Biliary endoscopy thru skin 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.
?
What you pay up front if you don't use insurance.
$7,175.00
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.
$279.88 with Horizon Blue Cross Blue Shield of New Jersey vs $7,675.11 with Wellcare — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $279.88 | ↓ -93% |
| United Healthcare | Community Plan | $890.41 | ↓ -76% |
| Fidelis Care | NJ Family Care | $906.92 | ↓ -76% |
| Aetna | Better Health | $974.36 | ↓ -74% |
| Cigna | Local Plus | $3,102.00 | ↓ -18% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Fidelis Care | Medicare Advantage | $3,856.84 | ↑ +2% |
| Aetna | Medicare | $3,856.84 | ↑ +2% |
| Humana | Medicare | $3,856.84 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,856.84 | ↑ +2% |
| Wellpoint | Medicare Advantage | $3,856.84 | ↑ +2% |
| Clover Health | Medicare Advantage | $3,856.84 | ↑ +2% |
| United Healthcare | Medicare | $3,933.98 | ↑ +4% |
| Cigna | HMO | $3,941.00 | ↑ +4% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +10% |
| Cigna | PPO | $4,151.00 | ↑ +10% |
| First Health | Commercial | $4,305.00 | ↑ +14% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,660.16 | ↑ +23% |
| United Healthcare | Oxford Metro | $4,791.00 | ↑ +27% |
| Amerihealth | Local Value | $5,256.40 | ↑ +39% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,381.25 | ↑ +42% |
| United Healthcare | Nexus | $5,390.00 | ↑ +42% |
| Qualcare Inc | PPO/WC | $5,424.30 | ↑ +43% |
| Amerihealth | Regional Preferred | $5,613.72 | ↑ +48% |
| United Healthcare | Oxford Commercial | $5,637.00 | ↑ +49% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,649.59 | ↑ +49% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,742.15 | ↑ +52% |
| Aetna | PPO | $5,845.00 | ↑ +54% |
| Aetna | HMO | $5,845.00 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,098.75 | ↑ +61% |
| United Healthcare | Commercial | $6,341.00 | ↑ +67% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,564.40 | ↑ +73% |
| Emblem Health | Commercial | $6,749.47 | ↑ +78% |
| Wellcare | Ambetter Health Commercial | $7,675.11 | ↑ +103% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $162.16 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $279.88 – $7,918.64 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $279.88 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $166.93 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $209.85 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $279.88 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |
| Hackensack University Medical Center | Hackensack | $4,156.03 | $672.75 – $4,363.83 |