Artery x-rays lungs at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,943.96
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.
$9,373.00
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.
$182.93 with Aetna vs $8,575.35 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 |
|---|---|---|---|
| Aetna | PPO | $182.93 | ↓ -91% |
| Aetna | HMO | $182.93 | ↓ -91% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $286.98 | ↓ -85% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $315.66 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $315.66 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $315.66 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $315.66 | ↓ -84% |
| Cigna | PPO | $374.76 | ↓ -81% |
| Cigna | Local Plus | $374.76 | ↓ -81% |
| Cigna | HMO | $374.76 | ↓ -81% |
| United Healthcare | Community Plan | $1,163.18 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,184.74 | ↓ -39% |
| Aetna | Better Health | $1,272.85 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,439.84 | ↑ +77% |
| Clover Health | Medicare Advantage | $3,439.84 | ↑ +77% |
| Humana | Medicare | $3,439.84 | ↑ +77% |
| Fidelis Care | Medicare Advantage | $3,439.84 | ↑ +77% |
| Wellpoint | Medicare Advantage | $3,439.84 | ↑ +77% |
| Aetna | Medicare | $3,439.84 | ↑ +77% |
| United Healthcare | Medicare | $3,508.64 | ↑ +80% |
| United Healthcare | Nexus | $3,991.82 | ↑ +105% |
| United Healthcare | Oxford Metro | $3,991.82 | ↑ +105% |
| United Healthcare | Oxford Commercial | $4,378.62 | ↑ +125% |
| United Healthcare | Commercial | $4,378.62 | ↑ +125% |
| Wellpoint | NJ Family Care | $5,342.61 | ↑ +175% |
| First Health | Commercial | $5,623.80 | ↑ +189% |
| Emblem Health | Commercial | $6,019.72 | ↑ +210% |
| Qualcare Inc | HMO/POS | $6,251.79 | ↑ +222% |
| Qualcare Inc | PPO/WC | $6,664.20 | ↑ +243% |
| Wellcare | Ambetter Health Commercial | $6,845.28 | ↑ +252% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,967.05 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $8,575.35 | ↑ +341% |
Visitor-reported prices
Comments
Artery x-rays lungs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,759.31 | $75.79 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $2,170.27 | $199.36 – $7,062.48 |
| Clara Maass Medical Center | Belleville | $1,158.19 | $199.36 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $2,133.40 | $78.02 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $1,947.70 | $98.08 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $2,050.81 | $188.29 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $247.33 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $260.16 – $8,849.68 |