Artery x-rays spine at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$2,367.88
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.
$11,417.00
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.
$292.08 with Horizon Blue Cross Blue Shield of New Jersey vs $11,756.48 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 | $292.08 | ↓ -88% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $337.59 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $337.59 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $337.59 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $337.59 | ↓ -86% |
| Aetna | HMO | $358.17 | ↓ -85% |
| Aetna | PPO | $358.17 | ↓ -85% |
| Cigna | Local Plus | $706.30 | ↓ -70% |
| Cigna | HMO | $706.30 | ↓ -70% |
| Cigna | PPO | $706.30 | ↓ -70% |
| United Healthcare | Community Plan | $1,416.84 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,443.10 | ↓ -39% |
| Aetna | Better Health | $1,550.42 | ↓ -35% |
| Wellpoint | Medicare Advantage | $5,907.78 | ↑ +149% |
| Aetna | Medicare | $5,907.78 | ↑ +149% |
| Clover Health | Medicare Advantage | $5,907.78 | ↑ +149% |
| Fidelis Care | Medicare Advantage | $5,907.78 | ↑ +149% |
| Humana | Medicare | $5,907.78 | ↑ +149% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $5,907.78 | ↑ +149% |
| United Healthcare | Medicare | $6,025.94 | ↑ +154% |
| Wellpoint | NJ Family Care | $6,507.69 | ↑ +175% |
| First Health | Commercial | $6,850.20 | ↑ +189% |
| United Healthcare | Oxford Metro | $6,887.28 | ↑ +191% |
| United Healthcare | Nexus | $6,887.28 | ↑ +191% |
| United Healthcare | Commercial | $7,261.98 | ↑ +207% |
| United Healthcare | Oxford Commercial | $7,261.98 | ↑ +207% |
| Qualcare Inc | HMO/POS | $7,615.13 | ↑ +222% |
| Qualcare Inc | PPO/WC | $8,117.48 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,704.45 | ↑ +310% |
| Emblem Health | Commercial | $10,338.62 | ↑ +337% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $10,445.41 | ↑ +341% |
| Wellcare | Ambetter Health Commercial | $11,756.48 | ↑ +396% |
Visitor-reported prices
Comments
Artery x-rays spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,142.97 | $129.29 – $11,815.56 |
| Cooperman Barnabas Medical Center | Livingston | $2,362.47 | $292.08 – $12,129.52 |
| Clara Maass Medical Center | Belleville | $1,883.18 | $292.08 – $12,068.87 |
| Newark Beth Israel Medical Center | Newark | $2,322.33 | $133.09 – $12,129.52 |
| Jersey City Medical Center | Jersey City | $2,372.45 | $167.31 – $12,668.50 |
| Monmouth Medical Center | Long Branch | $2,498.03 | $292.08 – $11,906.87 |
| Bayshore Medical Center | Holmdel | $5,983.35 | $370.94 – $12,915.78 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $264.78 – $14,752.37 |