Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$107.84
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.
$520.00
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.
$11.73 with Horizon Blue Cross Blue Shield of New Jersey vs $475.74 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $11.73 | ↓ -89% |
| Aetna | HMO | $33.46 | ↓ -69% |
| Aetna | PPO | $33.46 | ↓ -69% |
| Aetna | Medicare | $50.43 | ↓ -53% |
| Clover Health | Medicare Advantage | $50.43 | ↓ -53% |
| Wellpoint | Medicare Advantage | $50.43 | ↓ -53% |
| Fidelis Care | Medicare Advantage | $50.43 | ↓ -53% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $50.43 | ↓ -53% |
| Humana | Medicare | $50.43 | ↓ -53% |
| United Healthcare | Medicare | $51.44 | ↓ -52% |
| United Healthcare | Community Plan | $64.53 | ↓ -40% |
| Fidelis Care | NJ Family Care | $65.72 | ↓ -39% |
| Aetna | Better Health | $70.61 | ↓ -35% |
| Emblem Health | Commercial | $88.25 | ↓ -18% |
| Wellcare | Ambetter Health Commercial | $100.36 | ↓ -7% |
| United Healthcare | Nexus | $281.00 | ↑ +161% |
| United Healthcare | Oxford Metro | $281.00 | ↑ +161% |
| Wellpoint | NJ Family Care | $296.40 | ↑ +175% |
| Cigna | Local Plus | $308.88 | ↑ +186% |
| First Health | Commercial | $312.00 | ↑ +189% |
| United Healthcare | Commercial | $331.00 | ↑ +207% |
| United Healthcare | Oxford Commercial | $331.00 | ↑ +207% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $337.74 | ↑ +213% |
| Qualcare Inc | HMO/POS | $346.84 | ↑ +222% |
| Qualcare Inc | PPO/WC | $369.72 | ↑ +243% |
| Amerihealth | Regional Preferred | $387.40 | ↑ +259% |
| Amerihealth | Local Value | $387.40 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $390.00 | ↑ +262% |
| Cigna | HMO | $392.49 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $409.44 | ↑ +280% |
| Cigna | PPO | $413.40 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $416.15 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $442.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $475.74 | ↑ +341% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $97.60 | $7.97 – $100.86 |
| Cooperman Barnabas Medical Center | Livingston | $117.81 | $11.73 – $103.54 |
| Clara Maass Medical Center | Belleville | $65.83 | $11.73 – $103.02 |
| Newark Beth Israel Medical Center | Newark | $115.81 | $8.20 – $103.54 |
| Jersey City Medical Center | Jersey City | $108.05 | $10.31 – $108.14 |
| Monmouth Medical Center | Long Branch | $113.77 | $11.73 – $101.63 |
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $875.00 |
| Hackensack University Medical Center | Hackensack | $54.34 | $27.32 – $1,323.00 |