Insert uteri tandem/ovoids 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.
$8,784.00
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.
$302.24 with Horizon Blue Cross Blue Shield of New Jersey vs $10,735.95 with Wellcare — 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 | $302.24 | ↓ -92% |
| United Healthcare | Community Plan | $1,090.09 | ↓ -71% |
| Fidelis Care | NJ Family Care | $1,110.29 | ↓ -71% |
| Aetna | Better Health | $1,192.86 | ↓ -68% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -34% |
| Cigna | Local Plus | $2,677.00 | ↓ -29% |
| Qualcare Inc | HMO/POS | $2,699.00 | ↓ -29% |
| United Healthcare | Nexus | $2,806.00 | ↓ -26% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -23% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| United Healthcare | Commercial | $3,301.00 | ↓ -13% |
| Cigna | HMO | $3,401.00 | ↓ -10% |
| Cigna | PPO | $3,582.00 | ↓ -5% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| First Health | Commercial | $5,270.40 | ↑ +39% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $5,394.95 | ↑ +42% |
| Clover Health | Medicare Advantage | $5,394.95 | ↑ +42% |
| Fidelis Care | Medicare Advantage | $5,394.95 | ↑ +42% |
| Humana | Medicare | $5,394.95 | ↑ +42% |
| Aetna | Medicare | $5,394.95 | ↑ +42% |
| Wellpoint | Medicare Advantage | $5,394.95 | ↑ +42% |
| United Healthcare | Medicare | $5,502.85 | ↑ +45% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5,705.20 | ↑ +51% |
| Amerihealth | Local Value | $6,435.15 | ↑ +70% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $6,588.00 | ↑ +74% |
| Qualcare Inc | PPO/WC | $6,640.70 | ↑ +75% |
| Amerihealth | Regional Preferred | $6,872.60 | ↑ +82% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $6,916.52 | ↑ +83% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $7,029.83 | ↑ +86% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,466.40 | ↑ +97% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $8,036.48 | ↑ +112% |
| Emblem Health | Commercial | $9,441.16 | ↑ +149% |
| Wellcare | Ambetter Health Commercial | $10,735.95 | ↑ +184% |
Visitor-reported prices
Comments
Insert uteri tandem/ovoids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $204.54 – $10,789.90 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $302.24 – $11,076.60 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $302.24 – $11,021.22 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $210.56 – $11,076.60 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $264.70 – $11,568.79 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $302.24 – $10,873.28 |
| Bayshore Medical Center | Holmdel | $5,463.96 | $5,463.96 – $6,556.75 |
| Hackensack University Medical Center | Hackensack | $5,813.46 | $600.93 – $6,104.13 |