#celiac hla-dq2 at Community Medical Center

99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Sep 10, 2026

$104.21

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.

Full explanation →

What you pay up front if you don't use insurance.

$681.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$44.53 with United Healthcare vs $623.04 with Horizon Blue Cross Blue Shield of New Jersey — 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 →

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
United Healthcare Nexus $44.53 ↓ -57%
United Healthcare Oxford Metro $44.53 ↓ -57%
United Healthcare Commercial $52.11 ↓ -50%
United Healthcare Oxford Commercial $52.11 ↓ -50%
Horizon Blue Cross Blue Shield of New Jersey NJ Health $73.67 ↓ -29%
United Healthcare Community Plan $79.58 ↓ -24%
Fidelis Care NJ Family Care $81.10 ↓ -22%
Aetna Better Health $92.47 ↓ -11%
Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage $94.74 ↓ -9%
Horizon Blue Cross Blue Shield of New Jersey Managed $94.74 ↓ -9%
Aetna Medicare $94.74 ↓ -9%
Horizon Blue Cross Blue Shield of New Jersey State Benefit Plan $94.74 ↓ -9%
Humana Medicare $94.74 ↓ -9%
Wellpoint Medicare Advantage $94.74 ↓ -9%
Horizon Blue Cross Blue Shield of New Jersey Omnia $94.74 ↓ -9%
Clover Health Medicare Advantage $94.74 ↓ -9%
Fidelis Care Medicare Advantage $94.74 ↓ -9%
Horizon Blue Cross Blue Shield of New Jersey Non-Managed $94.74 ↓ -9%
United Healthcare Medicare $96.63 ↓ -7%
Aetna PPO $113.69 ↑ +9%
Aetna HMO $113.69 ↑ +9%
Amerihealth Local Value $131.72 ↑ +26%
Amerihealth Regional Preferred $131.72 ↑ +26%
Emblem Health Commercial $165.80 ↑ +59%
Wellcare Ambetter Health Commercial $188.53 ↑ +81%
Cigna Local Plus $385.87 ↑ +270%
Cigna PPO $385.87 ↑ +270%
Cigna HMO $385.87 ↑ +270%
Wellpoint NJ Family Care $388.17 ↑ +272%
First Health Commercial $408.60 ↑ +292%
Qualcare Inc HMO/POS $454.22 ↑ +336%
Qualcare Inc PPO/WC $484.19 ↑ +365%
Horizon Blue Cross Blue Shield of New Jersey Worker's Comp $578.85 ↑ +455%
Horizon Blue Cross Blue Shield of New Jersey PIP $623.04 ↑ +498%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

#celiac hla-dq2 at other New-jersey hospitals

Hospital City Cash price Negotiated range
Trinitas Regional Medical Center Elizabeth $104.21 $44.53 – $385.87
Cooperman Barnabas Medical Center Livingston $104.21 $44.53 – $385.87
Clara Maass Medical Center Belleville $104.21 $44.53 – $385.87
Newark Beth Israel Medical Center Newark $104.21 $44.53 – $385.87
Jersey City Medical Center Jersey City $104.21 $44.53 – $385.87
Monmouth Medical Center Long Branch $104.21 $44.53 – $385.87
Bayshore Medical Center Holmdel $94.74 $94.74 – $434.13
Hackensack University Medical Center Hackensack $94.74 $66.78 – $425.43

All New-jersey hospitals for this procedure →