,342.59 | ↑ +132% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,449.25 | ↑ +135% |
| Qualcare Inc | HMO/POS | $12,602.88 | ↑ +158% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $13,127.42 | ↑ +169% |
| Qualcare Inc | PPO/WC | $13,439.79 | ↑ +175% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,948.50 | ↑ +186% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $15,315.45 | ↑ +214% |
| Wellcare | Ambetter Health Commercial | $15,949.23 | ↑ +227% |
| Emblem Health | Commercial | $16,029.38 | ↑ +228% |
Visitor-reported prices
Comments
Pq kyphplsty 1 bdy lumb w/img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,978.15 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $7,239.71 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $7,414.16 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $7,152.48 – $15,949.23 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $3,793.13 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $7,907.11 – $15,735.15 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $1,002.44 – $8,833.53 |