Rectal sensation test at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$414.38
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.
$1,998.00
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.
$247.95 with United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $247.95 | ↓ -40% |
| Fidelis Care | NJ Family Care | $252.54 | ↓ -39% |
| Aetna | Better Health | $271.32 | ↓ -35% |
| Fidelis Care | Medicare Advantage | $340.32 | ↓ -18% |
| Humana | Medicare | $340.32 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $340.32 | ↓ -18% |
| Clover Health | Medicare Advantage | $340.32 | ↓ -18% |
| Aetna | Medicare | $340.32 | ↓ -18% |
| Wellpoint | Medicare Advantage | $340.32 | ↓ -18% |
| United Healthcare | Medicare | $347.13 | ↓ -16% |
| Emblem Health | Commercial | $595.56 | ↑ +44% |
| Wellcare | Ambetter Health Commercial | $677.24 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $829.89 | ↑ +100% |
| Wellpoint | NJ Family Care | $1,138.86 | ↑ +175% |
| Cigna | Local Plus | $1,186.81 | ↑ +186% |
| First Health | Commercial | $1,198.80 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,297.70 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,332.66 | ↑ +222% |
| Qualcare Inc | PPO/WC | $1,420.57 | ↑ +243% |
| Amerihealth | Regional Preferred | $1,488.51 | ↑ +259% |
| Amerihealth | Local Value | $1,488.51 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,498.50 | ↑ +262% |
| Cigna | HMO | $1,508.09 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,573.22 | ↑ +280% |
| Cigna | PPO | $1,588.41 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,598.99 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,698.30 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,827.97 | ↑ +341% |
| United Healthcare | Oxford Metro | $2,445.00 | ↑ +490% |
| United Healthcare | Nexus | $2,751.00 | ↑ +564% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↑ +594% |
| United Healthcare | Commercial | $3,236.00 | ↑ +681% |
| Aetna | PPO | $4,174.00 | ↑ +907% |
| Aetna | HMO | $4,174.00 | ↑ +907% |
Visitor-reported prices
Comments
Rectal sensation test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $375.02 | $215.61 – $680.64 |
| Cooperman Barnabas Medical Center | Livingston | $396.04 | $349.37 – $698.74 |
| Clara Maass Medical Center | Belleville | $297.35 | $349.37 – $695.25 |
| Newark Beth Israel Medical Center | Newark | $389.31 | $269.88 – $698.74 |
| Jersey City Medical Center | Jersey City | $415.18 | $339.28 – $729.77 |
| Monmouth Medical Center | Long Branch | $437.16 | $344.68 – $685.91 |
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $413.61 |
| Hackensack University Medical Center | Hackensack | $366.72 | $293.38 – $905.53 |