Prim art mech thrmbc non-intracranial add-on 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.
$6,723.00
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.
$770.51 with Horizon Blue Cross Blue Shield of New Jersey vs $6,150.87 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $770.51 | ↓ -80% |
| United Healthcare | Community Plan | $834.32 | ↓ -78% |
| Fidelis Care | NJ Family Care | $849.78 | ↓ -78% |
| Aetna | Better Health | $912.98 | ↓ -76% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -35% |
| United Healthcare | Nexus | $2,751.00 | ↓ -27% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -24% |
| United Healthcare | Commercial | $3,236.00 | ↓ -15% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| First Health | Commercial | $4,033.80 | ↑ +7% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +10% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,366.58 | ↑ +15% |
| Amerihealth | Local Value | $4,925.26 | ↑ +30% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,042.25 | ↑ +33% |
| Qualcare Inc | PPO/WC | $5,082.58 | ↑ +34% |
| Amerihealth | Regional Preferred | $5,260.07 | ↑ +39% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,293.69 | ↑ +40% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,380.41 | ↑ +42% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,714.55 | ↑ +51% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,150.87 | ↑ +62% |
Visitor-reported prices
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Prim art mech thrmbc non-intracranial add-on at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $248.16 – $1,364.25 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $716.12 – $716.12 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $1,853.75 – $1,853.75 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $684.39 – $828.18 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $874.75 – $874.75 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $255.25 – $684.39 |
| Trinitas Regional Medical Center | Elizabeth | not published | $241.07 – $2,891.14 |
| Cooperman Barnabas Medical Center | Livingston | not published | $752.38 – $752.38 |