Membrane collgn porcine maci w/autologous cult chondrocytes at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$26,770.47
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.
$129,076.53
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.
$16,315.27 with Fidelis Care vs $118,092.11 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $16,315.27 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $60,422.34 | ↑ +126% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $60,422.34 | ↑ +126% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $60,422.34 | ↑ +126% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $60,422.34 | ↑ +126% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $60,422.34 | ↑ +126% |
| Amerihealth | Local Value | $64,972.22 | ↑ +143% |
| Amerihealth | Regional Preferred | $64,972.22 | ↑ +143% |
| Aetna | HMO | $74,253.96 | ↑ +177% |
| Aetna | PPO | $74,253.96 | ↑ +177% |
| United Healthcare | Commercial | $76,437.90 | ↑ +186% |
| United Healthcare | Oxford Commercial | $76,437.90 | ↑ +186% |
| Cigna | Local Plus | $76,671.45 | ↑ +186% |
| First Health | Commercial | $77,445.91 | ↑ +189% |
| Cigna | HMO | $97,426.96 | ↑ +264% |
| Cigna | PPO | $102,615.84 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $109,715.05 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $118,092.11 | ↑ +341% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
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Membrane collgn porcine maci w/autologous cult chondrocytes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $33,918.73 | $53,220.16 – $444,067.80 |
| Cooperman Barnabas Medical Center | Livingston | $27,351.31 | $60,422.34 – $76,437.90 |
| Clara Maass Medical Center | Belleville | $25,673.32 | $60,422.34 – $76,437.90 |
| Newark Beth Israel Medical Center | Newark | $26,886.64 | $60,422.34 – $76,437.90 |
| Jersey City Medical Center | Jersey City | $26,822.10 | $60,422.34 – $76,437.90 |
| Monmouth Medical Center | Long Branch | $28,241.94 | $60,422.34 – $76,437.90 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $29,617.90 | $60,422.34 – $76,437.90 |
| Monmouth Medical Center Southern Campus | Lakewood | $30,681.49 | $60,422.34 – $76,437.90 |