Cardioversion/elective/internal 92961 at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$920.02
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.
$4,436.00
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.
$194.51 with Horizon Blue Cross Blue Shield of New Jersey vs $4,174.00 with Aetna — 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 | $194.51 | ↓ -79% |
| United Healthcare | Community Plan | $550.50 | ↓ -40% |
| Fidelis Care | NJ Family Care | $560.71 | ↓ -39% |
| Aetna | Better Health | $602.40 | ↓ -35% |
| Wellpoint | Medicare Advantage | $715.16 | ↓ -22% |
| Humana | Medicare | $715.16 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $715.16 | ↓ -22% |
| Aetna | Medicare | $715.16 | ↓ -22% |
| Fidelis Care | Medicare Advantage | $715.16 | ↓ -22% |
| Clover Health | Medicare Advantage | $715.16 | ↓ -22% |
| United Healthcare | Medicare | $729.46 | ↓ -21% |
| United Healthcare | Oxford Metro | $946.00 | ↑ +3% |
| United Healthcare | Nexus | $946.00 | ↑ +3% |
| United Healthcare | Commercial | $1,113.00 | ↑ +21% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↑ +21% |
| Emblem Health | Commercial | $1,251.53 | ↑ +36% |
| Wellcare | Ambetter Health Commercial | $1,423.17 | ↑ +55% |
| Wellpoint | NJ Family Care | $2,528.52 | ↑ +175% |
| Cigna | Local Plus | $2,634.98 | ↑ +186% |
| First Health | Commercial | $2,661.60 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,881.18 | ↑ +213% |
| Qualcare Inc | HMO/POS | $2,958.81 | ↑ +222% |
| Qualcare Inc | PPO/WC | $3,153.99 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,327.00 | ↑ +262% |
| Cigna | HMO | $3,348.29 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,492.90 | ↑ +280% |
| Cigna | PPO | $3,526.62 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,550.13 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,770.60 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,058.49 | ↑ +341% |
| Aetna | PPO | $4,174.00 | ↑ +354% |
| Aetna | HMO | $4,174.00 | ↑ +354% |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Cardioversion/elective/internal 92961 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $988.51 | $189.94 – $1,468.32 |
| Clara Maass Medical Center | Belleville | $457.66 | $187.65 – $1,460.98 |
| Newark Beth Israel Medical Center | Newark | $971.71 | $124.22 – $1,468.32 |
| Jersey City Medical Center | Jersey City | $921.80 | $156.16 – $1,533.57 |
| Bayshore Medical Center | Holmdel | $724.31 | $724.31 – $869.17 |
| Hackensack University Medical Center | Hackensack | $770.64 | $403.77 – $2,033.00 |
| Ocean University Medical Center | Brick | $715.16 | $104.00 – $858.19 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $724.94 | $104.00 – $1,042.00 |