Pelvic CT scan (without contrast) at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$418.94
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.
$2,020.00
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.
$116.22 with Humana vs $1,848.09 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 |
|---|---|---|---|
| Humana | Medicare | $116.22 | ↓ -72% |
| Fidelis Care | Medicare Advantage | $116.22 | ↓ -72% |
| Clover Health | Medicare Advantage | $116.22 | ↓ -72% |
| Aetna | Medicare | $116.22 | ↓ -72% |
| Wellpoint | Medicare Advantage | $116.22 | ↓ -72% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↓ -72% |
| United Healthcare | Medicare | $118.54 | ↓ -72% |
| United Healthcare | Oxford Metro | $143.22 | ↓ -66% |
| United Healthcare | Nexus | $143.22 | ↓ -66% |
| United Healthcare | Oxford Commercial | $177.09 | ↓ -58% |
| United Healthcare | Commercial | $177.09 | ↓ -58% |
| Emblem Health | Commercial | $203.39 | ↓ -51% |
| Aetna | PPO | $215.43 | ↓ -49% |
| Aetna | HMO | $215.43 | ↓ -49% |
| Cigna | Local Plus | $221.00 | ↓ -47% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↓ -45% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $235.57 | ↓ -44% |
| United Healthcare | Community Plan | $250.68 | ↓ -40% |
| Fidelis Care | NJ Family Care | $255.32 | ↓ -39% |
| Cigna | PPO | $269.00 | ↓ -36% |
| Aetna | Better Health | $274.31 | ↓ -35% |
| Cigna | HMO | $281.00 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $338.27 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $338.27 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $338.27 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $338.27 | ↓ -19% |
| Amerihealth | Regional Preferred | $380.40 | ↓ -9% |
| Amerihealth | Local Value | $380.40 | ↓ -9% |
| Qualcare Inc | HMO/POS | $726.00 | ↑ +73% |
| Qualcare Inc | PPO/WC | $759.00 | ↑ +81% |
| Wellpoint | NJ Family Care | $1,151.40 | ↑ +175% |
| First Health | Commercial | $1,212.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,717.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,848.09 | ↑ +341% |
Visitor-reported prices
Comments
Pelvic CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $379.15 | $70.61 – $513.22 |
| Cooperman Barnabas Medical Center | Livingston | $428.03 | $119.31 – $726.00 |
| Clara Maass Medical Center | Belleville | $401.77 | $119.31 – $726.00 |
| Childrens Specialized Hospital | Mountainside | $820.50 | $143.64 – $143.64 |
| Newark Beth Israel Medical Center | Newark | $420.76 | $72.69 – $726.00 |
| Jersey City Medical Center | Jersey City | $419.75 | $91.38 – $704.00 |
| Monmouth Medical Center | Long Branch | $441.97 | $117.70 – $726.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |