Chemotherapy injection 96542 at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$133.35
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.
$643.00
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.
$79.79 with United Healthcare vs $2,094.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $79.79 | ↓ -40% |
| Fidelis Care | NJ Family Care | $81.27 | ↓ -39% |
| Aetna | Better Health | $87.31 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $100.04 | ↓ -25% |
| Wellpoint | Medicare Advantage | $362.50 | ↑ +172% |
| Humana | Medicare | $362.50 | ↑ +172% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $362.50 | ↑ +172% |
| Clover Health | Medicare Advantage | $362.50 | ↑ +172% |
| Aetna | Medicare | $362.50 | ↑ +172% |
| Fidelis Care | Medicare Advantage | $362.50 | ↑ +172% |
| Wellpoint | NJ Family Care | $366.51 | ↑ +175% |
| United Healthcare | Medicare | $369.75 | ↑ +177% |
| Cigna | Local Plus | $381.94 | ↑ +186% |
| First Health | Commercial | $385.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $417.62 | ↑ +213% |
| Qualcare Inc | PPO/WC | $457.17 | ↑ +243% |
| Amerihealth | Local Value | $479.03 | ↑ +259% |
| Amerihealth | Regional Preferred | $479.03 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $482.25 | ↑ +262% |
| Cigna | HMO | $485.33 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $506.29 | ↑ +280% |
| Cigna | PPO | $511.18 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $514.59 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $546.55 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $588.28 | ↑ +341% |
| Emblem Health | Commercial | $634.38 | ↑ +376% |
| Wellcare | Ambetter Health Commercial | $721.38 | ↑ +441% |
| Aetna | PPO | $1,073.00 | ↑ +705% |
| Aetna | HMO | $1,073.00 | ↑ +705% |
| Qualcare Inc | HMO/POS | $1,387.00 | ↑ +940% |
| United Healthcare | Nexus | $1,780.00 | ↑ +1235% |
| United Healthcare | Oxford Metro | $1,780.00 | ↑ +1235% |
| United Healthcare | Oxford Commercial | $2,094.00 | ↑ +1470% |
| United Healthcare | Commercial | $2,094.00 | ↑ +1470% |
Visitor-reported prices
Comments
Chemotherapy injection 96542 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $120.69 | $67.98 – $725.00 |
| Cooperman Barnabas Medical Center | Livingston | $236.26 | $100.04 – $1,387.00 |
| Monmouth Medical Center | Long Branch | $140.68 | $100.04 – $1,387.00 |
| Bayshore Medical Center | Holmdel | $367.13 | $367.13 – $1,576.00 |
| Hackensack University Medical Center | Hackensack | $390.62 | $71.31 – $6,608.00 |
| Ocean University Medical Center | Brick | $362.50 | $69.07 – $1,577.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $367.45 | $71.31 – $1,966.00 |
| Jersey Shore University Medical Center | Neptune City | $367.13 | $69.07 – $1,576.00 |