Platelets pheresis pathogen-reduced each unit at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$407.33
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.
$1,964.00
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.
$196.40 with Horizon Blue Cross Blue Shield of New Jersey vs $2,587.00 with United Healthcare — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $196.40 | ↓ -52% |
| Aetna | Better Health | $266.71 | ↓ -35% |
| Wellpoint | Medicare Advantage | $641.83 | ↑ +58% |
| Humana | Medicare | $641.83 | ↑ +58% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $641.83 | ↑ +58% |
| Fidelis Care | Medicare Advantage | $641.83 | ↑ +58% |
| Clover Health | Medicare Advantage | $641.83 | ↑ +58% |
| Aetna | Medicare | $641.83 | ↑ +58% |
| United Healthcare | Medicare | $654.67 | ↑ +61% |
| Aetna | PPO | $1,080.20 | ↑ +165% |
| Aetna | HMO | $1,080.20 | ↑ +165% |
| Wellpoint | NJ Family Care | $1,119.48 | ↑ +175% |
| Emblem Health | Commercial | $1,123.20 | ↑ +176% |
| Cigna | Local Plus | $1,166.61 | ↑ +186% |
| First Health | Commercial | $1,178.40 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,275.61 | ↑ +213% |
| Wellcare | Ambetter Health Commercial | $1,277.24 | ↑ +214% |
| Qualcare Inc | HMO/POS | $1,309.98 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,396.40 | ↑ +243% |
| Amerihealth | Regional Preferred | $1,463.18 | ↑ +259% |
| Amerihealth | Local Value | $1,463.18 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,473.00 | ↑ +262% |
| Cigna | HMO | $1,482.42 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,546.45 | ↑ +280% |
| Cigna | PPO | $1,561.38 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,571.78 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,669.40 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,796.86 | ↑ +341% |
| United Healthcare | Nexus | $2,199.00 | ↑ +440% |
| United Healthcare | Oxford Metro | $2,199.00 | ↑ +440% |
| United Healthcare | Commercial | $2,587.00 | ↑ +535% |
| United Healthcare | Oxford Commercial | $2,587.00 | ↑ +535% |
Visitor-reported prices
Comments
Platelets pheresis pathogen-reduced each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $368.64 | $641.83 – $1,283.66 |
| Cooperman Barnabas Medical Center | Livingston | $416.17 | $658.88 – $1,317.76 |
| Clara Maass Medical Center | Belleville | $390.63 | $658.88 – $1,311.17 |
| Newark Beth Israel Medical Center | Newark | $409.10 | $658.88 – $1,317.76 |
| Jersey City Medical Center | Jersey City | $408.11 | $691.62 – $1,376.32 |
| Monmouth Medical Center | Long Branch | $429.72 | $650.04 – $2,199.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $650.60 | $311.00 – $650.60 |
| Jersey Shore University Medical Center | Neptune City | $650.04 | $380.00 – $780.04 |