Low cost skin substitute app at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$885.59
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.
$4,270.00
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.
$74.60 with Horizon Blue Cross Blue Shield of New Jersey vs $12,887.00 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 | $74.60 | ↓ -92% |
| United Healthcare | Community Plan | $529.90 | ↓ -40% |
| Fidelis Care | NJ Family Care | $539.72 | ↓ -39% |
| Aetna | Better Health | $579.86 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,999.13 | ↑ +126% |
| Humana | Medicare | $1,999.13 | ↑ +126% |
| Aetna | Medicare | $1,999.13 | ↑ +126% |
| Wellpoint | Medicare Advantage | $1,999.13 | ↑ +126% |
| Clover Health | Medicare Advantage | $1,999.13 | ↑ +126% |
| Fidelis Care | Medicare Advantage | $1,999.13 | ↑ +126% |
| United Healthcare | Medicare | $2,039.11 | ↑ +130% |
| Wellpoint | NJ Family Care | $2,433.90 | ↑ +175% |
| First Health | Commercial | $2,562.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,773.36 | ↑ +213% |
| Qualcare Inc | HMO/POS | $2,848.09 | ↑ +222% |
| Qualcare Inc | PPO/WC | $3,035.97 | ↑ +243% |
| Amerihealth | Local Value | $3,128.20 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,202.50 | ↑ +262% |
| Amerihealth | Regional Preferred | $3,340.84 | ↑ +277% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,362.19 | ↑ +280% |
| United Healthcare | Oxford Metro | $3,417.00 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,417.28 | ↑ +286% |
| Emblem Health | Commercial | $3,498.48 | ↑ +295% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,629.50 | ↑ +310% |
| United Healthcare | Nexus | $3,845.00 | ↑ +334% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,906.62 | ↑ +341% |
| Wellcare | Ambetter Health Commercial | $3,978.27 | ↑ +349% |
| United Healthcare | Oxford Commercial | $4,020.00 | ↑ +354% |
| United Healthcare | Commercial | $4,523.00 | ↑ +411% |
| Aetna | HMO | $5,009.00 | ↑ +466% |
| Aetna | PPO | $5,009.00 | ↑ +466% |
| Cigna | Local Plus | $9,629.00 | ↑ +987% |
| Cigna | HMO | $12,235.00 | ↑ +1282% |
| Cigna | PPO | $12,887.00 | ↑ +1355% |
Visitor-reported prices
Comments
Low cost skin substitute app at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $904.81 | $72.84 – $4,104.50 |
| Clara Maass Medical Center | Belleville | $1,084.80 | $71.96 – $4,083.98 |
| Newark Beth Israel Medical Center | Newark | $889.44 | $132.08 – $4,104.50 |
| Jersey City Medical Center | Jersey City | $887.30 | $78.98 – $4,286.88 |
| Monmouth Medical Center | Long Branch | $934.27 | $143.93 – $4,029.15 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,026.46 | $87.76 – $2,026.46 |
| Jersey Shore University Medical Center | Neptune City | $2,024.70 | $2,024.70 – $2,429.64 |
| Palisades Medical Center | North Bergen | $2,154.21 | $2,154.21 – $2,348.09 |