Low cost skin substitute app at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$350.71
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.
$1,691.00
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.
$16.20 with Horizon Blue Cross Blue Shield of New Jersey vs $4,174.00 with Aetna — 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 | $16.20 | ↓ -95% |
| United Healthcare | Community Plan | $209.85 | ↓ -40% |
| Fidelis Care | NJ Family Care | $213.74 | ↓ -39% |
| Aetna | Better Health | $229.63 | ↓ -35% |
| Wellpoint | NJ Family Care | $963.87 | ↑ +175% |
| First Health | Commercial | $1,014.60 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,098.30 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,127.89 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,202.30 | ↑ +243% |
| Amerihealth | Local Value | $1,238.82 | ↑ +253% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,268.25 | ↑ +262% |
| Amerihealth | Regional Preferred | $1,323.03 | ↑ +277% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,331.49 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,353.30 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,437.35 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,547.09 | ↑ +341% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +597% |
| United Healthcare | Nexus | $2,751.00 | ↑ +684% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +720% |
| United Healthcare | Commercial | $3,236.00 | ↑ +823% |
| Aetna | PPO | $4,174.00 | ↑ +1090% |
| Aetna | HMO | $4,174.00 | ↑ +1090% |
Visitor-reported prices
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Low cost skin substitute app at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $358.32 | $15.82 – $15.82 |
| Clara Maass Medical Center | Belleville | $324.00 | $15.63 – $15.63 |
| Newark Beth Israel Medical Center | Newark | $352.23 | $28.69 – $28.69 |
| Jersey City Medical Center | Jersey City | $351.38 | $17.15 – $17.15 |
| Monmouth Medical Center | Long Branch | $369.99 | $31.26 – $31.26 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $266.99 | $15.06 – $15.06 |
| Monmouth Medical Center Southern Campus | Lakewood | $401.95 | $38.98 – $38.98 |
| Robert Wood Johnson University Hospital | New Brunswick | $360.69 | $14.39 – $14.39 |