Aco med nutria tx/group, ea 30 min 97804aco at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$32.14
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.
?
What you pay up front if you don't use insurance.
$155.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.23 with United Healthcare vs $232.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.23 | ↓ -40% |
| Fidelis Care | NJ Family Care | $19.59 | ↓ -39% |
| Aetna | Better Health | $21.04 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $73.10 | ↑ +127% |
| Aetna | PPO | $85.25 | ↑ +165% |
| Aetna | HMO | $85.25 | ↑ +165% |
| Wellpoint | NJ Family Care | $88.35 | ↑ +175% |
| Cigna | Local Plus | $92.07 | ↑ +186% |
| First Health | Commercial | $93.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $100.67 | ↑ +213% |
| Qualcare Inc | HMO/POS | $103.38 | ↑ +222% |
| Qualcare Inc | PPO/WC | $110.20 | ↑ +243% |
| Amerihealth | Local Value | $115.47 | ↑ +259% |
| Amerihealth | Regional Preferred | $115.47 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $116.25 | ↑ +262% |
| Cigna | HMO | $116.99 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $122.04 | ↑ +280% |
| Cigna | PPO | $123.22 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $124.04 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $131.75 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $141.80 | ↑ +341% |
| United Healthcare | Nexus | $197.00 | ↑ +513% |
| United Healthcare | Oxford Metro | $197.00 | ↑ +513% |
| United Healthcare | Oxford Commercial | $232.00 | ↑ +622% |
| United Healthcare | Commercial | $232.00 | ↑ +622% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $29.09 | $15.32 – $197.00 |
| Cooperman Barnabas Medical Center | Livingston | $34.53 | $71.38 – $197.00 |
| Clara Maass Medical Center | Belleville | $21.48 | $70.52 – $197.00 |
| Childrens Specialized Hospital | Mountainside | $37.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $33.95 | $15.77 – $129.43 |
| Jersey City Medical Center | Jersey City | $32.20 | $19.83 – $197.00 |
| Monmouth Medical Center | Long Branch | $33.91 | $141.04 – $197.00 |
| Bayshore Medical Center | Holmdel | $19.31 | $19.31 – $465.00 |