Intracranial limited study at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$156.37
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.
?
What you pay up front if you don't use insurance.
$754.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$93.57 with United Healthcare vs $2,452.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | Community Plan | $93.57 | ↓ -40% |
| Fidelis Care | NJ Family Care | $95.30 | ↓ -39% |
| Aetna | Better Health | $102.39 | ↓ -35% |
| Wellpoint | Medicare Advantage | $116.22 | ↓ -26% |
| Humana | Medicare | $116.22 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↓ -26% |
| Aetna | Medicare | $116.22 | ↓ -26% |
| Fidelis Care | Medicare Advantage | $116.22 | ↓ -26% |
| Clover Health | Medicare Advantage | $116.22 | ↓ -26% |
| United Healthcare | Medicare | $118.54 | ↓ -24% |
| Emblem Health | Commercial | $203.39 | ↑ +30% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↑ +48% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $232.90 | ↑ +49% |
| Aetna | PPO | $414.70 | ↑ +165% |
| Aetna | HMO | $414.70 | ↑ +165% |
| Wellpoint | NJ Family Care | $429.78 | ↑ +175% |
| First Health | Commercial | $452.40 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $489.72 | ↑ +213% |
| Qualcare Inc | HMO/POS | $502.91 | ↑ +222% |
| Qualcare Inc | PPO/WC | $536.09 | ↑ +243% |
| Amerihealth | Regional Preferred | $561.73 | ↑ +259% |
| Amerihealth | Local Value | $561.73 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $565.50 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $593.69 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $603.42 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $640.90 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $689.83 | ↑ +341% |
| Cigna | Local Plus | $704.76 | ↑ +351% |
| Cigna | HMO | $704.76 | ↑ +351% |
| Cigna | PPO | $704.76 | ↑ +351% |
| United Healthcare | Oxford Metro | $2,084.00 | ↑ +1233% |
| United Healthcare | Nexus | $2,084.00 | ↑ +1233% |
| United Healthcare | Oxford Commercial | $2,452.00 | ↑ +1468% |
| United Healthcare | Commercial | $2,452.00 | ↑ +1468% |
Visitor-reported prices
Comments
Intracranial limited study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $133.92 | $119.31 – $704.76 |
| Clara Maass Medical Center | Belleville | $158.12 | $119.31 – $704.76 |
| Newark Beth Israel Medical Center | Newark | $131.64 | $70.43 – $704.76 |
| Jersey City Medical Center | Jersey City | $156.68 | $88.55 – $704.76 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $4,324.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $1,573.00 |