Complx repair trunk 1.1-2.5 cm 13100 at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,786.00
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.
$1,339.00
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.
$121.38 with Horizon Blue Cross Blue Shield of New Jersey vs $5,009.00 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 | $121.38 | ↓ -97% |
| United Healthcare | Community Plan | $166.16 | ↓ -96% |
| Fidelis Care | NJ Family Care | $169.24 | ↓ -96% |
| Aetna | Better Health | $181.83 | ↓ -95% |
| Fidelis Care | Medicare Advantage | $668.98 | ↓ -82% |
| Aetna | Medicare | $668.98 | ↓ -82% |
| Humana | Medicare | $668.98 | ↓ -82% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $668.98 | ↓ -82% |
| Wellpoint | Medicare Advantage | $668.98 | ↓ -82% |
| Clover Health | Medicare Advantage | $668.98 | ↓ -82% |
| United Healthcare | Medicare | $682.36 | ↓ -82% |
| First Health | Commercial | $803.40 | ↓ -79% |
| Amerihealth | Local Value | $980.95 | ↓ -74% |
| Amerihealth | Regional Preferred | $1,047.63 | ↓ -72% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,138.15 | ↓ -70% |
| Emblem Health | Commercial | $1,170.72 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,225.05 | ↓ -68% |
| Wellcare | Ambetter Health Commercial | $1,331.27 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,675.00 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,675.00 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,675.00 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,675.00 | ↓ -56% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -35% |
| Cigna | Local Plus | $2,677.00 | ↓ -29% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -29% |
| United Healthcare | Nexus | $2,751.00 | ↓ -27% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -24% |
| United Healthcare | Commercial | $3,236.00 | ↓ -15% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Cigna | HMO | $3,401.00 | ↓ -10% |
| Cigna | PPO | $3,582.00 | ↓ -5% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair trunk 1.1-2.5 cm 13100 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $35.24 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $118.52 – $1,373.52 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $117.10 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $36.28 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $45.61 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $234.19 – $1,348.30 |
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $427.60 – $756.93 |