Vein x-ray liver w/hemodynam at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,869.91
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.
$9,016.00
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.
$185.49 with Aetna vs $8,248.73 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 |
|---|---|---|---|
| Aetna | PPO | $185.49 | ↓ -90% |
| Aetna | HMO | $185.49 | ↓ -90% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $301.04 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $301.04 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $301.04 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $301.04 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $309.96 | ↓ -83% |
| Cigna | Local Plus | $376.49 | ↓ -80% |
| Cigna | HMO | $376.49 | ↓ -80% |
| Cigna | PPO | $376.49 | ↓ -80% |
| United Healthcare | Community Plan | $1,118.88 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,139.62 | ↓ -39% |
| Aetna | Better Health | $1,224.37 | ↓ -35% |
| Humana | Medicare | $3,439.84 | ↑ +84% |
| Aetna | Medicare | $3,439.84 | ↑ +84% |
| Wellpoint | Medicare Advantage | $3,439.84 | ↑ +84% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,439.84 | ↑ +84% |
| Clover Health | Medicare Advantage | $3,439.84 | ↑ +84% |
| Fidelis Care | Medicare Advantage | $3,439.84 | ↑ +84% |
| United Healthcare | Medicare | $3,508.64 | ↑ +88% |
| United Healthcare | Oxford Metro | $3,991.82 | ↑ +113% |
| United Healthcare | Nexus | $3,991.82 | ↑ +113% |
| United Healthcare | Oxford Commercial | $4,378.62 | ↑ +134% |
| United Healthcare | Commercial | $4,378.62 | ↑ +134% |
| Wellpoint | NJ Family Care | $5,139.12 | ↑ +175% |
| First Health | Commercial | $5,409.60 | ↑ +189% |
| Qualcare Inc | HMO/POS | $6,013.67 | ↑ +222% |
| Emblem Health | Commercial | $6,019.72 | ↑ +222% |
| Qualcare Inc | PPO/WC | $6,410.37 | ↑ +243% |
| Wellcare | Ambetter Health Commercial | $6,845.28 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,663.60 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $8,248.73 | ↑ +341% |
Visitor-reported prices
Comments
Vein x-ray liver w/hemodynam at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,692.30 | $63.71 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $1,819.79 | $202.14 – $7,062.48 |
| Newark Beth Israel Medical Center | Newark | $1,788.88 | $65.58 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $1,873.52 | $82.45 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $1,972.70 | $190.92 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $281.35 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $235.47 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $225.17 – $7,747.94 |