Rmvl perm pm pulse gen at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$3,786.00
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.
$10,722.00
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.
$241.25 with Horizon Blue Cross Blue Shield of New Jersey vs $25,191.00 with Cigna — 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 | $241.25 | ↓ -94% |
| United Healthcare | Community Plan | $1,330.60 | ↓ -65% |
| Fidelis Care | NJ Family Care | $1,355.26 | ↓ -64% |
| Aetna | Better Health | $1,456.04 | ↓ -62% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Qualcare Inc | HMO/POS | $3,617.00 | ↓ -4% |
| United Healthcare | Oxford Metro | $4,791.00 | ↑ +27% |
| Aetna | HMO | $5,009.00 | ↑ +32% |
| Aetna | PPO | $5,009.00 | ↑ +32% |
| United Healthcare | Nexus | $5,390.00 | ↑ +42% |
| United Healthcare | Oxford Commercial | $5,637.00 | ↑ +49% |
| United Healthcare | Commercial | $6,341.00 | ↑ +67% |
| First Health | Commercial | $6,433.20 | ↑ +70% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,963.93 | ↑ +84% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,041.50 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,442.50 | ↑ +123% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,580.81 | ↑ +127% |
| Clover Health | Medicare Advantage | $9,044.65 | ↑ +139% |
| Wellpoint | Medicare Advantage | $9,044.65 | ↑ +139% |
| Aetna | Medicare | $9,044.65 | ↑ +139% |
| Fidelis Care | Medicare Advantage | $9,044.65 | ↑ +139% |
| Humana | Medicare | $9,044.65 | ↑ +139% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $9,044.65 | ↑ +139% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,113.70 | ↑ +141% |
| United Healthcare | Medicare | $9,225.54 | ↑ +144% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,809.55 | ↑ +159% |
| Emblem Health | Commercial | $15,828.14 | ↑ +318% |
| Wellcare | Ambetter Health Commercial | $17,998.85 | ↑ +375% |
| Cigna | Local Plus | $18,823.00 | ↑ +397% |
| Cigna | HMO | $23,917.00 | ↑ +532% |
| Cigna | PPO | $25,191.00 | ↑ +565% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl perm pm pulse gen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $117.81 – $18,089.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $235.57 – $18,569.98 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $232.73 – $18,477.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $121.28 – $18,569.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $152.46 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $465.46 – $18,229.10 |
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |
| Hackensack University Medical Center | Hackensack | $9,746.29 | $494.60 – $10,233.61 |