Lung function test (mbc/mvv) at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$54.54
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.
$263.00
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.
$32.63 with United Healthcare vs $596.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $32.63 | ↓ -40% |
| Fidelis Care | NJ Family Care | $33.24 | ↓ -39% |
| Aetna | Better Health | $35.71 | ↓ -35% |
| Aetna | Medicare | $64.92 | ↑ +19% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $64.92 | ↑ +19% |
| Wellpoint | Medicare Advantage | $64.92 | ↑ +19% |
| Clover Health | Medicare Advantage | $64.92 | ↑ +19% |
| Humana | Medicare | $64.92 | ↑ +19% |
| Fidelis Care | Medicare Advantage | $64.92 | ↑ +19% |
| United Healthcare | Medicare | $66.22 | ↑ +21% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $108.80 | ↑ +99% |
| Emblem Health | Commercial | $113.61 | ↑ +108% |
| Wellcare | Ambetter Health Commercial | $129.19 | ↑ +137% |
| Aetna | HMO | $144.65 | ↑ +165% |
| Aetna | PPO | $144.65 | ↑ +165% |
| Wellpoint | NJ Family Care | $149.91 | ↑ +175% |
| Cigna | Local Plus | $156.22 | ↑ +186% |
| First Health | Commercial | $157.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $170.81 | ↑ +213% |
| Qualcare Inc | HMO/POS | $175.42 | ↑ +222% |
| Qualcare Inc | PPO/WC | $186.99 | ↑ +243% |
| Amerihealth | Regional Preferred | $195.93 | ↑ +259% |
| Amerihealth | Local Value | $195.93 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $197.25 | ↑ +262% |
| Cigna | HMO | $198.51 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $207.08 | ↑ +280% |
| Cigna | PPO | $209.08 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $210.47 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $223.55 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $240.61 | ↑ +341% |
| United Healthcare | Nexus | $507.00 | ↑ +830% |
| United Healthcare | Oxford Metro | $507.00 | ↑ +830% |
| United Healthcare | Commercial | $596.00 | ↑ +993% |
| United Healthcare | Oxford Commercial | $596.00 | ↑ +993% |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $55.72 | $66.64 – $133.28 |
| Clara Maass Medical Center | Belleville | $51.91 | $66.64 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $54.78 | $8.06 – $133.28 |
| Jersey City Medical Center | Jersey City | $54.65 | $10.14 – $139.20 |
| Monmouth Medical Center | Long Branch | $57.54 | $65.75 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $910.00 |
| Hackensack University Medical Center | Hackensack | $69.95 | $26.92 – $5,456.00 |
| Ocean University Medical Center | Brick | $64.92 | $25.60 – $389.00 |