IV infusion therapy/prophylaxis/diagnosis each additional 1 hour at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$103.90
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.
$501.00
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.
$20.50 with Horizon Blue Cross Blue Shield of New Jersey vs $458.36 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $20.50 | ↓ -80% |
| Humana | Medicare | $50.43 | ↓ -51% |
| Wellpoint | Medicare Advantage | $50.43 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $50.43 | ↓ -51% |
| Fidelis Care | Medicare Advantage | $50.43 | ↓ -51% |
| Aetna | Medicare | $50.43 | ↓ -51% |
| Clover Health | Medicare Advantage | $50.43 | ↓ -51% |
| United Healthcare | Medicare | $51.44 | ↓ -50% |
| United Healthcare | Community Plan | $62.17 | ↓ -40% |
| Fidelis Care | NJ Family Care | $63.32 | ↓ -39% |
| Aetna | Better Health | $68.03 | ↓ -35% |
| Emblem Health | Commercial | $88.25 | ↓ -15% |
| Wellcare | Ambetter Health Commercial | $100.36 | ↓ -3% |
| Aetna | HMO | $275.55 | ↑ +165% |
| Aetna | PPO | $275.55 | ↑ +165% |
| United Healthcare | Nexus | $281.00 | ↑ +170% |
| United Healthcare | Oxford Metro | $281.00 | ↑ +170% |
| Wellpoint | NJ Family Care | $285.57 | ↑ +175% |
| Cigna | Local Plus | $297.59 | ↑ +186% |
| First Health | Commercial | $300.60 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $325.39 | ↑ +213% |
| United Healthcare | Commercial | $331.00 | ↑ +219% |
| United Healthcare | Oxford Commercial | $331.00 | ↑ +219% |
| Qualcare Inc | HMO/POS | $334.16 | ↑ +222% |
| Qualcare Inc | PPO/WC | $356.21 | ↑ +243% |
| Amerihealth | Local Value | $373.24 | ↑ +259% |
| Amerihealth | Regional Preferred | $373.24 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $375.75 | ↑ +262% |
| Cigna | HMO | $378.15 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $394.48 | ↑ +280% |
| Cigna | PPO | $398.29 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $400.95 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $425.85 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $458.36 | ↑ +341% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $94.03 | $10.52 – $100.86 |
| Cooperman Barnabas Medical Center | Livingston | $153.20 | $20.02 – $103.54 |
| Clara Maass Medical Center | Belleville | $129.28 | $19.78 – $103.02 |
| Newark Beth Israel Medical Center | Newark | $150.60 | $10.83 – $103.54 |
| Jersey City Medical Center | Jersey City | $104.10 | $13.61 – $108.14 |
| Monmouth Medical Center | Long Branch | $109.61 | $39.56 – $101.63 |
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $875.00 |
| Hackensack University Medical Center | Hackensack | $54.34 | $35.98 – $1,323.00 |