Screening Mammogram at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$131.49
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.
$634.00
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.
$78.67 with United Healthcare vs $580.04 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $78.67 | ↓ -40% |
| Fidelis Care | NJ Family Care | $80.13 | ↓ -39% |
| Amerihealth | Local Value | $83.91 | ↓ -36% |
| Amerihealth | Regional Preferred | $83.91 | ↓ -36% |
| Aetna | Better Health | $86.09 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $94.26 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $94.26 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $94.26 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $94.26 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $108.24 | ↓ -18% |
| United Healthcare | Nexus | $125.79 | ↓ -4% |
| United Healthcare | Oxford Metro | $125.79 | ↓ -4% |
| United Healthcare | Commercial | $157.95 | ↑ +20% |
| United Healthcare | Oxford Commercial | $157.95 | ↑ +20% |
| Aetna | HMO | $236.83 | ↑ +80% |
| Aetna | PPO | $236.83 | ↑ +80% |
| Wellpoint | NJ Family Care | $361.38 | ↑ +175% |
| First Health | Commercial | $380.40 | ↑ +189% |
| Qualcare Inc | HMO/POS | $422.87 | ↑ +222% |
| Qualcare Inc | PPO/WC | $450.77 | ↑ +243% |
| Cigna | Local Plus | $480.91 | ↑ +266% |
| Cigna | HMO | $480.91 | ↑ +266% |
| Cigna | PPO | $480.91 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $538.90 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $580.04 | ↑ +341% |
Visitor-reported prices
Comments
Screening Mammogram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $119.00 | $66.58 – $953.13 |
| Newark Beth Israel Medical Center | Newark | $132.06 | $68.53 – $480.91 |
| Jersey City Medical Center | Jersey City | $131.74 | $83.91 – $480.91 |
| Monmouth Medical Center | Long Branch | $138.71 | $83.91 – $480.91 |
| Bayshore Medical Center | Holmdel | $169.06 | $119.35 – $341.87 |
| Hackensack University Medical Center | Hackensack | $169.06 | $98.12 – $335.01 |
| Ocean University Medical Center | Brick | $169.06 | $119.35 – $341.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $169.06 | $106.72 – $351.11 |