Yttrium y-90 ibritumomab ther at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$13,066.20
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.
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What you pay up front if you don't use insurance.
$63,000.00
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.
$7,963.20 with Fidelis Care vs $123,583.80 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $7,963.20 | ↓ -39% |
| Aetna | Better Health | $8,555.40 | ↓ -35% |
| Cigna | Local Plus | $37,422.00 | ↑ +186% |
| First Health | Commercial | $37,800.00 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $40,918.50 | ↑ +213% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47,250.00 | ↑ +262% |
| Cigna | HMO | $47,552.40 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $49,606.20 | ↑ +280% |
| Cigna | PPO | $50,085.00 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $50,418.90 | ↑ +286% |
| United Healthcare | Nexus | $50,573.85 | ↑ +287% |
| United Healthcare | Oxford Metro | $50,573.85 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $53,550.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $57,638.70 | ↑ +341% |
| United Healthcare | Commercial | $59,665.78 | ↑ +357% |
| United Healthcare | Oxford Commercial | $59,665.78 | ↑ +357% |
| Humana | Medicare | $62,102.41 | ↑ +375% |
| Aetna | Medicare | $62,102.41 | ↑ +375% |
| Wellpoint | Medicare Advantage | $62,102.41 | ↑ +375% |
| Clover Health | Medicare Advantage | $62,102.41 | ↑ +375% |
| Fidelis Care | Medicare Advantage | $62,102.41 | ↑ +375% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $62,102.41 | ↑ +375% |
| United Healthcare | Medicare | $63,344.46 | ↑ +385% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $64,599.45 | ↑ +394% |
| United Healthcare | Community Plan | $65,476.58 | ↑ +401% |
| Amerihealth | Local Value | $71,547.78 | ↑ +448% |
| Amerihealth | Regional Preferred | $71,547.78 | ↑ +448% |
| Aetna | HMO | $75,606.92 | ↑ +479% |
| Aetna | PPO | $75,606.92 | ↑ +479% |
| Emblem Health | Commercial | $108,679.22 | ↑ +732% |
| Wellcare | Ambetter Health Commercial | $123,583.80 | ↑ +846% |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
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Yttrium y-90 ibritumomab ther at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $56,824.55 | $56,824.55 – $128,407.29 |
| Hackensack University Medical Center | Hackensack | $56,824.55 | $45,459.64 – $65,476.58 |
| Ocean University Medical Center | Brick | $56,824.55 | $56,824.55 – $68,189.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $56,824.55 | $56,824.55 – $60,579.46 |
| Jersey Shore University Medical Center | Neptune City | $56,824.55 | $56,824.55 – $132,443.38 |
| Palisades Medical Center | North Bergen | $14,774.74 | $56,824.55 – $128,407.29 |
| Raritan Bay Medical Center | Perth Amboy | $56,824.55 | $56,824.55 – $128,407.29 |
| Riverview Medical Center | Red Bank | $56,824.55 | $56,824.55 – $128,407.29 |