Observation per hour at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,140.70
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.
$5,500.00
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.
$37.23 with United Healthcare vs $10,382.00 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $37.23 | ↓ -97% |
| Fidelis Care | NJ Family Care | $37.92 | ↓ -97% |
| Aetna | Better Health | $40.74 | ↓ -96% |
| First Health | Commercial | $180.00 | ↓ -84% |
| Wellpoint | NJ Family Care | $1,295.00 | ↑ +14% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,785.00 | ↑ +56% |
| Qualcare Inc | HMO/POS | $3,047.00 | ↑ +167% |
| Qualcare Inc | PPO/WC | $3,186.00 | ↑ +179% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,175.00 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,570.00 | ↑ +301% |
| Emblem Health | Commercial | $5,305.00 | ↑ +365% |
| Amerihealth | Local Value | $7,051.00 | ↑ +518% |
| United Healthcare | Oxford Metro | $7,078.00 | ↑ +520% |
| Amerihealth | Regional Preferred | $7,315.00 | ↑ +541% |
| Cigna | Local Plus | $7,757.00 | ↑ +580% |
| United Healthcare | Nexus | $7,963.00 | ↑ +598% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,035.00 | ↑ +604% |
| United Healthcare | Oxford Commercial | $8,327.00 | ↑ +630% |
| United Healthcare | Commercial | $9,368.00 | ↑ +721% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,509.00 | ↑ +734% |
| Aetna | PPO | $9,781.00 | ↑ +757% |
| Aetna | HMO | $9,781.00 | ↑ +757% |
| Cigna | HMO | $9,857.00 | ↑ +764% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,996.00 | ↑ +776% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $10,160.00 | ↑ +791% |
| Cigna | PPO | $10,382.00 | ↑ +810% |
Visitor-reported prices
Comments
Observation per hour at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $281.55 | $800.95 – $8,116.00 |
| Newark Beth Israel Medical Center | Newark | $62.49 | $6,387.00 – $6,387.00 |
| Jersey City Medical Center | Jersey City | $62.34 | $5,761.00 – $5,761.00 |
| Monmouth Medical Center | Long Branch | $65.64 | $7,121.00 – $7,121.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $49.17 | $250.00 – $8,271.00 |
| Monmouth Medical Center Southern Campus | Lakewood | $71.31 | $6,483.00 – $6,483.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $63.99 | $10,534.00 – $10,534.00 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $38.70 | $5,064.00 – $5,064.00 |