Thrombectomy/inf pq dialysis circuit w/pta 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.
$22,304.00
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.
$1,948.58 with Horizon Blue Cross Blue Shield of New Jersey vs $24,663.82 with Wellcare — 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 | $1,948.58 | ↓ -49% |
| United Healthcare | Community Plan | $2,767.92 | ↓ -27% |
| Fidelis Care | NJ Family Care | $2,819.22 | ↓ -26% |
| Aetna | Better Health | $3,028.88 | ↓ -20% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -14% |
| United Healthcare | Oxford Metro | $8,822.00 | ↑ +133% |
| Aetna | HMO | $9,184.00 | ↑ +143% |
| Aetna | PPO | $9,184.00 | ↑ +143% |
| United Healthcare | Nexus | $9,925.00 | ↑ +162% |
| United Healthcare | Oxford Commercial | $10,379.00 | ↑ +174% |
| Cigna | Local Plus | $10,777.29 | ↑ +185% |
| United Healthcare | Commercial | $11,677.00 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,393.88 | ↑ +227% |
| Aetna | Medicare | $12,393.88 | ↑ +227% |
| Wellpoint | Medicare Advantage | $12,393.88 | ↑ +227% |
| Clover Health | Medicare Advantage | $12,393.88 | ↑ +227% |
| Fidelis Care | Medicare Advantage | $12,393.88 | ↑ +227% |
| Humana | Medicare | $12,393.88 | ↑ +227% |
| United Healthcare | Medicare | $12,641.76 | ↑ +234% |
| First Health | Commercial | $13,382.40 | ↑ +253% |
| Cigna | HMO | $13,694.65 | ↑ +262% |
| Qualcare Inc | HMO/POS | $13,895.39 | ↑ +267% |
| Cigna | PPO | $14,423.99 | ↑ +281% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $14,486.44 | ↑ +283% |
| Amerihealth | Local Value | $16,339.91 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $16,728.00 | ↑ +342% |
| Qualcare Inc | PPO/WC | $16,861.82 | ↑ +345% |
| Amerihealth | Regional Preferred | $17,450.64 | ↑ +361% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $17,562.16 | ↑ +364% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $17,849.89 | ↑ +371% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $18,958.40 | ↑ +401% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $20,405.92 | ↑ +439% |
| Emblem Health | Commercial | $21,689.29 | ↑ +473% |
| Wellcare | Ambetter Health Commercial | $24,663.82 | ↑ +551% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,163.11 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,948.58 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,948.58 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,197.32 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,505.20 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,948.58 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $898.75 – $14,023.10 |