Microprcsr cu combo vad, rep at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$2,654.72
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.
$12,800.00
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.
$1,588.48 with United Healthcare vs $11,710.72 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,588.48 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,617.92 | ↓ -39% |
| Aetna | Better Health | $1,738.24 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $2,436.59 | ↓ -8% |
| Aetna | PPO | $2,447.10 | ↓ -8% |
| Aetna | HMO | $2,447.10 | ↓ -8% |
| United Healthcare | Nexus | $3,686.40 | ↑ +39% |
| United Healthcare | Oxford Metro | $3,686.40 | ↑ +39% |
| United Healthcare | Oxford Commercial | $4,326.40 | ↑ +63% |
| United Healthcare | Commercial | $4,326.40 | ↑ +63% |
| Aetna | Medicare | $5,362.73 | ↑ +102% |
| Fidelis Care | Medicare Advantage | $5,362.73 | ↑ +102% |
| Humana | Medicare | $5,362.73 | ↑ +102% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $5,362.73 | ↑ +102% |
| Wellpoint | Medicare Advantage | $5,362.73 | ↑ +102% |
| Clover Health | Medicare Advantage | $5,362.73 | ↑ +102% |
| United Healthcare | Medicare | $5,469.98 | ↑ +106% |
| Wellpoint | NJ Family Care | $7,296.00 | ↑ +175% |
| Cigna | Local Plus | $7,603.20 | ↑ +186% |
| First Health | Commercial | $7,680.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,313.60 | ↑ +213% |
| Qualcare Inc | HMO/POS | $8,537.60 | ↑ +222% |
| Qualcare Inc | PPO/WC | $9,100.80 | ↑ +243% |
| Emblem Health | Commercial | $9,384.78 | ↑ +254% |
| Amerihealth | Regional Preferred | $9,536.00 | ↑ +259% |
| Amerihealth | Local Value | $9,536.00 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,600.00 | ↑ +262% |
| Cigna | HMO | $9,661.44 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $10,078.72 | ↑ +280% |
| Cigna | PPO | $10,176.00 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $10,243.84 | ↑ +286% |
| Wellcare | Ambetter Health Commercial | $10,671.83 | ↑ +302% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,880.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $11,710.72 | ↑ +341% |
Visitor-reported prices
Comments
Microprcsr cu combo vad, rep at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $3,363.58 | $3,740.89 – $10,725.46 |
| Cooperman Barnabas Medical Center | Livingston | $2,712.32 | $2,379.26 – $10,725.46 |
| Clara Maass Medical Center | Belleville | $2,545.92 | $2,350.60 – $10,671.83 |
| Newark Beth Israel Medical Center | Newark | $2,666.24 | $2,508.28 – $10,725.46 |
| Jersey City Medical Center | Jersey City | $2,659.84 | $2,447.10 – $10,671.83 |
| Monmouth Medical Center | Long Branch | $2,800.64 | $2,508.28 – $10,671.83 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $2,937.08 | $2,264.60 – $10,671.83 |
| Monmouth Medical Center Southern Campus | Lakewood | $3,042.56 | $2,508.28 – $10,671.83 |