Cardiac perf spect sgl/ef/wm rst/strs at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$743.32
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.
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What you pay up front if you don't use insurance.
$3,584.00
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.
$196.80 with Horizon Blue Cross Blue Shield of New Jersey vs $3,279.00 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $196.80 | ↓ -74% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $286.41 | ↓ -61% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $286.41 | ↓ -61% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $286.41 | ↓ -61% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $286.41 | ↓ -61% |
| United Healthcare | Community Plan | $444.77 | ↓ -40% |
| Fidelis Care | NJ Family Care | $453.01 | ↓ -39% |
| Aetna | Better Health | $486.70 | ↓ -35% |
| Aetna | PPO | $623.19 | ↓ -16% |
| Aetna | HMO | $623.19 | ↓ -16% |
| Amerihealth | Local Value | $713.25 | ↓ -4% |
| Amerihealth | Regional Preferred | $713.25 | ↓ -4% |
| Cigna | Local Plus | $1,301.64 | ↑ +75% |
| Cigna | PPO | $1,301.64 | ↑ +75% |
| Cigna | HMO | $1,301.64 | ↑ +75% |
| Wellpoint | Medicare Advantage | $1,426.73 | ↑ +92% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,426.73 | ↑ +92% |
| Aetna | Medicare | $1,426.73 | ↑ +92% |
| Fidelis Care | Medicare Advantage | $1,426.73 | ↑ +92% |
| Humana | Medicare | $1,426.73 | ↑ +92% |
| Clover Health | Medicare Advantage | $1,426.73 | ↑ +92% |
| United Healthcare | Medicare | $1,455.26 | ↑ +96% |
| United Healthcare | Nexus | $1,778.54 | ↑ +139% |
| United Healthcare | Oxford Metro | $1,778.54 | ↑ +139% |
| United Healthcare | Oxford Commercial | $2,010.06 | ↑ +170% |
| United Healthcare | Commercial | $2,010.06 | ↑ +170% |
| Wellpoint | NJ Family Care | $2,042.88 | ↑ +175% |
| First Health | Commercial | $2,150.40 | ↑ +189% |
| Qualcare Inc | HMO/POS | $2,390.52 | ↑ +222% |
| Emblem Health | Commercial | $2,496.78 | ↑ +236% |
| Qualcare Inc | PPO/WC | $2,548.22 | ↑ +243% |
| Wellcare | Ambetter Health Commercial | $2,839.19 | ↑ +282% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,046.40 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,279.00 | ↑ +341% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $672.71 | $163.30 – $2,853.46 |
| Cooperman Barnabas Medical Center | Livingston | $714.95 | $196.80 – $2,929.28 |
| Clara Maass Medical Center | Belleville | $643.83 | $196.80 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $702.80 | $168.11 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $744.75 | $196.80 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $784.17 | $196.80 – $2,875.51 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $475.97 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $178.40 – $4,038.62 |