Dialysis one evaluation at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$311.30
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.
$1,501.00
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.
$186.27 with United Healthcare vs $1,541.00 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 | $186.27 | ↓ -40% |
| Fidelis Care | NJ Family Care | $189.72 | ↓ -39% |
| Aetna | Better Health | $203.83 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $326.40 | ↑ +5% |
| Wellpoint | Medicare Advantage | $465.37 | ↑ +49% |
| Humana | Medicare | $465.37 | ↑ +49% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $465.37 | ↑ +49% |
| Aetna | Medicare | $465.37 | ↑ +49% |
| Fidelis Care | Medicare Advantage | $465.37 | ↑ +49% |
| Clover Health | Medicare Advantage | $465.37 | ↑ +49% |
| United Healthcare | Medicare | $474.68 | ↑ +52% |
| Emblem Health | Commercial | $814.40 | ↑ +162% |
| Aetna | PPO | $825.55 | ↑ +165% |
| Aetna | HMO | $825.55 | ↑ +165% |
| Wellpoint | NJ Family Care | $855.57 | ↑ +175% |
| First Health | Commercial | $900.60 | ↑ +189% |
| Wellcare | Ambetter Health Commercial | $926.09 | ↑ +197% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $974.89 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,001.16 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,067.21 | ↑ +243% |
| Amerihealth | Regional Preferred | $1,118.24 | ↑ +259% |
| Amerihealth | Local Value | $1,118.24 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,125.75 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,181.88 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,201.25 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,275.85 | ↑ +310% |
| United Healthcare | Nexus | $1,310.00 | ↑ +321% |
| United Healthcare | Oxford Metro | $1,310.00 | ↑ +321% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,373.26 | ↑ +341% |
| United Healthcare | Oxford Commercial | $1,541.00 | ↑ +395% |
| United Healthcare | Commercial | $1,541.00 | ↑ +395% |
| Cigna | Local Plus | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $281.73 | $42.93 – $955.00 |
| Cooperman Barnabas Medical Center | Livingston | $481.01 | $318.72 – $955.48 |
| Clara Maass Medical Center | Belleville | $210.23 | $314.88 – $950.70 |
| Newark Beth Israel Medical Center | Newark | $472.84 | $44.19 – $955.48 |
| Jersey City Medical Center | Jersey City | $311.90 | $55.56 – $997.93 |
| Monmouth Medical Center | Long Branch | $328.41 | $471.32 – $937.93 |
| Bayshore Medical Center | Holmdel | $471.32 | $218.00 – $1,567.00 |
| Hackensack University Medical Center | Hackensack | $501.47 | $144.87 – $1,647.00 |