Intro cath dialysis circuit w/stent plcmnt 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.
?
What you pay up front if you don't use insurance.
$20,542.00
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.
$2,549.26 with United Healthcare vs $24,663.82 with Wellcare — 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 | $2,549.26 | ↓ -33% |
| Fidelis Care | NJ Family Care | $2,596.50 | ↓ -31% |
| Aetna | Better Health | $2,789.60 | ↓ -26% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,789.51 | ↑ +27% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +133% |
| Aetna | PPO | $9,184.00 | ↑ +143% |
| Aetna | HMO | $9,184.00 | ↑ +143% |
| United Healthcare | Nexus | $9,925.00 | ↑ +162% |
| Cigna | Local Plus | $9,925.89 | ↑ +162% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +174% |
| United Healthcare | Commercial | $11,677.00 | ↑ +208% |
| First Health | Commercial | $12,325.20 | ↑ +226% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,393.88 | ↑ +227% |
| Aetna | Medicare | $12,393.88 | ↑ +227% |
| Wellpoint | Medicare Advantage | $12,393.88 | ↑ +227% |
| Clover Health | Medicare Advantage | $12,393.88 | ↑ +227% |
| Fidelis Care | Medicare Advantage | $12,393.88 | ↑ +227% |
| Humana | Medicare | $12,393.88 | ↑ +227% |
| Cigna | HMO | $12,612.78 | ↑ +233% |
| United Healthcare | Medicare | $12,641.76 | ↑ +234% |
| Qualcare Inc | HMO/POS | $12,797.66 | ↑ +238% |
| Cigna | PPO | $13,284.51 | ↑ +251% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $13,342.02 | ↑ +252% |
| Amerihealth | Local Value | $14,995.66 | ↑ +296% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $15,406.50 | ↑ +307% |
| Qualcare Inc | PPO/WC | $15,529.75 | ↑ +310% |
| Amerihealth | Regional Preferred | $16,022.76 | ↑ +323% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $16,174.77 | ↑ +327% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $16,439.76 | ↑ +334% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $17,460.70 | ↑ +361% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $18,793.87 | ↑ +396% |
| Emblem Health | Commercial | $21,689.29 | ↑ +473% |
| Wellcare | Ambetter Health Commercial | $24,663.82 | ↑ +551% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/stent plcmnt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $2,177.59 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $4,789.51 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $4,789.51 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,241.63 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,818.05 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,789.51 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $640.71 – $14,023.10 |