Hdr rdncl ntrstl/icav brchtx at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,573.12
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.
?
What you pay up front if you don't use insurance.
$7,585.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$758.25 with Aetna vs $6,939.51 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare | $758.25 | ↓ -52% |
| Humana | Medicare | $758.25 | ↓ -52% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $758.25 | ↓ -52% |
| Fidelis Care | Medicare Advantage | $758.25 | ↓ -52% |
| Wellpoint | Medicare Advantage | $758.25 | ↓ -52% |
| Clover Health | Medicare Advantage | $758.25 | ↓ -52% |
| United Healthcare | Medicare | $773.42 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $891.00 | ↓ -43% |
| United Healthcare | Community Plan | $941.29 | ↓ -40% |
| Fidelis Care | NJ Family Care | $958.74 | ↓ -39% |
| Aetna | Better Health | $1,030.04 | ↓ -35% |
| Emblem Health | Commercial | $1,326.94 | ↓ -16% |
| Wellcare | Ambetter Health Commercial | $1,508.92 | ↓ -4% |
| Cigna | Local Plus | $2,352.00 | ↑ +50% |
| United Healthcare | Nexus | $2,568.00 | ↑ +63% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +63% |
| Amerihealth | Local Value | $2,661.00 | ↑ +69% |
| Amerihealth | Regional Preferred | $2,661.00 | ↑ +69% |
| Cigna | HMO | $2,989.00 | ↑ +90% |
| United Healthcare | Commercial | $3,021.00 | ↑ +92% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +92% |
| Cigna | PPO | $3,148.00 | ↑ +100% |
| Aetna | HMO | $3,577.43 | ↑ +127% |
| Aetna | PPO | $3,577.43 | ↑ +127% |
| Wellpoint | NJ Family Care | $4,323.45 | ↑ +175% |
| First Health | Commercial | $4,551.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,926.45 | ↑ +213% |
| Qualcare Inc | HMO/POS | $5,059.19 | ↑ +222% |
| Qualcare Inc | PPO/WC | $5,392.93 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,688.75 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,972.42 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $6,070.27 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,447.25 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,939.51 | ↑ +341% |
Visitor-reported prices
Comments
Hdr rdncl ntrstl/icav brchtx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,423.70 | $181.29 – $2,530.57 |
| Cooperman Barnabas Medical Center | Livingston | $1,885.69 | $778.40 – $2,790.00 |
| Clara Maass Medical Center | Belleville | $989.32 | $778.40 – $2,663.00 |
| Newark Beth Israel Medical Center | Newark | $1,853.66 | $186.63 – $2,663.00 |
| Monmouth Medical Center | Long Branch | $1,659.59 | $767.95 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $767.95 | $767.95 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $817.07 | $265.97 – $3,250.00 |
| Ocean University Medical Center | Brick | $758.25 | $293.00 – $2,630.00 |