MRI guid ndl plc s&i at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$765.92
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.
$3,693.00
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.
$183.48 with Horizon Blue Cross Blue Shield of New Jersey vs $3,378.72 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $183.48 | ↓ -76% |
| Amerihealth | Local Value | $279.71 | ↓ -63% |
| Amerihealth | Regional Preferred | $279.71 | ↓ -63% |
| United Healthcare | Community Plan | $458.30 | ↓ -40% |
| Fidelis Care | NJ Family Care | $466.79 | ↓ -39% |
| Aetna | Better Health | $501.50 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $627.39 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $627.39 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $627.39 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $627.39 | ↓ -18% |
| Aetna | PPO | $886.57 | ↑ +16% |
| Aetna | HMO | $886.57 | ↑ +16% |
| Qualcare Inc | HMO/POS | $2,072.00 | ↑ +171% |
| Wellpoint | NJ Family Care | $2,105.01 | ↑ +175% |
| Qualcare Inc | PPO/WC | $2,166.00 | ↑ +183% |
| First Health | Commercial | $2,215.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,139.05 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,378.72 | ↑ +341% |
Visitor-reported prices
Comments
MRI guid ndl plc s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $693.17 | $98.53 – $3,568.35 |
| Newark Beth Israel Medical Center | Newark | $265.37 | $183.48 – $2,072.00 |
| Monmouth Medical Center | Long Branch | $808.02 | $183.48 – $2,072.00 |
| Monmouth Medical Center Southern Campus | Lakewood | $877.82 | $183.48 – $2,072.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $271.74 | $183.48 – $982.48 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $269.55 | $183.48 – $2,917.00 |
| Cooperman Barnabas Medical Center | Livingston | not published | $183.48 – $2,072.00 |
| Clara Maass Medical Center | Belleville | not published | $183.48 – $2,072.00 |