Dlyd plmt xtn prosth ea addl at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
not published by hospital
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.
$1,716.00
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.
$212.95 with United Healthcare vs $4,174.00 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $212.95 | — |
| Fidelis Care | NJ Family Care | $216.90 | — |
| Aetna | Better Health | $233.03 | — |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $276.05 | — |
| First Health | Commercial | $1,029.60 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,114.54 | — |
| Amerihealth | Regional Preferred | $1,278.42 | — |
| Amerihealth | Local Value | $1,278.42 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,287.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,351.17 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,373.31 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,458.60 | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,569.96 | — |
| United Healthcare | Oxford Metro | $2,445.00 | — |
| United Healthcare | Nexus | $2,751.00 | — |
| United Healthcare | Oxford Commercial | $2,877.00 | — |
| United Healthcare | Commercial | $3,236.00 | — |
| Wellpoint | NJ Family Care | $3,266.00 | — |
| Aetna | PPO | $4,174.00 | — |
| Aetna | HMO | $4,174.00 | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
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Dlyd plmt xtn prosth ea addl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $245.19 – $441.78 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $152.04 – $245.19 |
| Trinitas Regional Medical Center | Elizabeth | not published | $143.60 – $423.81 |
| Cooperman Barnabas Medical Center | Livingston | not published | $269.55 – $269.55 |
| Clara Maass Medical Center | Belleville | not published | $266.30 – $266.30 |
| Newark Beth Israel Medical Center | Newark | not published | $147.82 – $488.76 |
| Jersey City Medical Center | Jersey City | not published | $185.83 – $292.28 |
| Monmouth Medical Center | Long Branch | not published | $532.61 – $532.61 |