Insertion picc without port or pump with imaging guidance=>5y 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.
$4,901.00
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.
$292.59 with Horizon Blue Cross Blue Shield of New Jersey vs $8,591.00 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 | $292.59 | ↓ -92% |
| United Healthcare | Community Plan | $608.21 | ↓ -84% |
| Fidelis Care | NJ Family Care | $619.48 | ↓ -84% |
| Aetna | Better Health | $665.55 | ↓ -82% |
| Clover Health | Medicare Advantage | $1,697.72 | ↓ -55% |
| Humana | Medicare | $1,697.72 | ↓ -55% |
| Aetna | Medicare | $1,697.72 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,697.72 | ↓ -55% |
| Fidelis Care | Medicare Advantage | $1,697.72 | ↓ -55% |
| Wellpoint | Medicare Advantage | $1,697.72 | ↓ -55% |
| United Healthcare | Medicare | $1,731.67 | ↓ -54% |
| First Health | Commercial | $2,940.60 | ↓ -22% |
| Emblem Health | Commercial | $2,971.01 | ↓ -22% |
| Qualcare Inc | HMO/POS | $3,053.32 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,183.19 | ↓ -16% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Wellcare | Ambetter Health Commercial | $3,378.46 | ↓ -11% |
| United Healthcare | Oxford Metro | $3,417.00 | ↓ -10% |
| Amerihealth | Local Value | $3,590.47 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,675.75 | ↓ -3% |
| Qualcare Inc | PPO/WC | $3,705.15 | ↓ -2% |
| Amerihealth | Regional Preferred | $3,834.54 | ↑ +1% |
| United Healthcare | Nexus | $3,845.00 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,859.04 | ↑ +2% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,922.27 | ↑ +4% |
| United Healthcare | Oxford Commercial | $4,020.00 | ↑ +6% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,165.85 | ↑ +10% |
| Aetna | PPO | $4,174.00 | ↑ +10% |
| Aetna | HMO | $4,174.00 | ↑ +10% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,483.92 | ↑ +18% |
| United Healthcare | Commercial | $4,523.00 | ↑ +19% |
| Cigna | Local Plus | $6,420.00 | ↑ +70% |
| Cigna | HMO | $8,157.00 | ↑ +115% |
| Cigna | PPO | $8,591.00 | ↑ +127% |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $195.75 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $292.59 – $3,485.68 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $292.59 – $3,468.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $201.51 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $253.32 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $292.59 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $1,719.44 – $2,063.33 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $171.02 – $1,920.90 |