Angio tib/peroneal/init ves/unila 37228 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.
$20,997.00
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.
$2,605.72 with United Healthcare vs $24,663.82 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 | $2,605.72 | ↓ -31% |
| Fidelis Care | NJ Family Care | $2,654.02 | ↓ -30% |
| Aetna | Better Health | $2,851.39 | ↓ -25% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +10% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $5,663.23 | ↑ +50% |
| Aetna | PPO | $6,680.00 | ↑ +76% |
| Aetna | HMO | $6,680.00 | ↑ +76% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +88% |
| United Healthcare | Nexus | $7,987.00 | ↑ +111% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +121% |
| United Healthcare | Commercial | $9,396.00 | ↑ +148% |
| Cigna | Local Plus | $10,145.75 | ↑ +168% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,393.88 | ↑ +227% |
| Aetna | Medicare | $12,393.88 | ↑ +227% |
| Wellpoint | Medicare Advantage | $12,393.88 | ↑ +227% |
| Clover Health | Medicare Advantage | $12,393.88 | ↑ +227% |
| Fidelis Care | Medicare Advantage | $12,393.88 | ↑ +227% |
| Humana | Medicare | $12,393.88 | ↑ +227% |
| First Health | Commercial | $12,598.20 | ↑ +233% |
| United Healthcare | Medicare | $12,641.76 | ↑ +234% |
| Cigna | HMO | $12,892.15 | ↑ +241% |
| Cigna | PPO | $13,578.75 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $13,637.55 | ↑ +260% |
| Amerihealth | Local Value | $15,382.40 | ↑ +306% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $15,747.75 | ↑ +316% |
| Qualcare Inc | PPO/WC | $15,873.73 | ↑ +319% |
| Amerihealth | Regional Preferred | $16,428.05 | ↑ +334% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $16,533.03 | ↑ +337% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $16,803.89 | ↑ +344% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $17,847.45 | ↑ +371% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $19,210.15 | ↑ +407% |
| Emblem Health | Commercial | $21,689.29 | ↑ +473% |
| Wellcare | Ambetter Health Commercial | $24,663.82 | ↑ +551% |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $2,116.57 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $5,529.97 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $5,463.35 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,178.82 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,739.09 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $10,926.70 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $1,092.41 – $14,023.10 |