Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
not published by hospital
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.
$10,780.00
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.
$442.00 with Horizon Blue Cross Blue Shield of New Jersey vs $25,191.00 with Cigna — 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 | $442.00 | — |
| United Healthcare | Community Plan | $1,337.79 | — |
| Fidelis Care | NJ Family Care | $1,362.59 | — |
| Aetna | Better Health | $1,463.92 | — |
| Wellpoint | NJ Family Care | $3,266.00 | — |
| Qualcare Inc | HMO/POS | $4,148.00 | — |
| First Health | Commercial | $6,468.00 | — |
| Aetna | HMO | $6,680.00 | — |
| Aetna | PPO | $6,680.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,001.61 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,085.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,488.17 | — |
| United Healthcare | Oxford Metro | $8,505.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,627.23 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,163.00 | — |
| United Healthcare | Nexus | $9,568.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,862.62 | — |
| United Healthcare | Oxford Commercial | $10,006.00 | — |
| United Healthcare | Commercial | $11,257.00 | — |
| Cigna | Local Plus | $18,823.00 | — |
| Cigna | HMO | $23,917.00 | — |
| Cigna | PPO | $25,191.00 | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $227.48 – $2,434.64 |
| Cooperman Barnabas Medical Center | Livingston | not published | $431.60 – $431.60 |
| Clara Maass Medical Center | Belleville | not published | $426.40 – $426.40 |
| Newark Beth Israel Medical Center | Newark | not published | $234.17 – $782.60 |
| Jersey City Medical Center | Jersey City | not published | $294.39 – $468.00 |
| Monmouth Medical Center | Long Branch | not published | $852.80 – $852.80 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $945.91 – $945.91 |