Hc nm myocard infarct avid plnr tomo spect w/wo quant at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$551.68
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.
$2,660.00
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.
$191.45 with Horizon Blue Cross Blue Shield of New Jersey vs $2,433.63 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $191.45 | ↓ -65% |
| United Healthcare | Community Plan | $330.10 | ↓ -40% |
| Fidelis Care | NJ Family Care | $336.22 | ↓ -39% |
| Amerihealth | Regional Preferred | $349.63 | ↓ -37% |
| Amerihealth | Local Value | $349.63 | ↓ -37% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $356.15 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $356.15 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $356.15 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $356.15 | ↓ -35% |
| Aetna | Better Health | $361.22 | ↓ -35% |
| Aetna | HMO | $413.71 | ↓ -25% |
| Aetna | PPO | $413.71 | ↓ -25% |
| Humana | Medicare | $588.26 | ↑ +7% |
| Aetna | Medicare | $588.26 | ↑ +7% |
| Wellpoint | Medicare Advantage | $588.26 | ↑ +7% |
| Clover Health | Medicare Advantage | $588.26 | ↑ +7% |
| Fidelis Care | Medicare Advantage | $588.26 | ↑ +7% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $588.26 | ↑ +7% |
| United Healthcare | Medicare | $600.03 | ↑ +9% |
| United Healthcare | Oxford Metro | $676.03 | ↑ +23% |
| United Healthcare | Nexus | $676.03 | ↑ +23% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +50% |
| Cigna | Local Plus | $850.25 | ↑ +54% |
| Cigna | PPO | $850.25 | ↑ +54% |
| Cigna | HMO | $850.25 | ↑ +54% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +57% |
| Emblem Health | Commercial | $1,029.46 | ↑ +87% |
| Wellcare | Ambetter Health Commercial | $1,170.64 | ↑ +112% |
| Wellpoint | NJ Family Care | $1,516.20 | ↑ +175% |
| First Health | Commercial | $1,596.00 | ↑ +189% |
| United Healthcare | Oxford Commercial | $2,010.06 | ↑ +264% |
| United Healthcare | Commercial | $2,010.06 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,261.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,433.63 | ↑ +341% |
Visitor-reported prices
Comments
Hc nm myocard infarct avid plnr tomo spect w/wo quant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $573.61 | $191.45 – $1,207.80 |
| Clara Maass Medical Center | Belleville | $489.09 | $191.45 – $1,201.76 |
| Bayshore Medical Center | Holmdel | $595.79 | $391.34 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $173.56 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $378.59 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $398.71 – $1,403.35 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $378.59 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $191.45 – $1,325.05 |