Abltj mal prst8 tiss hifu 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.
$11,980.00
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.
$657.98 with Horizon Blue Cross Blue Shield of New Jersey vs $20,111.00 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $657.98 | ↓ -83% |
| United Healthcare | Community Plan | $1,486.71 | ↓ -61% |
| Fidelis Care | NJ Family Care | $1,514.27 | ↓ -60% |
| Aetna | Better Health | $1,626.88 | ↓ -57% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| United Healthcare | Oxford Metro | $3,811.00 | ↑ +1% |
| United Healthcare | Nexus | $4,288.00 | ↑ +13% |
| United Healthcare | Oxford Commercial | $4,484.00 | ↑ +18% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| United Healthcare | Commercial | $5,045.00 | ↑ +33% |
| First Health | Commercial | $7,188.00 | ↑ +90% |
| Qualcare Inc | HMO/POS | $7,463.54 | ↑ +97% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,781.01 | ↑ +106% |
| Amerihealth | Regional Preferred | $8,925.10 | ↑ +136% |
| Amerihealth | Local Value | $8,925.10 | ↑ +136% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,985.00 | ↑ +137% |
| Qualcare Inc | PPO/WC | $9,056.88 | ↑ +139% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,433.05 | ↑ +149% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,587.59 | ↑ +153% |
| Cigna | Local Plus | $9,629.00 | ↑ +154% |
| Humana | Medicare | $10,106.03 | ↑ +167% |
| Fidelis Care | Medicare Advantage | $10,106.03 | ↑ +167% |
| Clover Health | Medicare Advantage | $10,106.03 | ↑ +167% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $10,106.03 | ↑ +167% |
| Wellpoint | Medicare Advantage | $10,106.03 | ↑ +167% |
| Aetna | Medicare | $10,106.03 | ↑ +167% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,183.00 | ↑ +169% |
| United Healthcare | Medicare | $10,308.15 | ↑ +172% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $10,960.50 | ↑ +190% |
| Cigna | HMO | $12,235.00 | ↑ +223% |
| Cigna | PPO | $12,887.00 | ↑ +240% |
| Emblem Health | Commercial | $17,685.55 | ↑ +367% |
| Wellcare | Ambetter Health Commercial | $20,111.00 | ↑ +431% |
Visitor-reported prices
Comments
Abltj mal prst8 tiss hifu at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $493.26 – $20,212.06 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $657.98 – $20,749.12 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $657.98 – $20,645.37 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $507.77 – $20,749.12 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $638.34 – $21,671.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $657.98 – $20,368.25 |
| Bayshore Medical Center | Holmdel | $10,235.30 | $10,235.30 – $12,282.36 |
| Hackensack University Medical Center | Hackensack | $10,890.00 | $2,064.50 – $11,434.50 |