Drug admin & hemodynmic meas at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$129.21
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.
?
What you pay up front if you don't use insurance.
$623.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$77.31 with United Healthcare vs $15,114.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $77.31 | ↓ -40% |
| Fidelis Care | NJ Family Care | $78.74 | ↓ -39% |
| Aetna | Better Health | $84.60 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $97.34 | ↓ -25% |
| Aetna | HMO | $342.65 | ↑ +165% |
| Aetna | PPO | $342.65 | ↑ +165% |
| First Health | Commercial | $373.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $404.63 | ↑ +213% |
| Qualcare Inc | HMO/POS | $415.54 | ↑ +222% |
| Qualcare Inc | PPO/WC | $442.95 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $467.25 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $490.55 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $498.58 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $529.55 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $569.98 | ↑ +341% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +1792% |
| United Healthcare | Nexus | $2,751.00 | ↑ +2029% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +2127% |
| Wellpoint | NJ Family Care | $3,180.00 | ↑ +2361% |
| United Healthcare | Commercial | $3,236.00 | ↑ +2404% |
| Cigna | Local Plus | $11,293.00 | ↑ +8640% |
| Cigna | HMO | $14,350.00 | ↑ +11006% |
| Cigna | PPO | $15,114.00 | ↑ +11597% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Drug admin & hemodynmic meas at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $116.93 | $48.06 – $149.45 |
| Cooperman Barnabas Medical Center | Livingston | $104.67 | $95.05 – $95.05 |
| Clara Maass Medical Center | Belleville | $76.57 | $93.91 – $93.91 |
| Newark Beth Israel Medical Center | Newark | $102.90 | $49.48 – $172.35 |
| Jersey City Medical Center | Jersey City | $129.45 | $62.20 – $103.07 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $63.10 | $90.47 – $90.47 |
| Robert Wood Johnson University Hospital | New Brunswick | $105.37 | $86.46 – $154.11 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $49.66 | $110.51 – $110.51 |