Ntsty modul rad tx dlvr smpl at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,087.19
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.
$5,242.00
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.
$632.20 with Aetna vs $4,795.90 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 | Medicare | $632.20 | ↓ -42% |
| Humana | Medicare | $632.20 | ↓ -42% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $632.20 | ↓ -42% |
| Fidelis Care | Medicare Advantage | $632.20 | ↓ -42% |
| Clover Health | Medicare Advantage | $632.20 | ↓ -42% |
| Wellpoint | Medicare Advantage | $632.20 | ↓ -42% |
| United Healthcare | Medicare | $644.84 | ↓ -41% |
| United Healthcare | Community Plan | $650.53 | ↓ -40% |
| Fidelis Care | NJ Family Care | $662.58 | ↓ -39% |
| Aetna | Better Health | $711.86 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $891.00 | ↓ -18% |
| Emblem Health | Commercial | $1,106.35 | ↑ +2% |
| Wellcare | Ambetter Health Commercial | $1,258.08 | ↑ +16% |
| Cigna | Local Plus | $2,352.00 | ↑ +116% |
| Amerihealth | Local Value | $2,395.00 | ↑ +120% |
| United Healthcare | Nexus | $2,568.00 | ↑ +136% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +136% |
| Amerihealth | Regional Preferred | $2,661.00 | ↑ +145% |
| Wellpoint | NJ Family Care | $2,987.94 | ↑ +175% |
| Cigna | HMO | $2,989.00 | ↑ +175% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +178% |
| United Healthcare | Commercial | $3,021.00 | ↑ +178% |
| First Health | Commercial | $3,145.20 | ↑ +189% |
| Cigna | PPO | $3,148.00 | ↑ +190% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,404.67 | ↑ +213% |
| Qualcare Inc | HMO/POS | $3,496.41 | ↑ +222% |
| Qualcare Inc | PPO/WC | $3,727.06 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,931.50 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,127.55 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,195.17 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,455.70 | ↑ +310% |
| Aetna | PPO | $4,771.31 | ↑ +339% |
| Aetna | HMO | $4,771.31 | ↑ +339% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,795.90 | ↑ +341% |
Visitor-reported prices
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Ntsty modul rad tx dlvr smpl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $983.92 | $466.86 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,110.77 | $649.00 – $2,511.00 |
| Clara Maass Medical Center | Belleville | $1,058.94 | $649.00 – $2,396.00 |
| Newark Beth Israel Medical Center | Newark | $1,091.90 | $649.00 – $2,396.00 |
| Jersey City Medical Center | Jersey City | $1,089.28 | $681.24 – $2,395.00 |
| Monmouth Medical Center | Long Branch | $1,146.94 | $640.29 – $2,407.00 |
| Bayshore Medical Center | Holmdel | $640.29 | $640.29 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $681.24 | $266.95 – $4,098.66 |