Controler lvad heartmate 3 includes ebb at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$2,882.32
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.
$13,897.41
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.
$1,724.66 with United Healthcare vs $34,071.49 with Wellcare — 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 | $1,724.66 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,756.63 | ↓ -39% |
| Aetna | Better Health | $1,887.26 | ↓ -35% |
| United Healthcare | Nexus | $4,002.45 | ↑ +39% |
| United Healthcare | Oxford Metro | $4,002.45 | ↑ +39% |
| United Healthcare | Commercial | $4,697.32 | ↑ +63% |
| United Healthcare | Oxford Commercial | $4,697.32 | ↑ +63% |
| Aetna | HMO | $7,812.73 | ↑ +171% |
| Aetna | PPO | $7,812.73 | ↑ +171% |
| Wellpoint | NJ Family Care | $7,921.52 | ↑ +175% |
| Cigna | Local Plus | $8,255.06 | ↑ +186% |
| First Health | Commercial | $8,338.44 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $9,026.36 | ↑ +213% |
| Qualcare Inc | HMO/POS | $9,269.57 | ↑ +222% |
| Qualcare Inc | PPO/WC | $9,881.05 | ↑ +243% |
| Amerihealth | Regional Preferred | $10,353.57 | ↑ +259% |
| Amerihealth | Local Value | $10,353.57 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,423.05 | ↑ +262% |
| Cigna | HMO | $10,489.76 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $10,942.82 | ↑ +280% |
| Cigna | PPO | $11,048.44 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,122.09 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $11,812.79 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,714.74 | ↑ +341% |
| Humana | Medicare | $17,121.35 | ↑ +494% |
| Clover Health | Medicare Advantage | $17,121.35 | ↑ +494% |
| Fidelis Care | Medicare Advantage | $17,121.35 | ↑ +494% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $17,121.35 | ↑ +494% |
| Aetna | Medicare | $17,121.35 | ↑ +494% |
| Wellpoint | Medicare Advantage | $17,121.35 | ↑ +494% |
| United Healthcare | Medicare | $17,463.78 | ↑ +506% |
| Emblem Health | Commercial | $29,962.36 | ↑ +940% |
| Wellcare | Ambetter Health Commercial | $34,071.49 | ↑ +1082% |
Visitor-reported prices
Comments
Controler lvad heartmate 3 includes ebb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $3,651.96 | $17,121.35 – $34,242.70 |
| Cooperman Barnabas Medical Center | Livingston | $2,944.86 | $8,008.05 – $34,242.70 |
| Clara Maass Medical Center | Belleville | $2,764.19 | $8,008.05 – $34,071.49 |
| Newark Beth Israel Medical Center | Newark | $2,894.83 | $8,008.05 – $34,242.70 |
| Jersey City Medical Center | Jersey City | $2,887.88 | $7,812.73 – $34,071.49 |
| Monmouth Medical Center | Long Branch | $3,040.75 | $8,008.05 – $34,071.49 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $3,188.90 | $7,812.73 – $34,071.49 |
| Monmouth Medical Center Southern Campus | Lakewood | $3,303.41 | $8,008.05 – $34,071.49 |