Dress/debrid prtl-thick burn l 16030 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.
$1,214.00
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.
$150.65 with United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $150.65 | ↓ -96% |
| Fidelis Care | NJ Family Care | $153.44 | ↓ -96% |
| Aetna | Better Health | $164.86 | ↓ -96% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $172.16 | ↓ -95% |
| Clover Health | Medicare Advantage | $436.64 | ↓ -88% |
| Humana | Medicare | $436.64 | ↓ -88% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $436.64 | ↓ -88% |
| Aetna | Medicare | $436.64 | ↓ -88% |
| Fidelis Care | Medicare Advantage | $436.64 | ↓ -88% |
| Wellpoint | Medicare Advantage | $436.64 | ↓ -88% |
| United Healthcare | Medicare | $445.37 | ↓ -88% |
| First Health | Commercial | $728.40 | ↓ -81% |
| Emblem Health | Commercial | $764.12 | ↓ -80% |
| Wellcare | Ambetter Health Commercial | $868.91 | ↓ -77% |
| Amerihealth | Local Value | $889.37 | ↓ -77% |
| Amerihealth | Regional Preferred | $949.83 | ↓ -75% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,031.90 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,110.68 | ↓ -71% |
| 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 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
Visitor-reported prices
Comments
Dress/debrid prtl-thick burn l 16030 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clara Maass Medical Center | Belleville | $3,986.00 | $166.08 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $104.86 – $896.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $131.83 – $936.31 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $332.17 – $880.02 |
| Bayshore Medical Center | Holmdel | $442.22 | $368.00 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $280.24 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $272.12 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $202.54 – $442.61 |