Embo or occlude vascular venous s&i 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.
$16,704.00
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.
$331.14 with Horizon Blue Cross Blue Shield of New Jersey vs $24,663.82 with Wellcare — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $331.14 | ↓ -91% |
| United Healthcare | Community Plan | $2,072.96 | ↓ -45% |
| Fidelis Care | NJ Family Care | $2,111.38 | ↓ -44% |
| Aetna | Better Health | $2,268.40 | ↓ -40% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Aetna | HMO | $5,845.00 | ↑ +54% |
| Aetna | PPO | $5,845.00 | ↑ +54% |
| Cigna | Local Plus | $8,071.37 | ↑ +113% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +133% |
| United Healthcare | Nexus | $9,925.00 | ↑ +162% |
| First Health | Commercial | $10,022.40 | ↑ +165% |
| Cigna | HMO | $10,256.25 | ↑ +171% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +174% |
| Qualcare Inc | HMO/POS | $10,406.59 | ↑ +175% |
| Cigna | PPO | $10,802.47 | ↑ +185% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $10,849.24 | ↑ +187% |
| United Healthcare | Commercial | $11,677.00 | ↑ +208% |
| Amerihealth | Local Value | $12,237.35 | ↑ +223% |
| Wellpoint | Medicare Advantage | $12,393.88 | ↑ +227% |
| Humana | Medicare | $12,393.88 | ↑ +227% |
| Aetna | Medicare | $12,393.88 | ↑ +227% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,393.88 | ↑ +227% |
| Clover Health | Medicare Advantage | $12,393.88 | ↑ +227% |
| Fidelis Care | Medicare Advantage | $12,393.88 | ↑ +227% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $12,528.00 | ↑ +231% |
| Qualcare Inc | PPO/WC | $12,628.22 | ↑ +234% |
| United Healthcare | Medicare | $12,641.76 | ↑ +234% |
| Amerihealth | Regional Preferred | $13,069.20 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $13,152.72 | ↑ +247% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $13,368.21 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $14,198.40 | ↑ +275% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $15,282.48 | ↑ +304% |
| Emblem Health | Commercial | $21,689.29 | ↑ +473% |
| Wellcare | Ambetter Health Commercial | $24,663.82 | ↑ +551% |
Visitor-reported prices
Comments
Embo or occlude vascular venous s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $2,370.68 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $323.35 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $319.46 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $586.32 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $350.62 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $638.91 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $866.79 – $14,023.10 |