Nr lnr acclrtr tx max 5 sessions at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$4,812.30
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.
$23,203.00
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.
$1,672.00 with Horizon Blue Cross Blue Shield of New Jersey vs $73,832.00 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 | $1,672.00 | ↓ -65% |
| Humana | Medicare | $1,919.00 | ↓ -60% |
| Wellpoint | Medicare Advantage | $1,919.00 | ↓ -60% |
| Fidelis Care | Medicare Advantage | $1,919.00 | ↓ -60% |
| Aetna | Medicare | $1,919.00 | ↓ -60% |
| Clover Health | Medicare Advantage | $1,919.00 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,919.00 | ↓ -60% |
| United Healthcare | Medicare | $1,957.38 | ↓ -59% |
| Amerihealth | Local Value | $2,661.00 | ↓ -45% |
| Amerihealth | Regional Preferred | $2,661.00 | ↓ -45% |
| United Healthcare | Community Plan | $2,879.49 | ↓ -40% |
| Fidelis Care | NJ Family Care | $2,932.85 | ↓ -39% |
| Aetna | Better Health | $3,150.96 | ↓ -35% |
| Emblem Health | Commercial | $3,358.25 | ↓ -30% |
| Wellcare | Ambetter Health Commercial | $3,818.81 | ↓ -21% |
| United Healthcare | Oxford Metro | $4,486.00 | ↓ -7% |
| United Healthcare | Nexus | $4,486.00 | ↓ -7% |
| Cigna | Local Plus | $5,176.00 | ↑ +8% |
| United Healthcare | Commercial | $5,278.00 | ↑ +10% |
| United Healthcare | Oxford Commercial | $5,278.00 | ↑ +10% |
| Cigna | HMO | $6,577.00 | ↑ +37% |
| Cigna | PPO | $6,927.00 | ↑ +44% |
| Aetna | HMO | $7,156.00 | ↑ +49% |
| Aetna | PPO | $7,156.00 | ↑ +49% |
| Wellpoint | NJ Family Care | $13,225.71 | ↑ +175% |
| First Health | Commercial | $13,921.80 | ↑ +189% |
| Qualcare Inc | HMO/POS | $15,476.40 | ↑ +222% |
| Qualcare Inc | PPO/WC | $16,497.33 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $19,722.55 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $21,228.42 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $58,112.00 | ↑ +1108% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $69,118.00 | ↑ +1336% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $72,642.00 | ↑ +1410% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $73,832.00 | ↑ +1434% |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,355.20 | $376.15 – $5,715.00 |
| Cooperman Barnabas Medical Center | Livingston | $4,751.22 | $1,639.00 – $6,289.00 |
| Clara Maass Medical Center | Belleville | $4,400.26 | $1,639.00 – $4,435.00 |
| Newark Beth Israel Medical Center | Newark | $4,670.50 | $539.01 – $4,831.00 |
| Jersey City Medical Center | Jersey City | $4,821.58 | $677.61 – $5,514.00 |
| Monmouth Medical Center | Long Branch | $5,076.81 | $1,639.00 – $5,277.00 |
| Bayshore Medical Center | Holmdel | $1,943.55 | $1,943.55 – $21,431.00 |
| Hackensack University Medical Center | Hackensack | $2,067.87 | $663.00 – $2,171.26 |