X-ray lumbosacral spine >= 4 views at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$163.43
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.
$788.00
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.
$45.10 with Horizon Blue Cross Blue Shield of New Jersey vs $720.94 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $45.10 | ↓ -72% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $67.07 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $67.07 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $67.07 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $67.07 | ↓ -59% |
| Amerihealth | Local Value | $69.93 | ↓ -57% |
| Amerihealth | Regional Preferred | $69.93 | ↓ -57% |
| United Healthcare | Community Plan | $97.79 | ↓ -40% |
| Fidelis Care | NJ Family Care | $99.60 | ↓ -39% |
| Aetna | PPO | $100.86 | ↓ -38% |
| Aetna | HMO | $100.86 | ↓ -38% |
| Aetna | Better Health | $107.01 | ↓ -35% |
| Aetna | Medicare | $116.22 | ↓ -29% |
| Wellpoint | Medicare Advantage | $116.22 | ↓ -29% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↓ -29% |
| Clover Health | Medicare Advantage | $116.22 | ↓ -29% |
| Humana | Medicare | $116.22 | ↓ -29% |
| Fidelis Care | Medicare Advantage | $116.22 | ↓ -29% |
| United Healthcare | Medicare | $118.54 | ↓ -27% |
| United Healthcare | Oxford Metro | $143.22 | ↓ -12% |
| United Healthcare | Nexus | $143.22 | ↓ -12% |
| United Healthcare | Commercial | $177.09 | ↑ +8% |
| United Healthcare | Oxford Commercial | $177.09 | ↑ +8% |
| Emblem Health | Commercial | $203.39 | ↑ +24% |
| Cigna | Local Plus | $206.48 | ↑ +26% |
| Cigna | HMO | $206.48 | ↑ +26% |
| Cigna | PPO | $206.48 | ↑ +26% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↑ +42% |
| Wellpoint | NJ Family Care | $449.16 | ↑ +175% |
| First Health | Commercial | $472.80 | ↑ +189% |
| Qualcare Inc | HMO/POS | $525.59 | ↑ +222% |
| Qualcare Inc | PPO/WC | $560.26 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $669.80 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $720.94 | ↑ +341% |
Visitor-reported prices
Comments
X-ray lumbosacral spine >= 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $407.60 | $147.76 – $147.76 |
| Trinitas Regional Medical Center | Elizabeth | $147.90 | $27.10 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $166.97 | $45.10 – $238.62 |
| Clara Maass Medical Center | Belleville | $156.73 | $45.10 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $197.50 | $27.50 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $164.14 | $27.90 – $238.62 |
| Jersey City Medical Center | Jersey City | $163.74 | $35.07 – $249.21 |
| Monmouth Medical Center | Long Branch | $172.41 | $45.10 – $234.22 |