Renal cyst study s&i at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$362.95
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.
$1,750.00
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.
$45.92 with Horizon Blue Cross Blue Shield of New Jersey vs $1,601.07 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 | $45.92 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $188.93 | ↓ -48% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $188.93 | ↓ -48% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $188.93 | ↓ -48% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $188.93 | ↓ -48% |
| United Healthcare | Community Plan | $217.17 | ↓ -40% |
| Fidelis Care | NJ Family Care | $221.20 | ↓ -39% |
| Cigna | PPO | $226.09 | ↓ -38% |
| Cigna | Local Plus | $226.09 | ↓ -38% |
| Cigna | HMO | $226.09 | ↓ -38% |
| Aetna | Better Health | $237.65 | ↓ -35% |
| Wellpoint | Medicare Advantage | $599.23 | ↑ +65% |
| Aetna | Medicare | $599.23 | ↑ +65% |
| Clover Health | Medicare Advantage | $599.23 | ↑ +65% |
| Fidelis Care | Medicare Advantage | $599.23 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $599.23 | ↑ +65% |
| Humana | Medicare | $599.23 | ↑ +65% |
| United Healthcare | Medicare | $611.21 | ↑ +68% |
| United Healthcare | Oxford Metro | $674.19 | ↑ +86% |
| United Healthcare | Nexus | $674.19 | ↑ +86% |
| United Healthcare | Commercial | $760.90 | ↑ +110% |
| United Healthcare | Oxford Commercial | $760.90 | ↑ +110% |
| Aetna | HMO | $962.50 | ↑ +165% |
| Aetna | PPO | $962.50 | ↑ +165% |
| Wellpoint | NJ Family Care | $997.50 | ↑ +175% |
| Emblem Health | Commercial | $1,048.65 | ↑ +189% |
| First Health | Commercial | $1,050.00 | ↑ +189% |
| Qualcare Inc | HMO/POS | $1,167.25 | ↑ +222% |
| Wellcare | Ambetter Health Commercial | $1,192.47 | ↑ +229% |
| Qualcare Inc | PPO/WC | $1,244.25 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,487.50 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,601.07 | ↑ +341% |
Visitor-reported prices
Comments
Renal cyst study s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $20.40 – $1,198.46 |
| Bayshore Medical Center | Holmdel | $606.89 | $93.88 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $41.63 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $93.88 – $599.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $230.09 – $1,384.69 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $93.88 – $661.51 |
| Palisades Medical Center | North Bergen | $645.71 | $45.92 – $1,307.42 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $63.00 – $1,307.42 |