Special teletx port plan at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$592.33
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.
$2,856.00
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.
$115.39 with Aetna vs $3,148.00 with Cigna — 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 |
|---|---|---|---|
| Aetna | HMO | $115.39 | ↓ -81% |
| Aetna | PPO | $115.39 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $167.28 | ↓ -72% |
| United Healthcare | Community Plan | $354.42 | ↓ -40% |
| Fidelis Care | NJ Family Care | $360.99 | ↓ -39% |
| Aetna | Better Health | $387.84 | ↓ -35% |
| Wellpoint | Medicare Advantage | $400.07 | ↓ -32% |
| Humana | Medicare | $400.07 | ↓ -32% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $400.07 | ↓ -32% |
| Aetna | Medicare | $400.07 | ↓ -32% |
| Fidelis Care | Medicare Advantage | $400.07 | ↓ -32% |
| Clover Health | Medicare Advantage | $400.07 | ↓ -32% |
| United Healthcare | Medicare | $408.07 | ↓ -31% |
| Emblem Health | Commercial | $700.12 | ↑ +18% |
| Wellcare | Ambetter Health Commercial | $796.14 | ↑ +34% |
| Wellpoint | NJ Family Care | $1,627.92 | ↑ +175% |
| First Health | Commercial | $1,713.60 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,854.97 | ↑ +213% |
| Qualcare Inc | HMO/POS | $1,904.95 | ↑ +222% |
| Qualcare Inc | PPO/WC | $2,030.61 | ↑ +243% |
| Amerihealth | Local Value | $2,127.72 | ↑ +259% |
| Amerihealth | Regional Preferred | $2,127.72 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,142.00 | ↑ +262% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,248.81 | ↑ +280% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,285.65 | ↑ +286% |
| Cigna | Local Plus | $2,352.00 | ↑ +297% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,427.60 | ↑ +310% |
| United Healthcare | Nexus | $2,568.00 | ↑ +334% |
| United Healthcare | Oxford Metro | $2,568.00 | ↑ +334% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,612.95 | ↑ +341% |
| Cigna | HMO | $2,989.00 | ↑ +405% |
| United Healthcare | Oxford Commercial | $3,021.00 | ↑ +410% |
| United Healthcare | Commercial | $3,021.00 | ↑ +410% |
| Cigna | PPO | $3,148.00 | ↑ +431% |
Visitor-reported prices
Comments
Special teletx port plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $536.07 | $48.66 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $629.34 | $125.78 – $1,969.00 |
| Clara Maass Medical Center | Belleville | $586.55 | $125.78 – $1,440.00 |
| Newark Beth Israel Medical Center | Newark | $618.65 | $50.10 – $1,555.00 |
| Jersey City Medical Center | Jersey City | $593.47 | $62.98 – $1,566.00 |
| Monmouth Medical Center | Long Branch | $624.89 | $118.77 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $405.19 | $405.19 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $431.11 | $126.82 – $3,250.00 |