Removal duct glbldr calculi 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.
$5,461.00
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.
$439.97 with United Healthcare vs $5,096.75 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 | $439.97 | ↓ -91% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $753.47 | ↓ -85% |
| Aetna | Better Health | $1,358.69 | ↓ -72% |
| Fidelis Care | NJ Family Care | $1,417.67 | ↓ -71% |
| Amerihealth | Local Value | $2,022.20 | ↓ -59% |
| Amerihealth | Regional Preferred | $2,561.75 | ↓ -48% |
| United Healthcare | Oxford Metro | $2,626.00 | ↓ -46% |
| United Healthcare | Nexus | $2,788.00 | ↓ -43% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,846.27 | ↓ -42% |
| United Healthcare | Oxford Commercial | $3,089.00 | ↓ -37% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -33% |
| First Health | Commercial | $3,276.60 | ↓ -33% |
| United Healthcare | Commercial | $3,280.00 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,544.73 | ↓ -27% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,774.64 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,810.13 | ↓ -22% |
| Qualcare Inc | HMO/POS | $3,882.77 | ↓ -20% |
| Aetna | PPO | $4,049.00 | ↓ -17% |
| Aetna | HMO | $4,049.00 | ↓ -17% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,641.85 | ↓ -5% |
| Qualcare Inc | PPO/WC | $4,751.07 | ↓ -3% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,096.75 | ↑ +4% |
Visitor-reported prices
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Removal duct glbldr calculi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $427.40 – $2,434.64 |
| Community Medical Center | Toms River | $3,786.00 | $753.47 – $753.47 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $553.11 – $753.47 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $753.47 – $753.47 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $753.47 – $753.47 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $111.61 – $753.47 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $753.47 – $753.47 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $452.54 – $753.47 |