Nm radiopharmaceutical therapy oral administration at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$691.47
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.
$3,334.00
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.
$132.48 with Aetna vs $3,050.27 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 |
|---|---|---|---|
| Aetna | HMO | $132.48 | ↓ -81% |
| Aetna | PPO | $132.48 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $176.19 | ↓ -75% |
| Fidelis Care | Medicare Advantage | $244.95 | ↓ -65% |
| Humana | Medicare | $244.95 | ↓ -65% |
| Aetna | Medicare | $244.95 | ↓ -65% |
| Wellpoint | Medicare Advantage | $244.95 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $244.95 | ↓ -65% |
| Clover Health | Medicare Advantage | $244.95 | ↓ -65% |
| United Healthcare | Medicare | $249.85 | ↓ -64% |
| Cigna | Local Plus | $267.06 | ↓ -61% |
| Cigna | HMO | $267.06 | ↓ -61% |
| Cigna | PPO | $267.06 | ↓ -61% |
| Amerihealth | Local Value | $307.68 | ↓ -56% |
| Amerihealth | Regional Preferred | $307.68 | ↓ -56% |
| United Healthcare | Nexus | $334.64 | ↓ -52% |
| United Healthcare | Oxford Metro | $334.64 | ↓ -52% |
| United Healthcare | Commercial | $375.09 | ↓ -46% |
| United Healthcare | Oxford Commercial | $375.09 | ↓ -46% |
| United Healthcare | Community Plan | $413.74 | ↓ -40% |
| Fidelis Care | NJ Family Care | $421.41 | ↓ -39% |
| Emblem Health | Commercial | $428.66 | ↓ -38% |
| Aetna | Better Health | $452.75 | ↓ -35% |
| Wellcare | Ambetter Health Commercial | $487.45 | ↓ -30% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +20% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +25% |
| Wellpoint | NJ Family Care | $1,900.38 | ↑ +175% |
| First Health | Commercial | $2,000.40 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,165.43 | ↑ +213% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,500.50 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,625.19 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,668.20 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,833.90 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,050.27 | ↑ +341% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $625.79 | $68.48 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $604.97 | $144.33 – $828.00 |
| Clara Maass Medical Center | Belleville | $353.84 | $144.33 – $828.00 |
| Newark Beth Israel Medical Center | Newark | $594.69 | $70.50 – $828.00 |
| Jersey City Medical Center | Jersey City | $692.80 | $88.62 – $805.00 |
| Monmouth Medical Center | Long Branch | $729.47 | $136.36 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $139.43 – $675.85 |
| Hackensack University Medical Center | Hackensack | $263.95 | $144.96 – $771.95 |