Injection therapeutic/prophylactic/diagnostic subcutaneous/im at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$68.02
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.
$328.00
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.
$7.97 with Horizon Blue Cross Blue Shield of New Jersey vs $331.00 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7.97 | ↓ -88% |
| Aetna | HMO | $28.93 | ↓ -57% |
| Aetna | PPO | $28.93 | ↓ -57% |
| United Healthcare | Community Plan | $40.70 | ↓ -40% |
| Fidelis Care | NJ Family Care | $41.45 | ↓ -39% |
| Aetna | Better Health | $44.54 | ↓ -35% |
| Fidelis Care | Medicare Advantage | $77.78 | ↑ +14% |
| Wellpoint | Medicare Advantage | $77.78 | ↑ +14% |
| Clover Health | Medicare Advantage | $77.78 | ↑ +14% |
| Aetna | Medicare | $77.78 | ↑ +14% |
| Humana | Medicare | $77.78 | ↑ +14% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $77.78 | ↑ +14% |
| United Healthcare | Medicare | $79.34 | ↑ +17% |
| Emblem Health | Commercial | $136.12 | ↑ +100% |
| Wellcare | Ambetter Health Commercial | $154.78 | ↑ +128% |
| Wellpoint | NJ Family Care | $186.96 | ↑ +175% |
| Cigna | Local Plus | $194.83 | ↑ +186% |
| First Health | Commercial | $196.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $213.03 | ↑ +213% |
| Qualcare Inc | HMO/POS | $218.77 | ↑ +222% |
| Qualcare Inc | PPO/WC | $233.20 | ↑ +243% |
| Amerihealth | Regional Preferred | $244.36 | ↑ +259% |
| Amerihealth | Local Value | $244.36 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $246.00 | ↑ +262% |
| Cigna | HMO | $247.57 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $258.26 | ↑ +280% |
| Cigna | PPO | $260.76 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $262.49 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $278.80 | ↑ +310% |
| United Healthcare | Nexus | $281.00 | ↑ +313% |
| United Healthcare | Oxford Metro | $281.00 | ↑ +313% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $300.08 | ↑ +341% |
| United Healthcare | Commercial | $331.00 | ↑ +387% |
| United Healthcare | Oxford Commercial | $331.00 | ↑ +387% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic subcutaneous/im at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Saint Barnabas Behavioral Health Center | Toms River | $150.70 | $14.95 – $14.95 |
| Trinitas Regional Medical Center | Elizabeth | $61.56 | $7.66 – $155.56 |
| Cooperman Barnabas Medical Center | Livingston | $95.14 | $7.97 – $159.70 |
| Clara Maass Medical Center | Belleville | $47.93 | $7.97 – $158.90 |
| Childrens Specialized Hospital | Mountainside | $25.00 | $21.80 – $21.80 |
| Newark Beth Israel Medical Center | Newark | $93.52 | $7.89 – $159.70 |
| Jersey City Medical Center | Jersey City | $68.15 | $7.97 – $166.78 |
| Monmouth Medical Center | Long Branch | $71.76 | $7.97 – $156.77 |