Tib/per revasc w/ather add-on 37233 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.
$13,391.00
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.
$552.56 with United Healthcare vs $12,497.82 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 | $552.56 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,989.43 | ↓ -59% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -33% |
| Aetna | Better Health | $3,331.68 | ↓ -32% |
| Fidelis Care | NJ Family Care | $3,476.30 | ↓ -29% |
| Aetna | HMO | $4,049.00 | ↓ -17% |
| Aetna | PPO | $4,049.00 | ↓ -17% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -15% |
| Amerihealth | Local Value | $4,958.68 | ↑ +2% |
| Amerihealth | Regional Preferred | $6,281.71 | ↑ +29% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,979.38 | ↑ +43% |
| First Health | Commercial | $8,034.60 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,692.09 | ↑ +78% |
| United Healthcare | Oxford Metro | $9,133.00 | ↑ +87% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,255.85 | ↑ +90% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,342.90 | ↑ +91% |
| United Healthcare | Nexus | $10,060.00 | ↑ +106% |
| United Healthcare | Oxford Commercial | $10,745.00 | ↑ +120% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $11,382.35 | ↑ +133% |
| Qualcare Inc | PPO/WC | $11,650.17 | ↑ +139% |
| United Healthcare | Commercial | $11,835.00 | ↑ +142% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,497.82 | ↑ +156% |
Visitor-reported prices
Comments
Tib/per revasc w/ather add-on 37233 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $2,703.24 – $2,703.24 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $998.02 – $2,551.43 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $1,275.61 – $1,275.61 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $568.35 – $998.02 |
| Trinitas Regional Medical Center | Elizabeth | not published | $536.78 – $7,608.25 |
| Cooperman Barnabas Medical Center | Livingston | not published | $1,097.16 – $1,097.16 |
| Community Medical Center | Toms River | not published | $1,123.60 – $1,123.60 |
| Clara Maass Medical Center | Belleville | not published | $1,083.94 – $1,083.94 |