Ultrasound prostate/transrectal at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$119.56
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.
$574.00
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.
$74.40 with United Healthcare vs $881.94 with Cigna — 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 | $74.40 | ↓ -38% |
| Clover Health | Medicare Advantage | $119.31 | ↓ -0% |
| Wellpoint | Medicare Advantage | $119.31 | ↓ -0% |
| Aetna | Medicare | $119.31 | ↓ -0% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $119.31 | ↓ -0% |
| Fidelis Care | Medicare Advantage | $119.31 | ↓ -0% |
| Humana | Medicare | $119.31 | ↓ -0% |
| United Healthcare | Medicare | $121.70 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $132.84 | ↑ +11% |
| Amerihealth | Regional Preferred | $135.66 | ↑ +13% |
| Amerihealth | Local Value | $135.66 | ↑ +13% |
| Aetna | Better Health | $142.81 | ↑ +19% |
| United Healthcare | Oxford Metro | $143.22 | ↑ +20% |
| United Healthcare | Nexus | $143.22 | ↑ +20% |
| Fidelis Care | NJ Family Care | $149.01 | ↑ +25% |
| Qualcare Inc | HMO/POS | $166.00 | ↑ +39% |
| United Healthcare | Commercial | $177.09 | ↑ +48% |
| United Healthcare | Oxford Commercial | $177.09 | ↑ +48% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $184.05 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $184.05 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $184.05 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $184.05 | ↑ +54% |
| Wellcare | Ambetter Health Commercial | $237.43 | ↑ +99% |
| Emblem Health | Commercial | $238.62 | ↑ +100% |
| Aetna | PPO | $305.78 | ↑ +156% |
| Aetna | HMO | $305.78 | ↑ +156% |
| Wellpoint | NJ Family Care | $327.18 | ↑ +174% |
| First Health | Commercial | $344.40 | ↑ +188% |
| Qualcare Inc | PPO/WC | $470.10 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $487.90 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $535.71 | ↑ +348% |
| Cigna | Local Plus | $881.94 | ↑ +638% |
| Cigna | HMO | $881.94 | ↑ +638% |
| Cigna | PPO | $881.94 | ↑ +638% |
Visitor-reported prices
Comments
Ultrasound prostate/transrectal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $127.63 | $72.28 – $881.94 |
| Community Medical Center | Toms River | $141.03 | $116.22 – $881.94 |
| Jersey City Medical Center | Jersey City | $141.30 | $93.54 – $881.94 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $562.89 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $551.61 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $562.89 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $578.11 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $562.89 |