Radphm lcl tmr plnr bdy sgl day img at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$788.94
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.
$3,804.00
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.
$98.40 with Horizon Blue Cross Blue Shield of New Jersey vs $3,480.27 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 | $98.40 | ↓ -88% |
| Amerihealth | Regional Preferred | $419.56 | ↓ -47% |
| Amerihealth | Local Value | $419.56 | ↓ -47% |
| United Healthcare | Community Plan | $472.07 | ↓ -40% |
| Fidelis Care | NJ Family Care | $480.82 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $481.05 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $481.05 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $481.05 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $481.05 | ↓ -39% |
| Aetna | Better Health | $516.58 | ↓ -35% |
| Aetna | PPO | $611.24 | ↓ -23% |
| Aetna | HMO | $611.24 | ↓ -23% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +5% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +10% |
| Cigna | Local Plus | $1,275.79 | ↑ +62% |
| Cigna | PPO | $1,275.79 | ↑ +62% |
| Cigna | HMO | $1,275.79 | ↑ +62% |
| Humana | Medicare | $1,426.73 | ↑ +81% |
| Wellpoint | Medicare Advantage | $1,426.73 | ↑ +81% |
| Clover Health | Medicare Advantage | $1,426.73 | ↑ +81% |
| Fidelis Care | Medicare Advantage | $1,426.73 | ↑ +81% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,426.73 | ↑ +81% |
| Aetna | Medicare | $1,426.73 | ↑ +81% |
| United Healthcare | Medicare | $1,455.26 | ↑ +84% |
| United Healthcare | Nexus | $1,778.54 | ↑ +125% |
| United Healthcare | Oxford Metro | $1,778.54 | ↑ +125% |
| United Healthcare | Oxford Commercial | $2,010.06 | ↑ +155% |
| United Healthcare | Commercial | $2,010.06 | ↑ +155% |
| Wellpoint | NJ Family Care | $2,168.28 | ↑ +175% |
| First Health | Commercial | $2,282.40 | ↑ +189% |
| Emblem Health | Commercial | $2,496.78 | ↑ +216% |
| Wellcare | Ambetter Health Commercial | $2,839.19 | ↑ +260% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $3,233.40 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,480.27 | ↑ +341% |
Visitor-reported prices
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Radphm lcl tmr plnr bdy sgl day img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $714.01 | $147.24 – $2,853.46 |
| Cooperman Barnabas Medical Center | Livingston | $544.79 | $98.40 – $2,929.28 |
| Clara Maass Medical Center | Belleville | $607.44 | $98.40 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $535.53 | $98.40 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $790.47 | $98.40 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $832.31 | $98.40 – $2,875.51 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $414.78 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $89.20 – $4,038.62 |