Ultrasound encephalogram at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$138.51
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.
$665.00
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.
$60.53 with United Healthcare vs $620.64 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 | $60.53 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $68.88 | ↓ -50% |
| Amerihealth | Regional Preferred | $118.88 | ↓ -14% |
| Amerihealth | Local Value | $118.88 | ↓ -14% |
| Clover Health | Medicare Advantage | $119.31 | ↓ -14% |
| Humana | Medicare | $119.31 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $119.31 | ↓ -14% |
| Aetna | Medicare | $119.31 | ↓ -14% |
| Fidelis Care | Medicare Advantage | $119.31 | ↓ -14% |
| Wellpoint | Medicare Advantage | $119.31 | ↓ -14% |
| United Healthcare | Medicare | $121.70 | ↓ -12% |
| United Healthcare | Oxford Metro | $143.22 | ↑ +3% |
| United Healthcare | Nexus | $143.22 | ↑ +3% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $150.83 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $150.83 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $150.83 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $150.83 | ↑ +9% |
| Qualcare Inc | HMO/POS | $155.00 | ↑ +12% |
| Aetna | Better Health | $165.45 | ↑ +19% |
| Fidelis Care | NJ Family Care | $172.63 | ↑ +25% |
| United Healthcare | Commercial | $177.09 | ↑ +28% |
| United Healthcare | Oxford Commercial | $177.09 | ↑ +28% |
| Aetna | HMO | $221.84 | ↑ +60% |
| Aetna | PPO | $221.84 | ↑ +60% |
| Wellcare | Ambetter Health Commercial | $237.43 | ↑ +71% |
| Emblem Health | Commercial | $238.62 | ↑ +72% |
| Wellpoint | NJ Family Care | $379.05 | ↑ +174% |
| First Health | Commercial | $399.00 | ↑ +188% |
| Cigna | Local Plus | $428.82 | ↑ +210% |
| Cigna | PPO | $428.82 | ↑ +210% |
| Cigna | HMO | $428.82 | ↑ +210% |
| Qualcare Inc | PPO/WC | $544.63 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $565.25 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $620.64 | ↑ +348% |
Visitor-reported prices
Comments
Ultrasound encephalogram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $161.60 | $58.80 – $428.82 |
| Cooperman Barnabas Medical Center | Livingston | $140.91 | $68.88 – $428.82 |
| Community Medical Center | Toms River | $178.57 | $68.88 – $428.82 |
| Clara Maass Medical Center | Belleville | $123.91 | $68.88 – $428.82 |
| Childrens Specialized Hospital | Mountainside | $290.50 | $42.00 – $42.00 |
| Jersey City Medical Center | Jersey City | $178.91 | $68.88 – $428.82 |
| Monmouth Medical Center | Long Branch | $188.38 | $68.88 – $428.82 |
| Bayshore Medical Center | Holmdel | $117.70 | $106.67 – $312.21 |