Echo tee probe placement image acquisition interpretation & report at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,144.84
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.
$5,520.00
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.
$599.23 with Clover Health vs $4,590.96 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 | $599.23 | ↓ -48% |
| Humana | Medicare | $599.23 | ↓ -48% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $599.23 | ↓ -48% |
| Aetna | Medicare | $599.23 | ↓ -48% |
| Fidelis Care | Medicare Advantage | $599.23 | ↓ -48% |
| Wellpoint | Medicare Advantage | $599.23 | ↓ -48% |
| United Healthcare | Medicare | $611.21 | ↓ -47% |
| United Healthcare | Community Plan | $622.73 | ↓ -46% |
| Fidelis Care | NJ Family Care | $634.27 | ↓ -45% |
| Aetna | Better Health | $681.44 | ↓ -40% |
| United Healthcare | Oxford Metro | $719.00 | ↓ -37% |
| United Healthcare | Nexus | $719.00 | ↓ -37% |
| United Healthcare | Commercial | $846.00 | ↓ -26% |
| United Healthcare | Oxford Commercial | $846.00 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $962.20 | ↓ -16% |
| Emblem Health | Commercial | $1,048.65 | ↓ -8% |
| Wellcare | Ambetter Health Commercial | $1,192.47 | ↑ +4% |
| Aetna | HMO | $2,759.90 | ↑ +141% |
| Aetna | PPO | $2,759.90 | ↑ +141% |
| Wellpoint | NJ Family Care | $2,860.26 | ↑ +150% |
| Cigna | Local Plus | $2,980.69 | ↑ +160% |
| First Health | Commercial | $3,010.80 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,259.19 | ↑ +185% |
| Qualcare Inc | HMO/POS | $3,347.00 | ↑ +192% |
| Qualcare Inc | PPO/WC | $3,567.79 | ↑ +212% |
| Amerihealth | Local Value | $3,738.41 | ↑ +227% |
| Amerihealth | Regional Preferred | $3,738.41 | ↑ +227% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,763.50 | ↑ +229% |
| Cigna | HMO | $3,787.58 | ↑ +231% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,951.17 | ↑ +245% |
| Cigna | PPO | $3,989.31 | ↑ +248% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,015.90 | ↑ +251% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,265.30 | ↑ +273% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,590.96 | ↑ +301% |
Visitor-reported prices
Comments
Echo tee probe placement image acquisition interpretation & report at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,036.10 | $121.48 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $1,169.89 | $615.15 – $1,230.30 |
| Clara Maass Medical Center | Belleville | $974.21 | $615.15 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $1,150.02 | $125.06 – $1,230.30 |
| Jersey City Medical Center | Jersey City | $1,147.05 | $157.21 – $1,284.96 |
| Monmouth Medical Center | Long Branch | $1,207.77 | $606.89 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $606.89 – $2,305.00 |
| Hackensack University Medical Center | Hackensack | $645.71 | $415.29 – $5,399.00 |