Esoph imped funct test > 1hr at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$471.42
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.
$2,273.00
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.
$282.07 with United Healthcare vs $4,174.00 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 | $282.07 | ↓ -40% |
| Fidelis Care | NJ Family Care | $287.30 | ↓ -39% |
| Aetna | Better Health | $308.67 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $492.58 | ↑ +4% |
| Fidelis Care | Medicare Advantage | $579.88 | ↑ +23% |
| Humana | Medicare | $579.88 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $579.88 | ↑ +23% |
| Clover Health | Medicare Advantage | $579.88 | ↑ +23% |
| Aetna | Medicare | $579.88 | ↑ +23% |
| Wellpoint | Medicare Advantage | $579.88 | ↑ +23% |
| United Healthcare | Medicare | $591.48 | ↑ +25% |
| Emblem Health | Commercial | $1,014.79 | ↑ +115% |
| Wellcare | Ambetter Health Commercial | $1,153.96 | ↑ +145% |
| Wellpoint | NJ Family Care | $1,295.61 | ↑ +175% |
| Cigna | Local Plus | $1,350.16 | ↑ +186% |
| First Health | Commercial | $1,363.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,476.31 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,516.09 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,616.10 | ↑ +243% |
| Amerihealth | Regional Preferred | $1,693.38 | ↑ +259% |
| Amerihealth | Local Value | $1,693.38 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,704.75 | ↑ +262% |
| Cigna | HMO | $1,715.66 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,789.76 | ↑ +280% |
| Cigna | PPO | $1,807.03 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,819.08 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,932.05 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,079.56 | ↑ +341% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +419% |
| United Healthcare | Nexus | $2,751.00 | ↑ +484% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +510% |
| United Healthcare | Commercial | $3,236.00 | ↑ +586% |
| Aetna | PPO | $4,174.00 | ↑ +785% |
| Aetna | HMO | $4,174.00 | ↑ +785% |
Visitor-reported prices
Comments
Esoph imped funct test > 1hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $426.64 | $210.80 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $579.12 | $480.99 – $1,190.58 |
| Clara Maass Medical Center | Belleville | $241.66 | $475.19 – $1,184.63 |
| Newark Beth Israel Medical Center | Newark | $569.28 | $217.00 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $472.32 | $272.80 – $1,243.49 |
| Monmouth Medical Center | Long Branch | $497.33 | $587.30 – $1,168.73 |
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $704.76 |
| Hackensack University Medical Center | Hackensack | $624.87 | $499.89 – $727.31 |