Revasc lithotrip tibi/perone at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,047.12
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.
$14,692.00
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.
$1,823.27 with United Healthcare vs $24,663.82 with Wellcare — 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 | $1,823.27 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,857.06 | ↓ -39% |
| Aetna | Better Health | $1,995.17 | ↓ -35% |
| Aetna | PPO | $6,680.00 | ↑ +119% |
| Aetna | HMO | $6,680.00 | ↑ +119% |
| Wellpoint | NJ Family Care | $8,374.44 | ↑ +175% |
| First Health | Commercial | $8,815.20 | ↑ +189% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +190% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $9,542.45 | ↑ +213% |
| United Healthcare | Nexus | $9,925.00 | ↑ +226% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +241% |
| Amerihealth | Regional Preferred | $10,945.54 | ↑ +259% |
| Amerihealth | Local Value | $10,945.54 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $11,019.00 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,568.48 | ↑ +280% |
| United Healthcare | Commercial | $11,677.00 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,758.00 | ↑ +286% |
| Wellpoint | Medicare Advantage | $12,393.88 | ↑ +307% |
| Clover Health | Medicare Advantage | $12,393.88 | ↑ +307% |
| Humana | Medicare | $12,393.88 | ↑ +307% |
| Aetna | Medicare | $12,393.88 | ↑ +307% |
| Fidelis Care | Medicare Advantage | $12,393.88 | ↑ +307% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,393.88 | ↑ +307% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $12,488.20 | ↑ +310% |
| United Healthcare | Medicare | $12,641.76 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $13,441.71 | ↑ +341% |
| Emblem Health | Commercial | $21,689.29 | ↑ +612% |
| Wellcare | Ambetter Health Commercial | $24,663.82 | ↑ +709% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,757.68 | $12,393.88 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $3,681.55 | $12,723.21 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $3,068.43 | $12,723.21 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $3,619.00 | $12,723.21 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $3,052.99 | $13,355.34 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $3,214.60 | $12,552.42 – $24,979.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $11,340.57 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $12,552.42 – $15,062.91 |