Ther nma rdctj intus/obstrcj at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$279.78
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.
$1,349.00
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.
$57.40 with Horizon Blue Cross Blue Shield of New Jersey vs $1,234.20 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $57.40 | ↓ -79% |
| United Healthcare | Community Plan | $167.41 | ↓ -40% |
| Fidelis Care | NJ Family Care | $170.51 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $180.06 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $180.06 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $180.06 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $180.06 | ↓ -36% |
| Aetna | Better Health | $183.19 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $194.55 | ↓ -30% |
| Aetna | Medicare | $194.55 | ↓ -30% |
| Wellpoint | Medicare Advantage | $194.55 | ↓ -30% |
| Fidelis Care | Medicare Advantage | $194.55 | ↓ -30% |
| Clover Health | Medicare Advantage | $194.55 | ↓ -30% |
| Humana | Medicare | $194.55 | ↓ -30% |
| United Healthcare | Medicare | $198.44 | ↓ -29% |
| United Healthcare | Nexus | $241.66 | ↓ -14% |
| United Healthcare | Oxford Metro | $241.66 | ↓ -14% |
| United Healthcare | Oxford Commercial | $287.91 | ↑ +3% |
| United Healthcare | Commercial | $287.91 | ↑ +3% |
| Amerihealth | Local Value | $295.09 | ↑ +5% |
| Amerihealth | Regional Preferred | $295.09 | ↑ +5% |
| Emblem Health | Commercial | $340.46 | ↑ +22% |
| Wellcare | Ambetter Health Commercial | $387.15 | ↑ +38% |
| Aetna | PPO | $409.53 | ↑ +46% |
| Aetna | HMO | $409.53 | ↑ +46% |
| Wellpoint | NJ Family Care | $768.93 | ↑ +175% |
| First Health | Commercial | $809.40 | ↑ +189% |
| Cigna | Local Plus | $814.40 | ↑ +191% |
| Cigna | PPO | $814.40 | ↑ +191% |
| Cigna | HMO | $814.40 | ↑ +191% |
| Qualcare Inc | HMO/POS | $899.78 | ↑ +222% |
| Qualcare Inc | PPO/WC | $959.13 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,146.65 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,234.20 | ↑ +341% |
Visitor-reported prices
Comments
Ther nma rdctj intus/obstrcj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Monmouth Medical Center | Long Branch | $295.16 | $57.40 – $814.40 |
| Bayshore Medical Center | Holmdel | $197.04 | $192.07 – $590.06 |
| Hackensack University Medical Center | Hackensack | $209.65 | $52.03 – $578.23 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $590.06 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $606.01 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $192.07 – $590.06 |
| Palisades Medical Center | North Bergen | $209.65 | $57.40 – $590.06 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $78.75 – $590.06 |