Vital capacity test at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$84.20
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.
$406.00
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.
$50.38 with United Healthcare vs $596.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $50.38 | ↓ -40% |
| Fidelis Care | NJ Family Care | $51.31 | ↓ -39% |
| Aetna | Better Health | $55.13 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $110.50 | ↑ +31% |
| Wellpoint | Medicare Advantage | $170.99 | ↑ +103% |
| Humana | Medicare | $170.99 | ↑ +103% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $170.99 | ↑ +103% |
| Fidelis Care | Medicare Advantage | $170.99 | ↑ +103% |
| Aetna | Medicare | $170.99 | ↑ +103% |
| Clover Health | Medicare Advantage | $170.99 | ↑ +103% |
| United Healthcare | Medicare | $174.41 | ↑ +107% |
| Aetna | PPO | $223.30 | ↑ +165% |
| Aetna | HMO | $223.30 | ↑ +165% |
| Wellpoint | NJ Family Care | $231.42 | ↑ +175% |
| Cigna | Local Plus | $241.16 | ↑ +186% |
| First Health | Commercial | $243.60 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $263.69 | ↑ +213% |
| Qualcare Inc | HMO/POS | $270.80 | ↑ +222% |
| Qualcare Inc | PPO/WC | $288.66 | ↑ +243% |
| Emblem Health | Commercial | $299.23 | ↑ +255% |
| Amerihealth | Regional Preferred | $302.47 | ↑ +259% |
| Amerihealth | Local Value | $302.47 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $304.50 | ↑ +262% |
| Cigna | HMO | $306.44 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $319.68 | ↑ +280% |
| Cigna | PPO | $322.77 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $324.92 | ↑ +286% |
| Wellcare | Ambetter Health Commercial | $340.27 | ↑ +304% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $345.10 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $371.44 | ↑ +341% |
| United Healthcare | Oxford Metro | $507.00 | ↑ +502% |
| United Healthcare | Nexus | $507.00 | ↑ +502% |
| United Healthcare | Oxford Commercial | $596.00 | ↑ +608% |
| United Healthcare | Commercial | $596.00 | ↑ +608% |
Visitor-reported prices
Comments
Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Monmouth Medical Center | Long Branch | $88.83 | $173.18 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $910.00 |