Brace fx hum ovr shldr sm at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$41.30
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.
$252.00
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.
$30.64 with United Healthcare vs $1,724.11 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $30.64 | ↓ -26% |
| Fidelis Care | NJ Family Care | $31.52 | ↓ -24% |
| Aetna | Better Health | $33.56 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $72.07 | ↑ +75% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $72.07 | ↑ +75% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $72.07 | ↑ +75% |
| Amerihealth | Regional Preferred | $83.16 | ↑ +101% |
| Amerihealth | Local Value | $83.16 | ↑ +101% |
| Aetna | PPO | $83.16 | ↑ +101% |
| Aetna | HMO | $83.16 | ↑ +101% |
| Cigna | HMO | $85.68 | ↑ +107% |
| Cigna | PPO | $85.68 | ↑ +107% |
| Cigna | Local Plus | $85.68 | ↑ +107% |
| United Healthcare | Commercial | $100.80 | ↑ +144% |
| United Healthcare | Nexus | $100.80 | ↑ +144% |
| United Healthcare | Oxford Metro | $100.80 | ↑ +144% |
| United Healthcare | Oxford Commercial | $100.80 | ↑ +144% |
| First Health | Commercial | $151.20 | ↑ +266% |
| Qualcare Inc | WC | $210.16 | ↑ +409% |
| Qualcare Inc | HMO/POS/PPO | $210.16 | ↑ +409% |
| Aetna | Medicare | $389.70 | ↑ +844% |
| Fidelis Care | Medicare Advantage | $389.70 | ↑ +844% |
| Wellpoint | Medicare Advantage | $389.70 | ↑ +844% |
| Humana | Medicare | $389.70 | ↑ +844% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $389.70 | ↑ +844% |
| Clover Health | Medicare Advantage | $389.70 | ↑ +844% |
| United Healthcare | Medicare | $397.49 | ↑ +862% |
| Emblem Health | Commercial | $681.98 | ↑ +1551% |
| Wellcare | Ambetter Health Commercial | $775.50 | ↑ +1778% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,379.27 | ↑ +3240% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,585.18 | ↑ +3738% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,688.84 | ↑ +3989% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,724.11 | ↑ +4075% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $47.30 | $166.43 – $775.50 |
| Cooperman Barnabas Medical Center | Livingston | $38.14 | $389.70 – $779.40 |
| Community Medical Center | Toms River | $37.33 | $389.70 – $775.50 |
| Clara Maass Medical Center | Belleville | $35.80 | $389.70 – $775.50 |
| Newark Beth Israel Medical Center | Newark | $37.49 | $171.33 – $775.50 |
| Jersey City Medical Center | Jersey City | $37.40 | $215.38 – $775.50 |
| Monmouth Medical Center | Long Branch | $39.38 | $389.70 – $775.50 |
| Monmouth Medical Center Southern Campus | Lakewood | $42.78 | $389.70 – $775.50 |