Artery xray each vessel 7577426 at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$788.32
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.
$3,801.00
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.
$129.08 with Aetna vs $3,477.53 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| Aetna | HMO | $129.08 | ↓ -84% |
| Aetna | PPO | $129.08 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $282.44 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $282.44 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $282.44 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $282.44 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $298.48 | ↓ -62% |
| United Healthcare | Community Plan | $471.70 | ↓ -40% |
| Fidelis Care | NJ Family Care | $480.44 | ↓ -39% |
| Aetna | Better Health | $516.17 | ↓ -35% |
| Wellpoint | NJ Family Care | $2,166.57 | ↑ +175% |
| First Health | Commercial | $2,280.60 | ↑ +189% |
| Qualcare Inc | HMO/POS | $2,535.26 | ↑ +222% |
| Qualcare Inc | PPO/WC | $2,702.51 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,230.85 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,477.53 | ↑ +341% |
Visitor-reported prices
Comments
Artery xray each vessel 7577426 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $713.44 | $49.63 – $519.38 |
| Cooperman Barnabas Medical Center | Livingston | $1,115.44 | $140.71 – $1,370.00 |
| Clara Maass Medical Center | Belleville | $376.71 | $140.71 – $282.44 |
| Newark Beth Israel Medical Center | Newark | $1,096.49 | $51.09 – $1,370.00 |
| Jersey City Medical Center | Jersey City | $789.84 | $64.23 – $1,196.73 |
| Monmouth Medical Center | Long Branch | $831.65 | $132.86 – $1,370.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $310.42 | $129.08 – $298.48 |
| Monmouth Medical Center Southern Campus | Lakewood | $903.49 | $132.86 – $1,370.00 |