Doppler upper/lower extremity arteries complete bilateral at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$362.95
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.
$1,750.00
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.
$170.99 with Aetna vs $2,452.00 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 |
|---|---|---|---|
| Aetna | Medicare | $170.99 | ↓ -53% |
| Humana | Medicare | $170.99 | ↓ -53% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $170.99 | ↓ -53% |
| Fidelis Care | Medicare Advantage | $170.99 | ↓ -53% |
| Clover Health | Medicare Advantage | $170.99 | ↓ -53% |
| Wellpoint | Medicare Advantage | $170.99 | ↓ -53% |
| United Healthcare | Medicare | $174.41 | ↓ -52% |
| United Healthcare | Community Plan | $217.17 | ↓ -40% |
| Fidelis Care | NJ Family Care | $221.20 | ↓ -39% |
| Aetna | Better Health | $237.65 | ↓ -35% |
| Emblem Health | Commercial | $299.23 | ↓ -18% |
| Wellcare | Ambetter Health Commercial | $340.27 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $465.80 | ↑ +28% |
| Cigna | Local Plus | $567.34 | ↑ +56% |
| Cigna | PPO | $567.34 | ↑ +56% |
| Cigna | HMO | $567.34 | ↑ +56% |
| Aetna | HMO | $962.50 | ↑ +165% |
| Aetna | PPO | $962.50 | ↑ +165% |
| Wellpoint | NJ Family Care | $997.50 | ↑ +175% |
| First Health | Commercial | $1,050.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,136.62 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,167.25 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,244.25 | ↑ +243% |
| Amerihealth | Regional Preferred | $1,303.75 | ↑ +259% |
| Amerihealth | Local Value | $1,303.75 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,312.50 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,377.95 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,400.52 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,487.50 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,601.07 | ↑ +341% |
| United Healthcare | Nexus | $2,084.00 | ↑ +474% |
| United Healthcare | Oxford Metro | $2,084.00 | ↑ +474% |
| United Healthcare | Oxford Commercial | $2,452.00 | ↑ +576% |
| United Healthcare | Commercial | $2,452.00 | ↑ +576% |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries complete bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $68.10 – $567.34 |
| Cooperman Barnabas Medical Center | Livingston | $379.93 | $175.54 – $567.34 |
| Clara Maass Medical Center | Belleville | $316.84 | $175.54 – $567.34 |
| Newark Beth Israel Medical Center | Newark | $373.48 | $70.10 – $567.34 |
| Jersey City Medical Center | Jersey City | $363.65 | $88.12 – $567.34 |
| Monmouth Medical Center | Long Branch | $382.90 | $173.18 – $567.34 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $4,324.00 |