Lymph vessel x-ray arms/legs at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$835.61
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.
$4,029.00
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.
$178.60 with Horizon Blue Cross Blue Shield of New Jersey vs $3,686.13 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 | $178.60 | ↓ -79% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $331.49 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $331.49 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $331.49 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $331.49 | ↓ -60% |
| United Healthcare | Community Plan | $499.99 | ↓ -40% |
| Fidelis Care | NJ Family Care | $509.26 | ↓ -39% |
| Aetna | Better Health | $547.13 | ↓ -35% |
| Cigna | PPO | $1,010.06 | ↑ +21% |
| Cigna | Local Plus | $1,010.06 | ↑ +21% |
| Cigna | HMO | $1,010.06 | ↑ +21% |
| Wellpoint | Medicare Advantage | $1,697.72 | ↑ +103% |
| Aetna | Medicare | $1,697.72 | ↑ +103% |
| Clover Health | Medicare Advantage | $1,697.72 | ↑ +103% |
| Fidelis Care | Medicare Advantage | $1,697.72 | ↑ +103% |
| Humana | Medicare | $1,697.72 | ↑ +103% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,697.72 | ↑ +103% |
| United Healthcare | Medicare | $1,731.67 | ↑ +107% |
| United Healthcare | Oxford Metro | $1,993.72 | ↑ +139% |
| United Healthcare | Nexus | $1,993.72 | ↑ +139% |
| Aetna | HMO | $2,215.95 | ↑ +165% |
| Aetna | PPO | $2,215.95 | ↑ +165% |
| Wellpoint | NJ Family Care | $2,296.53 | ↑ +175% |
| First Health | Commercial | $2,417.40 | ↑ +189% |
| United Healthcare | Commercial | $2,577.19 | ↑ +208% |
| United Healthcare | Oxford Commercial | $2,577.19 | ↑ +208% |
| Qualcare Inc | HMO/POS | $2,687.34 | ↑ +222% |
| Qualcare Inc | PPO/WC | $2,864.61 | ↑ +243% |
| Emblem Health | Commercial | $2,971.01 | ↑ +256% |
| Wellcare | Ambetter Health Commercial | $3,378.46 | ↑ +304% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,424.65 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,686.13 | ↑ +341% |
Visitor-reported prices
Comments
Lymph vessel x-ray arms/legs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $756.24 | $91.80 – $3,395.44 |
| Jersey City Medical Center | Jersey City | $837.22 | $118.80 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $881.54 | $178.60 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $405.57 – $3,807.12 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $161.90 – $4,348.49 |
| Ocean University Medical Center | Brick | $1,697.72 | $405.57 – $1,697.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,720.93 | $903.71 – $4,032.11 |
| Jersey Shore University Medical Center | Neptune City | $1,719.44 | $405.57 – $1,874.19 |