Vein x-ray liver without hemodyn at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$995.52
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.
$4,800.00
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.
$186.35 with Aetna vs $6,845.28 with Wellcare — 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 | HMO | $186.35 | ↓ -81% |
| Aetna | PPO | $186.35 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $297.66 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $306.36 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $306.36 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $306.36 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $306.36 | ↓ -69% |
| Cigna | PPO | $379.97 | ↓ -62% |
| Cigna | HMO | $379.97 | ↓ -62% |
| Cigna | Local Plus | $379.97 | ↓ -62% |
| United Healthcare | Community Plan | $595.68 | ↓ -40% |
| Fidelis Care | NJ Family Care | $606.72 | ↓ -39% |
| Aetna | Better Health | $651.84 | ↓ -35% |
| United Healthcare | Oxford Commercial | $2,577.19 | ↑ +159% |
| United Healthcare | Commercial | $2,577.19 | ↑ +159% |
| Wellpoint | NJ Family Care | $2,736.00 | ↑ +175% |
| First Health | Commercial | $2,880.00 | ↑ +189% |
| Qualcare Inc | HMO/POS | $3,201.60 | ↑ +222% |
| Qualcare Inc | PPO/WC | $3,412.80 | ↑ +243% |
| Wellpoint | Medicare Advantage | $3,439.84 | ↑ +246% |
| Humana | Medicare | $3,439.84 | ↑ +246% |
| Aetna | Medicare | $3,439.84 | ↑ +246% |
| Clover Health | Medicare Advantage | $3,439.84 | ↑ +246% |
| Fidelis Care | Medicare Advantage | $3,439.84 | ↑ +246% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,439.84 | ↑ +246% |
| United Healthcare | Medicare | $3,508.64 | ↑ +252% |
| United Healthcare | Oxford Metro | $3,991.82 | ↑ +301% |
| United Healthcare | Nexus | $3,991.82 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,080.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,391.52 | ↑ +341% |
| Emblem Health | Commercial | $6,019.72 | ↑ +505% |
| Wellcare | Ambetter Health Commercial | $6,845.28 | ↑ +588% |
Visitor-reported prices
Comments
Vein x-ray liver without hemodyn at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $900.96 | $70.76 – $6,879.68 |
| Newark Beth Israel Medical Center | Newark | $1,044.41 | $72.84 – $7,062.48 |
| Monmouth Medical Center | Long Branch | $1,050.24 | $191.81 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $250.34 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $261.10 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $250.10 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $261.10 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $250.10 – $8,792.45 |