Cath plc art ang/grft lt/rt hr at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$5,824.41
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.
$28,083.00
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.
$3,180.00 with Wellpoint vs $22,325.98 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $3,180.00 | ↓ -45% |
| United Healthcare | Community Plan | $3,485.10 | ↓ -40% |
| Aetna | Medicare | $3,515.15 | ↓ -40% |
| Humana | Medicare | $3,515.15 | ↓ -40% |
| Clover Health | Medicare Advantage | $3,515.15 | ↓ -40% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,515.15 | ↓ -40% |
| Fidelis Care | Medicare Advantage | $3,515.15 | ↓ -40% |
| Wellpoint | Medicare Advantage | $3,515.15 | ↓ -40% |
| Fidelis Care | NJ Family Care | $3,549.69 | ↓ -39% |
| United Healthcare | Medicare | $3,585.45 | ↓ -38% |
| Aetna | Better Health | $3,813.67 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,458.00 | ↓ -23% |
| Emblem Health | Commercial | $6,151.51 | ↑ +6% |
| United Healthcare | Nexus | $6,599.00 | ↑ +13% |
| Wellcare | Ambetter Health Commercial | $6,995.15 | ↑ +20% |
| United Healthcare | Commercial | $7,763.00 | ↑ +33% |
| United Healthcare | Oxford Metro | $8,771.00 | ↑ +51% |
| United Healthcare | Oxford Commercial | $10,319.00 | ↑ +77% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $11,745.00 | ↑ +102% |
| Qualcare Inc | HMO/POS | $12,172.00 | ↑ +109% |
| Qualcare Inc | PPO/WC | $13,304.00 | ↑ +128% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $13,603.00 | ↑ +134% |
| Amerihealth | Local Value | $14,380.00 | ↑ +147% |
| Amerihealth | Regional Preferred | $16,155.00 | ↑ +177% |
| Cigna | Local Plus | $16,681.30 | ↑ +186% |
| First Health | Commercial | $16,849.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $17,220.00 | ↑ +196% |
| Aetna | HMO | $17,890.00 | ↑ +207% |
| Aetna | PPO | $17,890.00 | ↑ +207% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $20,373.00 | ↑ +250% |
| Cigna | HMO | $21,197.04 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $21,420.00 | ↑ +268% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $21,771.00 | ↑ +274% |
| Cigna | PPO | $22,325.98 | ↑ +283% |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,271.17 | $701.74 – $7,030.30 |
| Cooperman Barnabas Medical Center | Livingston | $8,053.25 | $3,608.55 – $7,217.10 |
| Clara Maass Medical Center | Belleville | $5,463.58 | $3,608.55 – $7,181.01 |
| Newark Beth Israel Medical Center | Newark | $7,916.44 | $722.38 – $7,217.10 |
| Jersey City Medical Center | Jersey City | $5,835.64 | $908.13 – $7,537.80 |
| Monmouth Medical Center | Long Branch | $6,144.56 | $3,560.12 – $7,084.64 |
| Bayshore Medical Center | Holmdel | $3,560.12 | $3,560.12 – $4,272.14 |
| Hackensack University Medical Center | Hackensack | $3,787.84 | $2,405.49 – $3,977.23 |