Myelography via inj w/s&i lumbosacral at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,786.00
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.
$3,322.00
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.
$223.94 with Horizon Blue Cross Blue Shield of New Jersey vs $5,302.00 with Cigna — 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 | $223.94 | ↓ -94% |
| United Healthcare | Community Plan | $412.26 | ↓ -89% |
| Fidelis Care | NJ Family Care | $419.90 | ↓ -89% |
| Aetna | Better Health | $451.12 | ↓ -88% |
| Clover Health | Medicare Advantage | $863.44 | ↓ -77% |
| Humana | Medicare | $863.44 | ↓ -77% |
| Aetna | Medicare | $863.44 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $863.44 | ↓ -77% |
| Fidelis Care | Medicare Advantage | $863.44 | ↓ -77% |
| Wellpoint | Medicare Advantage | $863.44 | ↓ -77% |
| United Healthcare | Medicare | $880.71 | ↓ -77% |
| Emblem Health | Commercial | $1,511.02 | ↓ -60% |
| Wellcare | Ambetter Health Commercial | $1,718.25 | ↓ -55% |
| First Health | Commercial | $1,993.20 | ↓ -47% |
| Qualcare Inc | HMO/POS | $2,069.60 | ↓ -45% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,157.63 | ↓ -43% |
| Amerihealth | Local Value | $2,433.69 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,491.50 | ↓ -34% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -34% |
| Qualcare Inc | PPO/WC | $2,511.43 | ↓ -34% |
| Amerihealth | Regional Preferred | $2,599.13 | ↓ -31% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,615.74 | ↓ -31% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,658.59 | ↓ -30% |
| United Healthcare | Nexus | $2,806.00 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,823.70 | ↓ -25% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,039.29 | ↓ -20% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| United Healthcare | Commercial | $3,301.00 | ↓ -13% |
| Cigna | Local Plus | $3,962.00 | ↑ +5% |
| Aetna | PPO | $4,174.00 | ↑ +10% |
| Aetna | HMO | $4,174.00 | ↑ +10% |
| Cigna | HMO | $5,034.00 | ↑ +33% |
| Cigna | PPO | $5,302.00 | ↑ +40% |
Visitor-reported prices
Comments
Myelography via inj w/s&i lumbosacral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $130.06 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $223.94 – $1,772.76 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $223.94 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $133.89 – $1,772.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $168.31 – $1,851.54 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $223.94 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $874.49 – $1,049.38 |
| Hackensack University Medical Center | Hackensack | $930.42 | $244.58 – $976.94 |