Inj hrt cath w/s&i nonsel p-art angrp at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$107.43
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.
$518.00
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.
$64.28 with United Healthcare vs $3,236.00 with United Healthcare — 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 | $64.28 | ↓ -40% |
| Fidelis Care | NJ Family Care | $65.47 | ↓ -39% |
| Aetna | Better Health | $70.34 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $143.70 | ↑ +34% |
| Aetna | HMO | $284.90 | ↑ +165% |
| Aetna | PPO | $284.90 | ↑ +165% |
| Wellpoint | NJ Family Care | $295.26 | ↑ +175% |
| First Health | Commercial | $310.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $336.44 | ↑ +213% |
| Qualcare Inc | HMO/POS | $345.50 | ↑ +222% |
| Qualcare Inc | PPO/WC | $368.29 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $388.50 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $407.87 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $414.55 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $440.30 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $473.91 | ↑ +341% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +2176% |
| United Healthcare | Nexus | $2,751.00 | ↑ +2461% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +2578% |
| United Healthcare | Commercial | $3,236.00 | ↑ +2912% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Inj hrt cath w/s&i nonsel p-art angrp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $97.22 | $22.87 – $220.62 |
| Cooperman Barnabas Medical Center | Livingston | $182.86 | $140.32 – $140.32 |
| Newark Beth Israel Medical Center | Newark | $179.76 | $23.54 – $254.44 |
| Jersey City Medical Center | Jersey City | $107.64 | $29.59 – $152.15 |
| Monmouth Medical Center | Long Branch | $113.33 | $277.26 – $277.26 |
| Robert Wood Johnson University Hospital | New Brunswick | $184.07 | $25.51 – $127.64 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $76.40 – $76.40 |