MRI without fol w/cont, breast at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,502.40
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.
$7,244.00
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.
$326.00 with Cigna vs $6,627.53 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 |
|---|---|---|---|
| Cigna | Local Plus | $326.00 | ↓ -78% |
| Humana | Medicare | $390.30 | ↓ -74% |
| Fidelis Care | Medicare Advantage | $390.30 | ↓ -74% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $390.30 | ↓ -74% |
| Wellpoint | Medicare Advantage | $390.30 | ↓ -74% |
| Clover Health | Medicare Advantage | $390.30 | ↓ -74% |
| Aetna | Medicare | $390.30 | ↓ -74% |
| United Healthcare | Medicare | $398.11 | ↓ -74% |
| Cigna | HMO | $414.00 | ↓ -72% |
| Cigna | PPO | $436.00 | ↓ -71% |
| United Healthcare | Oxford Metro | $493.70 | ↓ -67% |
| United Healthcare | Nexus | $493.70 | ↓ -67% |
| United Healthcare | Oxford Commercial | $603.32 | ↓ -60% |
| United Healthcare | Commercial | $603.32 | ↓ -60% |
| Emblem Health | Commercial | $683.03 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $689.13 | ↓ -54% |
| Wellcare | Ambetter Health Commercial | $776.70 | ↓ -48% |
| United Healthcare | Community Plan | $898.98 | ↓ -40% |
| Fidelis Care | NJ Family Care | $915.64 | ↓ -39% |
| Aetna | Better Health | $983.73 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,275.39 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,275.39 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,275.39 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,275.39 | ↓ -15% |
| Amerihealth | Local Value | $1,307.63 | ↓ -13% |
| Amerihealth | Regional Preferred | $1,307.63 | ↓ -13% |
| Qualcare Inc | HMO/POS | $2,072.00 | ↑ +38% |
| Qualcare Inc | PPO/WC | $2,166.00 | ↑ +44% |
| Aetna | PPO | $3,984.20 | ↑ +165% |
| Aetna | HMO | $3,984.20 | ↑ +165% |
| Wellpoint | NJ Family Care | $4,129.08 | ↑ +175% |
| First Health | Commercial | $4,346.40 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,157.40 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,627.53 | ↑ +341% |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,359.69 | $390.30 – $1,764.20 |
| Newark Beth Israel Medical Center | Newark | $1,508.92 | $326.00 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $1,505.30 | $326.00 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $1,584.98 | $326.00 – $2,072.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $357.13 – $1,663.04 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $395.29 – $1,827.68 |
| Palisades Medical Center | North Bergen | $420.58 | $420.58 – $1,859.79 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $395.64 – $1,859.79 |