Insert hepatic shunt (tips) at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,786.00
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.
$14,348.00
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.
$795.60 with Horizon Blue Cross Blue Shield of New Jersey vs $13,126.98 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 | $795.60 | ↓ -79% |
| United Healthcare | Community Plan | $1,780.58 | ↓ -53% |
| Fidelis Care | NJ Family Care | $1,813.58 | ↓ -52% |
| Aetna | Better Health | $1,948.45 | ↓ -49% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -29% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Cigna | Local Plus | $6,932.95 | ↑ +83% |
| First Health | Commercial | $8,608.80 | ↑ +127% |
| Cigna | HMO | $8,809.67 | ↑ +133% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +133% |
| Cigna | PPO | $9,278.85 | ↑ +145% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $9,319.02 | ↑ +146% |
| United Healthcare | Nexus | $9,925.00 | ↑ +162% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +174% |
| Amerihealth | Local Value | $10,511.34 | ↑ +178% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $10,761.00 | ↑ +184% |
| Qualcare Inc | PPO/WC | $10,847.08 | ↑ +187% |
| Amerihealth | Regional Preferred | $11,225.87 | ↑ +197% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,297.61 | ↑ +198% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,482.70 | ↑ +203% |
| United Healthcare | Commercial | $11,677.00 | ↑ +208% |
| Aetna | HMO | $12,165.00 | ↑ +221% |
| Aetna | PPO | $12,165.00 | ↑ +221% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $12,195.80 | ↑ +222% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $13,126.98 | ↑ +247% |
Visitor-reported prices
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Insert hepatic shunt (tips) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $396.36 – $1,673.82 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $408.02 – $1,408.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $512.94 – $842.40 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,535.04 – $1,535.04 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $1,914.12 – $1,914.12 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $706.68 – $4,072.67 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $903.24 – $903.24 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $419.68 – $706.68 |