Sec art mech thrmbc non-intracranial add-on 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.
?
What you pay up front if you don't use insurance.
$14,985.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,559.78 with Horizon Blue Cross Blue Shield of New Jersey vs $13,709.77 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,559.78 | ↓ -59% |
| United Healthcare | Community Plan | $1,859.63 | ↓ -51% |
| Fidelis Care | NJ Family Care | $1,894.10 | ↓ -50% |
| Aetna | Better Health | $2,034.96 | ↓ -46% |
| United Healthcare | Oxford Metro | $2,445.00 | ↓ -35% |
| United Healthcare | Nexus | $2,751.00 | ↓ -27% |
| United Healthcare | Oxford Commercial | $2,877.00 | ↓ -24% |
| United Healthcare | Commercial | $3,236.00 | ↓ -15% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +10% |
| Aetna | PPO | $4,174.00 | ↑ +10% |
| Aetna | HMO | $4,174.00 | ↑ +10% |
| First Health | Commercial | $8,991.00 | ↑ +137% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $9,732.75 | ↑ +157% |
| Amerihealth | Local Value | $10,978.01 | ↑ +190% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $11,238.75 | ↑ +197% |
| Qualcare Inc | PPO/WC | $11,328.66 | ↑ +199% |
| Amerihealth | Regional Preferred | $11,724.26 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $11,799.18 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $11,992.49 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $12,737.25 | ↑ +236% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $13,709.77 | ↑ +262% |
Visitor-reported prices
Comments
Sec art mech thrmbc non-intracranial add-on at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $623.36 – $2,761.74 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $1,180.11 – $1,385.46 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $1,770.81 – $1,770.81 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $641.17 – $1,385.46 |
| Trinitas Regional Medical Center | Elizabeth | not published | $605.55 – $2,891.14 |
| Cooperman Barnabas Medical Center | Livingston | not published | $1,523.08 – $1,523.08 |
| Clara Maass Medical Center | Belleville | not published | $1,504.73 – $1,504.73 |
| Jersey City Medical Center | Jersey City | not published | $783.66 – $1,651.54 |