3-d radiotherapy plan at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$2,456.44
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.
$11,844.00
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.
$665.00 with Aetna vs $10,836.07 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 |
|---|---|---|---|
| Aetna | HMO | $665.00 | ↓ -73% |
| Aetna | PPO | $665.00 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,036.48 | ↓ -58% |
| United Healthcare | Community Plan | $1,469.84 | ↓ -40% |
| Clover Health | Medicare Advantage | $1,495.34 | ↓ -39% |
| Humana | Medicare | $1,495.34 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,495.34 | ↓ -39% |
| Aetna | Medicare | $1,495.34 | ↓ -39% |
| Fidelis Care | Medicare Advantage | $1,495.34 | ↓ -39% |
| Wellpoint | Medicare Advantage | $1,495.34 | ↓ -39% |
| Fidelis Care | NJ Family Care | $1,497.08 | ↓ -39% |
| United Healthcare | Medicare | $1,525.25 | ↓ -38% |
| Aetna | Better Health | $1,608.41 | ↓ -35% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +5% |
| United Healthcare | Nexus | $2,568.00 | ↑ +5% |
| Emblem Health | Commercial | $2,616.85 | ↑ +7% |
| Wellcare | Ambetter Health Commercial | $2,975.73 | ↑ +21% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +23% |
| United Healthcare | Commercial | $3,021.00 | ↑ +23% |
| Wellpoint | NJ Family Care | $6,751.08 | ↑ +175% |
| Cigna | Local Plus | $7,035.33 | ↑ +186% |
| First Health | Commercial | $7,106.40 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,692.67 | ↑ +213% |
| Qualcare Inc | HMO/POS | $7,899.94 | ↑ +222% |
| Qualcare Inc | PPO/WC | $8,421.08 | ↑ +243% |
| Amerihealth | Local Value | $8,823.78 | ↑ +259% |
| Amerihealth | Regional Preferred | $8,823.78 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,883.00 | ↑ +262% |
| Cigna | HMO | $8,939.85 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,325.96 | ↑ +280% |
| Cigna | PPO | $9,415.98 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,478.75 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,067.40 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $10,836.07 | ↑ +341% |
Visitor-reported prices
Comments
3-d radiotherapy plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,223.11 | $99.96 – $3,551.96 |
| Cooperman Barnabas Medical Center | Livingston | $2,579.03 | $725.00 – $3,070.16 |
| Clara Maass Medical Center | Belleville | $2,941.13 | $725.00 – $3,054.81 |
| Newark Beth Israel Medical Center | Newark | $2,535.21 | $255.82 – $3,070.16 |
| Jersey City Medical Center | Jersey City | $2,461.18 | $321.60 – $3,206.59 |
| Monmouth Medical Center | Long Branch | $2,591.46 | $684.00 – $3,042.00 |
| Bayshore Medical Center | Holmdel | $1,514.47 | $1,514.47 – $21,431.00 |
| Hackensack University Medical Center | Hackensack | $1,611.35 | $780.38 – $9,085.33 |