Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$24.91
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.
$120.13
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.
$15.18 with Fidelis Care vs $192.44 with Aetna — 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $15.18 | ↓ -39% |
| Aetna | Better Health | $36.03 | ↑ +45% |
| Qualcare Inc | PPO/WC | $48.05 | ↑ +93% |
| Qualcare Inc | HMO/POS | $48.05 | ↑ +93% |
| Wellpoint | NJ Family Care | $60.06 | ↑ +141% |
| Cigna | Local Plus | $71.35 | ↑ +186% |
| First Health | Commercial | $72.07 | ↑ +189% |
| Cigna | HMO | $90.67 | ↑ +264% |
| Cigna | PPO | $95.50 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $102.11 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $109.90 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $156.60 | ↑ +529% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $179.24 | ↑ +620% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $179.24 | ↑ +620% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $179.24 | ↑ +620% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $179.24 | ↑ +620% |
| Amerihealth | Regional Preferred | $182.44 | ↑ +632% |
| Amerihealth | Local Value | $182.44 | ↑ +632% |
| United Healthcare | Oxford Commercial | $190.88 | ↑ +666% |
| United Healthcare | Commercial | $190.88 | ↑ +666% |
| Aetna | PPO | $192.44 | ↑ +673% |
| Aetna | HMO | $192.44 | ↑ +673% |
Visitor-reported prices
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Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $58.62 | $153.89 – $978.26 |
| Cooperman Barnabas Medical Center | Livingston | $25.45 | $156.60 – $197.26 |
| Clara Maass Medical Center | Belleville | $23.89 | $156.60 – $197.26 |
| Newark Beth Israel Medical Center | Newark | $25.02 | $156.60 – $197.26 |
| Jersey City Medical Center | Jersey City | $24.96 | $156.60 – $199.15 |
| Monmouth Medical Center | Long Branch | $26.28 | $156.60 – $197.26 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $58.70 | $156.60 – $192.44 |
| Monmouth Medical Center Southern Campus | Lakewood | $28.55 | $156.60 – $197.26 |