Cabg venous & art 5 vein graft 33522 at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
not published by hospital
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.
not published by hospital
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.
$613.70 with Horizon Blue Cross Blue Shield of New Jersey vs $4,174.00 with Aetna — 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 | $613.70 | — |
| United Healthcare | Oxford Metro | $2,445.00 | — |
| Qualcare Inc | HMO/POS | $2,699.00 | — |
| United Healthcare | Nexus | $2,751.00 | — |
| United Healthcare | Oxford Commercial | $2,877.00 | — |
| United Healthcare | Commercial | $3,236.00 | — |
| Wellpoint | NJ Family Care | $3,266.00 | — |
| Aetna | HMO | $4,174.00 | — |
| Aetna | PPO | $4,174.00 | — |
| Fidelis Care | NJ Family Care | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
Visitor-reported prices
Comments
Cabg venous & art 5 vein graft 33522 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $358.97 – $358.97 |
| Cooperman Barnabas Medical Center | Livingston | not published | $599.26 – $599.26 |
| Clara Maass Medical Center | Belleville | not published | $592.04 – $592.04 |
| Newark Beth Israel Medical Center | Newark | not published | $369.53 – $1,086.61 |
| Jersey City Medical Center | Jersey City | not published | $464.55 – $649.80 |
| Monmouth Medical Center | Long Branch | not published | $1,184.08 – $1,184.08 |
| Hackensack University Medical Center | Hackensack | not published | $1,487.42 – $1,487.42 |
| Ocean University Medical Center | Brick | not published | $1,459.03 – $1,459.03 |