Vngrph chd anom/persist svc at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$1,444.76
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.
$6,936.00
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.
$29.94 with United Healthcare vs $16,800.00 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 | $29.94 | ↓ -98% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $94.38 | ↓ -93% |
| United Healthcare | Oxford Metro | $946.00 | ↓ -35% |
| United Healthcare | Nexus | $946.00 | ↓ -35% |
| United Healthcare | Commercial | $1,113.00 | ↓ -23% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↓ -23% |
| Aetna | Better Health | $1,725.67 | ↑ +19% |
| Fidelis Care | NJ Family Care | $1,800.58 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,615.04 | ↑ +150% |
| Wellpoint | NJ Family Care | $3,953.52 | ↑ +174% |
| Aetna | HMO | $4,049.00 | ↑ +180% |
| Aetna | PPO | $4,049.00 | ↑ +180% |
| First Health | Commercial | $4,161.60 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,502.15 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,794.16 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,839.24 | ↑ +235% |
| Qualcare Inc | HMO/POS | $5,326.84 | ↑ +269% |
| Qualcare Inc | PPO/WC | $5,680.58 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,895.60 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,473.36 | ↑ +348% |
| Cigna | Local Plus | $12,553.00 | ↑ +769% |
| Cigna | HMO | $15,951.00 | ↑ +1004% |
| Cigna | PPO | $16,800.00 | ↑ +1063% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Vngrph chd anom/persist svc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $29.08 – $946.00 |
| Cooperman Barnabas Medical Center | Livingston | not published | $52.05 – $946.00 |
| Community Medical Center | Toms River | not published | $53.30 – $946.00 |
| Clara Maass Medical Center | Belleville | not published | $51.42 – $946.00 |
| Jersey City Medical Center | Jersey City | not published | $37.63 – $946.00 |
| Monmouth Medical Center | Long Branch | not published | $102.84 – $946.00 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $105.65 – $105.65 |