Angioplasty fem/pop unilat 37224 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.
$16,279.00
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.
$2,020.22 with United Healthcare vs $14,893.65 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $2,020.22 | ↓ -47% |
| Fidelis Care | NJ Family Care | $2,057.66 | ↓ -46% |
| Aetna | Better Health | $2,210.68 | ↓ -42% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,956.58 | ↑ +5% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +10% |
| Fidelis Care | Medicare Advantage | $6,231.08 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,231.08 | ↑ +65% |
| Aetna | Medicare | $6,231.08 | ↑ +65% |
| Humana | Medicare | $6,231.08 | ↑ +65% |
| Wellpoint | Medicare Advantage | $6,231.08 | ↑ +65% |
| Clover Health | Medicare Advantage | $6,231.08 | ↑ +65% |
| United Healthcare | Medicare | $6,355.70 | ↑ +68% |
| Aetna | HMO | $6,680.00 | ↑ +76% |
| Aetna | PPO | $6,680.00 | ↑ +76% |
| United Healthcare | Oxford Metro | $7,099.00 | ↑ +88% |
| Cigna | Local Plus | $7,866.01 | ↑ +108% |
| United Healthcare | Nexus | $7,987.00 | ↑ +111% |
| United Healthcare | Oxford Commercial | $8,352.00 | ↑ +121% |
| United Healthcare | Commercial | $9,396.00 | ↑ +148% |
| First Health | Commercial | $9,767.40 | ↑ +158% |
| Cigna | HMO | $9,995.30 | ↑ +164% |
| Cigna | PPO | $10,527.62 | ↑ +178% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $10,573.21 | ↑ +179% |
| Emblem Health | Commercial | $10,904.39 | ↑ +188% |
| Amerihealth | Local Value | $11,925.99 | ↑ +215% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $12,209.25 | ↑ +222% |
| Qualcare Inc | PPO/WC | $12,306.92 | ↑ +225% |
| Wellcare | Ambetter Health Commercial | $12,399.85 | ↑ +228% |
| Amerihealth | Regional Preferred | $12,736.68 | ↑ +236% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $12,818.08 | ↑ +239% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $13,028.08 | ↑ +244% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,837.15 | ↑ +265% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,893.65 | ↑ +293% |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,492.26 – $12,462.16 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $3,863.48 – $12,793.30 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $3,816.94 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,536.15 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,931.16 – $13,361.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $6,310.78 – $12,558.45 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $899.01 – $7,050.17 |