Nuclear rx IV admin at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$236.02
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.
$1,138.00
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.
$137.59 with Aetna vs $1,041.15 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 | $137.59 | ↓ -42% |
| Aetna | PPO | $137.59 | ↓ -42% |
| United Healthcare | Community Plan | $141.22 | ↓ -40% |
| Fidelis Care | NJ Family Care | $143.84 | ↓ -39% |
| Aetna | Better Health | $154.54 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $183.76 | ↓ -22% |
| Fidelis Care | Medicare Advantage | $244.95 | ↑ +4% |
| Aetna | Medicare | $244.95 | ↑ +4% |
| Humana | Medicare | $244.95 | ↑ +4% |
| Wellpoint | Medicare Advantage | $244.95 | ↑ +4% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $244.95 | ↑ +4% |
| Clover Health | Medicare Advantage | $244.95 | ↑ +4% |
| United Healthcare | Medicare | $249.85 | ↑ +6% |
| Cigna | Local Plus | $279.22 | ↑ +18% |
| Cigna | PPO | $279.22 | ↑ +18% |
| Cigna | HMO | $279.22 | ↑ +18% |
| Amerihealth | Local Value | $307.68 | ↑ +30% |
| Amerihealth | Regional Preferred | $307.68 | ↑ +30% |
| United Healthcare | Oxford Metro | $334.64 | ↑ +42% |
| United Healthcare | Nexus | $334.64 | ↑ +42% |
| United Healthcare | Oxford Commercial | $375.09 | ↑ +59% |
| United Healthcare | Commercial | $375.09 | ↑ +59% |
| Emblem Health | Commercial | $428.66 | ↑ +82% |
| Wellcare | Ambetter Health Commercial | $487.45 | ↑ +107% |
| Wellpoint | NJ Family Care | $648.66 | ↑ +175% |
| First Health | Commercial | $682.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $739.13 | ↑ +213% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +251% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $853.50 | ↑ +262% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +267% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $896.06 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $910.74 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $967.30 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,041.15 | ↑ +341% |
Visitor-reported prices
Comments
Nuclear rx IV admin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $213.60 | $74.46 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $626.16 | $149.91 – $828.00 |
| Clara Maass Medical Center | Belleville | $241.26 | $149.91 – $828.00 |
| Newark Beth Israel Medical Center | Newark | $615.52 | $76.65 – $828.00 |
| Monmouth Medical Center | Long Branch | $248.99 | $141.62 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $135.57 – $675.85 |
| Hackensack University Medical Center | Hackensack | $263.95 | $166.58 – $771.95 |
| Ocean University Medical Center | Brick | $244.95 | $135.57 – $675.85 |