Place device/marker, non pro at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,274.47
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.
$6,145.00
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.
$292.52 with United Healthcare vs $4,174.00 with Aetna — 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 | $292.52 | ↓ -77% |
| Fidelis Care | NJ Family Care | $297.94 | ↓ -77% |
| Aetna | Better Health | $320.09 | ↓ -75% |
| First Health | Commercial | $1,414.28 | ↑ +11% |
| Wellpoint | Medicare Advantage | $1,495.34 | ↑ +17% |
| Aetna | Medicare | $1,495.34 | ↑ +17% |
| Humana | Medicare | $1,495.34 | ↑ +17% |
| Fidelis Care | Medicare Advantage | $1,495.34 | ↑ +17% |
| Clover Health | Medicare Advantage | $1,495.34 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,495.34 | ↑ +17% |
| United Healthcare | Medicare | $1,525.25 | ↑ +20% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,530.96 | ↑ +20% |
| Qualcare Inc | HMO/POS | $1,572.21 | ↑ +23% |
| Qualcare Inc | PPO/WC | $1,675.92 | ↑ +31% |
| Amerihealth | Regional Preferred | $1,756.06 | ↑ +38% |
| Amerihealth | Local Value | $1,756.06 | ↑ +38% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,767.85 | ↑ +39% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,856.01 | ↑ +46% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,886.41 | ↑ +48% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,003.56 | ↑ +57% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,156.54 | ↑ +69% |
| Cigna | Local Plus | $2,352.00 | ↑ +85% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +101% |
| United Healthcare | Nexus | $2,568.00 | ↑ +101% |
| Emblem Health | Commercial | $2,616.85 | ↑ +105% |
| Wellcare | Ambetter Health Commercial | $2,975.73 | ↑ +133% |
| Cigna | HMO | $2,989.00 | ↑ +135% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +137% |
| United Healthcare | Commercial | $3,021.00 | ↑ +137% |
| Cigna | PPO | $3,148.00 | ↑ +147% |
| Aetna | HMO | $4,174.00 | ↑ +228% |
| Aetna | PPO | $4,174.00 | ↑ +228% |
| Wellpoint | NJ Family Care | not published by hospital | — |
Visitor-reported prices
Comments
Place device/marker, non pro at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $619.41 | $409.21 – $2,990.68 |
| Cooperman Barnabas Medical Center | Livingston | $499.47 | $1,535.08 – $3,070.16 |
| Clara Maass Medical Center | Belleville | $468.83 | $1,440.00 – $3,054.81 |
| Newark Beth Israel Medical Center | Newark | $490.99 | $1,535.08 – $3,070.16 |
| Jersey City Medical Center | Jersey City | $489.81 | $1,566.00 – $3,206.59 |
| Monmouth Medical Center | Long Branch | $515.74 | $1,514.47 – $3,013.80 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,515.79 | $1,368.26 – $1,515.79 |
| Jersey Shore University Medical Center | Neptune City | $1,514.47 | $1,514.47 – $1,817.37 |