Removal devitalized tissue non-selective debridement without anesthesia per session at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$121.32
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.
$585.00
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.
$64.45 with Amerihealth vs $535.21 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 |
|---|---|---|---|
| Amerihealth | Regional Preferred | $64.45 | ↓ -47% |
| Amerihealth | Local Value | $64.45 | ↓ -47% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $66.00 | ↓ -46% |
| United Healthcare | Community Plan | $72.59 | ↓ -40% |
| Fidelis Care | NJ Family Care | $73.94 | ↓ -39% |
| Aetna | Better Health | $79.44 | ↓ -35% |
| Cigna | Local Plus | $98.00 | ↓ -19% |
| Cigna | HMO | $125.00 | ↑ +3% |
| Wellpoint | NJ Family Care | $126.00 | ↑ +4% |
| Cigna | PPO | $132.00 | ↑ +9% |
| United Healthcare | Oxford Metro | $170.00 | ↑ +40% |
| United Healthcare | Nexus | $170.00 | ↑ +40% |
| Aetna | PPO | $178.00 | ↑ +47% |
| Aetna | HMO | $178.00 | ↑ +47% |
| United Healthcare | Oxford Commercial | $200.00 | ↑ +65% |
| United Healthcare | Commercial | $200.00 | ↑ +65% |
| Aetna | Medicare | $217.16 | ↑ +79% |
| Fidelis Care | Medicare Advantage | $217.16 | ↑ +79% |
| Wellpoint | Medicare Advantage | $217.16 | ↑ +79% |
| Humana | Medicare | $217.16 | ↑ +79% |
| Clover Health | Medicare Advantage | $217.16 | ↑ +79% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $217.16 | ↑ +79% |
| United Healthcare | Medicare | $221.50 | ↑ +83% |
| First Health | Commercial | $351.00 | ↑ +189% |
| Emblem Health | Commercial | $380.03 | ↑ +213% |
| Qualcare Inc | HMO/POS | $392.00 | ↑ +223% |
| Qualcare Inc | PPO/WC | $415.93 | ↑ +243% |
| Wellcare | Ambetter Health Commercial | $432.15 | ↑ +256% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $497.25 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $535.21 | ↑ +341% |
Visitor-reported prices
Comments
Removal devitalized tissue non-selective debridement without anesthesia per session at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $109.80 | $66.00 – $434.32 |
| Cooperman Barnabas Medical Center | Livingston | $100.44 | $64.45 – $445.86 |
| Clara Maass Medical Center | Belleville | $110.78 | $37.00 – $443.63 |
| Childrens Specialized Hospital | Mountainside | $102.50 | $237.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $98.73 | $64.45 – $445.86 |
| Jersey City Medical Center | Jersey City | $121.56 | $64.45 – $465.66 |
| Monmouth Medical Center | Long Branch | $127.99 | $64.45 – $437.66 |
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |