Valvuloplasty pulmonary at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$3,584.84
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.
$17,210.00
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.
$559.42 with United Healthcare vs $49,005.00 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 | $559.42 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $721.60 | ↓ -80% |
| Aetna | Better Health | $4,281.84 | ↑ +19% |
| Fidelis Care | NJ Family Care | $4,467.71 | ↑ +25% |
| United Healthcare | Oxford Metro | $7,624.00 | ↑ +113% |
| United Healthcare | Nexus | $8,095.00 | ↑ +126% |
| United Healthcare | Oxford Commercial | $8,969.00 | ↑ +150% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,969.85 | ↑ +150% |
| Aetna | PPO | $9,200.00 | ↑ +157% |
| Aetna | HMO | $9,200.00 | ↑ +157% |
| United Healthcare | Commercial | $9,523.00 | ↑ +166% |
| Wellpoint | NJ Family Care | $9,809.70 | ↑ +174% |
| First Health | Commercial | $10,326.00 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $11,171.01 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,895.55 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $12,007.41 | ↑ +235% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,723.21 | ↑ +255% |
| Fidelis Care | Medicare Advantage | $12,723.21 | ↑ +255% |
| Humana | Medicare | $12,723.21 | ↑ +255% |
| Clover Health | Medicare Advantage | $12,723.21 | ↑ +255% |
| Aetna | Medicare | $12,723.21 | ↑ +255% |
| Wellpoint | Medicare Advantage | $12,723.21 | ↑ +255% |
| United Healthcare | Medicare | $12,977.67 | ↑ +262% |
| Qualcare Inc | HMO/POS | $13,217.28 | ↑ +269% |
| Qualcare Inc | PPO/WC | $14,094.99 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $14,628.50 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $16,062.09 | ↑ +348% |
| Wellcare | Ambetter Health Commercial | $25,319.19 | ↑ +606% |
| Emblem Health | Commercial | $25,446.42 | ↑ +610% |
| Cigna | Local Plus | $36,617.00 | ↑ +921% |
| Cigna | HMO | $46,527.00 | ↑ +1198% |
| Cigna | PPO | $49,005.00 | ↑ +1267% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,322.41 | $543.44 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $3,646.79 | $721.60 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $2,922.23 | $721.60 – $25,319.19 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $1,821.71 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,775.85 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $880.00 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $1,775.85 – $15,062.91 |