Valvuloplasty mitral at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$3,371.54
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.
?
What you pay up front if you don't use insurance.
$16,186.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$697.92 with United Healthcare vs $49,005.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $697.92 | ↓ -79% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,108.64 | ↓ -67% |
| Aetna | Better Health | $4,027.07 | ↑ +19% |
| Fidelis Care | NJ Family Care | $4,201.88 | ↑ +25% |
| United Healthcare | Oxford Metro | $7,624.00 | ↑ +126% |
| United Healthcare | Nexus | $8,095.00 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,436.14 | ↑ +150% |
| United Healthcare | Oxford Commercial | $8,969.00 | ↑ +166% |
| Aetna | PPO | $9,200.00 | ↑ +173% |
| Aetna | HMO | $9,200.00 | ↑ +173% |
| Wellpoint | NJ Family Care | $9,226.02 | ↑ +174% |
| United Healthcare | Commercial | $9,523.00 | ↑ +182% |
| First Health | Commercial | $9,711.60 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,506.33 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,187.76 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,292.97 | ↑ +235% |
| Qualcare Inc | HMO/POS | $12,430.84 | ↑ +269% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,723.21 | ↑ +277% |
| Clover Health | Medicare Advantage | $12,723.21 | ↑ +277% |
| Aetna | Medicare | $12,723.21 | ↑ +277% |
| Humana | Medicare | $12,723.21 | ↑ +277% |
| Fidelis Care | Medicare Advantage | $12,723.21 | ↑ +277% |
| Wellpoint | Medicare Advantage | $12,723.21 | ↑ +277% |
| United Healthcare | Medicare | $12,977.67 | ↑ +285% |
| Qualcare Inc | PPO/WC | $13,256.33 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,758.10 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $15,106.39 | ↑ +348% |
| Wellcare | Ambetter Health Commercial | $25,319.19 | ↑ +651% |
| Emblem Health | Commercial | $25,446.42 | ↑ +655% |
| Cigna | Local Plus | $36,617.00 | ↑ +986% |
| Cigna | HMO | $46,527.00 | ↑ +1280% |
| Cigna | PPO | $49,005.00 | ↑ +1353% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty mitral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,429.81 | $1,108.64 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $2,922.23 | $1,108.64 – $25,319.19 |
| Jersey City Medical Center | Jersey City | $3,052.99 | $877.39 – $26,577.13 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $2,271.34 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $2,215.53 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $2,271.34 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $2,215.53 – $15,062.91 |