Lvad shower bag heartmate at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$124.44
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.
$600.00
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.
$74.46 with United Healthcare vs $1,197.42 with Wellcare — 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 | $74.46 | ↓ -40% |
| Fidelis Care | NJ Family Care | $75.84 | ↓ -39% |
| Aetna | Better Health | $81.48 | ↓ -35% |
| United Healthcare | Nexus | $172.80 | ↑ +39% |
| United Healthcare | Oxford Metro | $172.80 | ↑ +39% |
| United Healthcare | Commercial | $202.80 | ↑ +63% |
| United Healthcare | Oxford Commercial | $202.80 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $273.41 | ↑ +120% |
| Aetna | PPO | $274.58 | ↑ +121% |
| Aetna | HMO | $274.58 | ↑ +121% |
| Wellpoint | NJ Family Care | $342.00 | ↑ +175% |
| Cigna | Local Plus | $356.40 | ↑ +186% |
| First Health | Commercial | $360.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $389.70 | ↑ +213% |
| Qualcare Inc | HMO/POS | $400.20 | ↑ +222% |
| Qualcare Inc | PPO/WC | $426.60 | ↑ +243% |
| Amerihealth | Regional Preferred | $447.00 | ↑ +259% |
| Amerihealth | Local Value | $447.00 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $450.00 | ↑ +262% |
| Cigna | HMO | $452.88 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $472.44 | ↑ +280% |
| Cigna | PPO | $477.00 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $480.18 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $510.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $548.94 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $601.72 | ↑ +384% |
| Wellpoint | Medicare Advantage | $601.72 | ↑ +384% |
| Aetna | Medicare | $601.72 | ↑ +384% |
| Clover Health | Medicare Advantage | $601.72 | ↑ +384% |
| Fidelis Care | Medicare Advantage | $601.72 | ↑ +384% |
| Humana | Medicare | $601.72 | ↑ +384% |
| United Healthcare | Medicare | $613.75 | ↑ +393% |
| Emblem Health | Commercial | $1,053.01 | ↑ +746% |
| Wellcare | Ambetter Health Commercial | $1,197.42 | ↑ +862% |
Visitor-reported prices
Comments
Lvad shower bag heartmate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $157.66 | $419.77 – $1,203.44 |
| Cooperman Barnabas Medical Center | Livingston | $127.14 | $266.98 – $1,203.44 |
| Clara Maass Medical Center | Belleville | $119.34 | $263.76 – $1,197.42 |
| Newark Beth Israel Medical Center | Newark | $124.98 | $281.45 – $1,203.44 |
| Jersey City Medical Center | Jersey City | $124.68 | $274.58 – $1,197.42 |
| Monmouth Medical Center | Long Branch | $131.28 | $281.45 – $1,197.42 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $137.67 | $254.11 – $1,197.42 |
| Monmouth Medical Center Southern Campus | Lakewood | $142.62 | $281.45 – $1,197.42 |