Prcrd drg 6+yr without anomly at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,786.00
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.
$3,686.00
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.
$231.98 with Horizon Blue Cross Blue Shield of New Jersey 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $231.98 | ↓ -94% |
| United Healthcare | Community Plan | $457.43 | ↓ -88% |
| Fidelis Care | NJ Family Care | $465.91 | ↓ -88% |
| Aetna | Better Health | $500.55 | ↓ -87% |
| Cigna | Local Plus | $1,781.07 | ↓ -53% |
| First Health | Commercial | $2,211.60 | ↓ -42% |
| Cigna | HMO | $2,263.20 | ↓ -40% |
| Qualcare Inc | HMO/POS | $2,296.37 | ↓ -39% |
| Cigna | PPO | $2,383.73 | ↓ -37% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,394.05 | ↓ -37% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -35% |
| Amerihealth | Local Value | $2,700.36 | ↓ -29% |
| United Healthcare | Nexus | $2,751.00 | ↓ -27% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,764.50 | ↓ -27% |
| Qualcare Inc | PPO/WC | $2,786.61 | ↓ -26% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -24% |
| Amerihealth | Regional Preferred | $2,883.92 | ↓ -24% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,902.35 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,949.90 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,133.10 | ↓ -17% |
| United Healthcare | Commercial | $3,236.00 | ↓ -15% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,372.32 | ↓ -11% |
| Aetna | PPO | $4,174.00 | ↑ +10% |
| Aetna | HMO | $4,174.00 | ↑ +10% |
Visitor-reported prices
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Prcrd drg 6+yr without anomly at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $194.76 – $206.05 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $129.08 – $206.05 |
| Trinitas Regional Medical Center | Elizabeth | not published | $121.91 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $226.52 – $226.52 |
| Clara Maass Medical Center | Belleville | not published | $223.79 – $223.79 |
| Newark Beth Israel Medical Center | Newark | not published | $125.50 – $410.74 |
| Jersey City Medical Center | Jersey City | not published | $157.77 – $245.63 |
| Monmouth Medical Center | Long Branch | not published | $447.59 – $447.59 |