Ecg external < 48 hours scanning analysis w/report at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$462.08
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.
$2,228.00
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.
$64.92 with Clover Health vs $2,038.39 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| Clover Health | Medicare Advantage | $64.92 | ↓ -86% |
| Humana | Medicare | $64.92 | ↓ -86% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $64.92 | ↓ -86% |
| Aetna | Medicare | $64.92 | ↓ -86% |
| Fidelis Care | Medicare Advantage | $64.92 | ↓ -86% |
| Wellpoint | Medicare Advantage | $64.92 | ↓ -86% |
| United Healthcare | Medicare | $66.22 | ↓ -86% |
| Emblem Health | Commercial | $113.61 | ↓ -75% |
| Wellcare | Ambetter Health Commercial | $129.19 | ↓ -72% |
| United Healthcare | Community Plan | $276.49 | ↓ -40% |
| Fidelis Care | NJ Family Care | $281.61 | ↓ -39% |
| Aetna | Better Health | $302.56 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $362.10 | ↓ -22% |
| United Healthcare | Oxford Metro | $382.00 | ↓ -17% |
| United Healthcare | Nexus | $382.00 | ↓ -17% |
| United Healthcare | Oxford Commercial | $449.00 | ↓ -3% |
| United Healthcare | Commercial | $449.00 | ↓ -3% |
| Aetna | HMO | $1,225.40 | ↑ +165% |
| Aetna | PPO | $1,225.40 | ↑ +165% |
| Wellpoint | NJ Family Care | $1,269.96 | ↑ +175% |
| Cigna | Local Plus | $1,323.43 | ↑ +186% |
| First Health | Commercial | $1,336.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,447.08 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,486.07 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,584.10 | ↑ +243% |
| Amerihealth | Local Value | $1,659.86 | ↑ +259% |
| Amerihealth | Regional Preferred | $1,659.86 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,671.00 | ↑ +262% |
| Cigna | HMO | $1,681.69 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,754.32 | ↑ +280% |
| Cigna | PPO | $1,771.26 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,783.06 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,893.80 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,038.39 | ↑ +341% |
Visitor-reported prices
Comments
Ecg external < 48 hours scanning analysis w/report at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $418.19 | $18.77 – $149.41 |
| Cooperman Barnabas Medical Center | Livingston | $472.11 | $66.64 – $133.28 |
| Clara Maass Medical Center | Belleville | $409.13 | $66.64 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $464.09 | $19.32 – $133.28 |
| Jersey City Medical Center | Jersey City | $462.97 | $24.29 – $139.20 |
| Monmouth Medical Center | Long Branch | $487.48 | $65.75 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $1,008.00 |
| Hackensack University Medical Center | Hackensack | $69.95 | $55.96 – $5,218.00 |