Ablate bone tumor(s) cryo perq 20983 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.
$13,406.00
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.
$1,663.68 with United Healthcare vs $15,536.41 with Wellcare — 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 | $1,663.68 | ↓ -56% |
| Fidelis Care | NJ Family Care | $1,694.51 | ↓ -55% |
| Aetna | Better Health | $1,820.53 | ↓ -52% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
| Cigna | Local Plus | $6,477.77 | ↑ +71% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7,015.68 | ↑ +85% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +88% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $7,807.24 | ↑ +106% |
| Aetna | Medicare | $7,807.24 | ↑ +106% |
| Fidelis Care | Medicare Advantage | $7,807.24 | ↑ +106% |
| Humana | Medicare | $7,807.24 | ↑ +106% |
| Wellpoint | Medicare Advantage | $7,807.24 | ↑ +106% |
| Clover Health | Medicare Advantage | $7,807.24 | ↑ +106% |
| United Healthcare | Medicare | $7,963.38 | ↑ +110% |
| United Healthcare | Nexus | $7,987.00 | ↑ +111% |
| First Health | Commercial | $8,043.60 | ↑ +112% |
| Cigna | HMO | $8,231.28 | ↑ +117% |
| Qualcare Inc | HMO/POS | $8,351.93 | ↑ +121% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +121% |
| Cigna | PPO | $8,669.66 | ↑ +129% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,707.19 | ↑ +130% |
| United Healthcare | Commercial | $9,396.00 | ↑ +148% |
| Amerihealth | Regional Preferred | $9,987.47 | ↑ +164% |
| Amerihealth | Local Value | $9,987.47 | ↑ +164% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,054.50 | ↑ +166% |
| Qualcare Inc | PPO/WC | $10,134.93 | ↑ +168% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $10,555.88 | ↑ +179% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $10,728.82 | ↑ +183% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $11,395.10 | ↑ +201% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,265.14 | ↑ +224% |
| Emblem Health | Commercial | $13,662.67 | ↑ +261% |
| Wellcare | Ambetter Health Commercial | $15,536.41 | ↑ +310% |
Visitor-reported prices
Comments
Ablate bone tumor(s) cryo perq 20983 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $2,620.28 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $6,850.60 – $16,029.38 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $6,768.07 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,697.35 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $3,390.95 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $7,907.11 – $15,735.15 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $705.31 – $8,833.53 |