Abd/low ext cath 3rd at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,786.00
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.
$4,182.00
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.
$377.20 with Horizon Blue Cross Blue Shield of New Jersey vs $5,009.00 with Aetna — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $377.20 | ↓ -90% |
| United Healthcare | Community Plan | $518.98 | ↓ -86% |
| Fidelis Care | NJ Family Care | $528.60 | ↓ -86% |
| Aetna | Better Health | $567.91 | ↓ -85% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -35% |
| First Health | Commercial | $2,509.20 | ↓ -34% |
| Qualcare Inc | HMO/POS | $2,605.38 | ↓ -31% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,716.20 | ↓ -28% |
| United Healthcare | Nexus | $2,751.00 | ↓ -27% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -24% |
| Amerihealth | Local Value | $3,063.73 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,136.50 | ↓ -17% |
| Qualcare Inc | PPO/WC | $3,161.59 | ↓ -16% |
| United Healthcare | Commercial | $3,236.00 | ↓ -15% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Amerihealth | Regional Preferred | $3,271.99 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,292.90 | ↓ -13% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,346.85 | ↓ -12% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,554.70 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,826.11 | ↑ +1% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
Visitor-reported prices
Comments
Abd/low ext cath 3rd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $726.00 – $2,434.64 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $377.20 – $747.35 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $377.20 – $939.52 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $377.20 – $377.20 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $377.20 – $377.20 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $377.20 – $377.20 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $80.81 – $377.20 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $377.20 – $377.20 |