Radiation treatment delivery at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$170.06
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.
$820.00
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.
$101.76 with United Healthcare vs $3,577.43 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 | $101.76 | ↓ -40% |
| Fidelis Care | NJ Family Care | $103.64 | ↓ -39% |
| Aetna | Better Health | $111.35 | ↓ -35% |
| Wellpoint | Medicare Advantage | $119.67 | ↓ -30% |
| Humana | Medicare | $119.67 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $119.67 | ↓ -30% |
| Fidelis Care | Medicare Advantage | $119.67 | ↓ -30% |
| Aetna | Medicare | $119.67 | ↓ -30% |
| Clover Health | Medicare Advantage | $119.67 | ↓ -30% |
| United Healthcare | Medicare | $122.06 | ↓ -28% |
| Emblem Health | Commercial | $209.42 | ↑ +23% |
| Wellcare | Ambetter Health Commercial | $238.14 | ↑ +40% |
| Wellpoint | NJ Family Care | $467.40 | ↑ +175% |
| First Health | Commercial | $492.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $532.59 | ↑ +213% |
| Qualcare Inc | HMO/POS | $546.94 | ↑ +222% |
| Qualcare Inc | PPO/WC | $583.02 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $615.00 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $645.66 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $656.24 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $697.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $750.21 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $891.00 | ↑ +424% |
| Amerihealth | Local Value | $1,330.00 | ↑ +682% |
| Amerihealth | Regional Preferred | $1,596.00 | ↑ +838% |
| Cigna | Local Plus | $2,352.00 | ↑ +1283% |
| United Healthcare | Nexus | $2,568.00 | ↑ +1410% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +1410% |
| Cigna | HMO | $2,989.00 | ↑ +1658% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +1676% |
| United Healthcare | Commercial | $3,021.00 | ↑ +1676% |
| Cigna | PPO | $3,148.00 | ↑ +1751% |
| Aetna | PPO | $3,577.43 | ↑ +2004% |
| Aetna | HMO | $3,577.43 | ↑ +2004% |
Visitor-reported prices
Comments
Radiation treatment delivery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $153.91 | $21.42 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $154.26 | $122.85 – $1,969.00 |
| Clara Maass Medical Center | Belleville | $229.53 | $122.85 – $1,440.00 |
| Newark Beth Israel Medical Center | Newark | $151.64 | $22.05 – $1,555.00 |
| Jersey City Medical Center | Jersey City | $170.39 | $27.72 – $1,566.00 |
| Monmouth Medical Center | Long Branch | $179.41 | $121.20 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $121.20 | $121.20 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $128.95 | $49.55 – $3,250.00 |