Arthrd si jt perq/min nvas at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$5,110.00
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.
$39,673.00
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.
$401.39 with Horizon Blue Cross Blue Shield of New Jersey vs $88,918.10 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $401.39 | ↓ -92% |
| United Healthcare | Community Plan | $4,824.23 | ↓ -6% |
| Fidelis Care | NJ Family Care | $4,963.09 | ↓ -3% |
| Aetna | Better Health | $5,284.44 | ↑ +3% |
| Aetna | HMO | $7,514.00 | ↑ +47% |
| Aetna | PPO | $7,514.00 | ↑ +47% |
| United Healthcare | Oxford Metro | $7,690.00 | ↑ +50% |
| United Healthcare | Nexus | $9,026.00 | ↑ +77% |
| United Healthcare | Oxford Commercial | $9,047.00 | ↑ +77% |
| United Healthcare | Commercial | $10,619.00 | ↑ +108% |
| Cigna | Local Plus | $19,967.42 | ↑ +291% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $20,098.12 | ↑ +293% |
| Humana | Medicare | $20,098.12 | ↑ +293% |
| Aetna | Medicare | $20,098.12 | ↑ +293% |
| Wellpoint | Medicare Advantage | $20,098.12 | ↑ +293% |
| Clover Health | Medicare Advantage | $20,098.12 | ↑ +293% |
| Fidelis Care | Medicare Advantage | $20,098.12 | ↑ +293% |
| United Healthcare | Medicare | $20,500.08 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $22,736.59 | ↑ +345% |
| First Health | Commercial | $23,803.80 | ↑ +366% |
| Cigna | HMO | $25,370.88 | ↑ +396% |
| Cigna | PPO | $26,723.73 | ↑ +423% |
| Amerihealth | Local Value | $28,889.87 | ↑ +465% |
| Amerihealth | Regional Preferred | $30,401.41 | ↑ +495% |
| Qualcare Inc | WC | $32,928.59 | ↑ +544% |
| Qualcare Inc | HMO/POS/PPO | $32,928.59 | ↑ +544% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $33,722.05 | ↑ +560% |
| Emblem Health | Commercial | $35,171.71 | ↑ +588% |
| Wellcare | Ambetter Health Commercial | $39,995.26 | ↑ +683% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $71,133.28 | ↑ +1292% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $81,753.12 | ↑ +1500% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $87,099.22 | ↑ +1604% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $88,918.10 | ↑ +1640% |
Visitor-reported prices
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Arthrd si jt perq/min nvas at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $410.17 – $40,196.24 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $401.39 – $41,264.32 |
| Community Medical Center | Toms River | $3,786.00 | $401.39 – $39,995.26 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $401.39 – $41,058.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $401.39 – $41,264.32 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $401.39 – $43,097.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $401.39 – $40,506.87 |
| Bayshore Medical Center | Holmdel | $20,355.21 | $20,355.21 – $24,426.25 |