Bx of breast open 19101 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.
$4,962.00
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.
$202.40 with Horizon Blue Cross Blue Shield of New Jersey vs $18,515.01 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 | $202.40 | ↓ -96% |
| United Healthcare | Community Plan | $603.37 | ↓ -88% |
| Fidelis Care | NJ Family Care | $620.74 | ↓ -88% |
| Aetna | Better Health | $660.93 | ↓ -87% |
| Cigna | Local Plus | $2,488.00 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,843.72 | ↓ -44% |
| First Health | Commercial | $2,977.20 | ↓ -42% |
| Cigna | HMO | $3,161.00 | ↓ -38% |
| Cigna | PPO | $3,329.00 | ↓ -35% |
| United Healthcare | Oxford Metro | $3,446.00 | ↓ -33% |
| Amerihealth | Local Value | $3,613.32 | ↓ -29% |
| Amerihealth | Regional Preferred | $3,802.38 | ↓ -26% |
| United Healthcare | Nexus | $4,045.00 | ↓ -21% |
| United Healthcare | Oxford Commercial | $4,054.00 | ↓ -21% |
| Clover Health | Medicare Advantage | $4,184.94 | ↓ -18% |
| Aetna | Medicare | $4,184.94 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $4,184.94 | ↓ -18% |
| Humana | Medicare | $4,184.94 | ↓ -18% |
| Wellpoint | Medicare Advantage | $4,184.94 | ↓ -18% |
| Fidelis Care | Medicare Advantage | $4,184.94 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,217.70 | ↓ -17% |
| United Healthcare | Medicare | $4,268.64 | ↓ -16% |
| United Healthcare | Commercial | $4,759.00 | ↓ -7% |
| Aetna | HMO | $5,009.00 | ↓ -2% |
| Aetna | PPO | $5,009.00 | ↓ -2% |
| Emblem Health | Commercial | $7,323.65 | ↑ +43% |
| Wellcare | Ambetter Health Commercial | $8,328.03 | ↑ +63% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $14,811.76 | ↑ +190% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $17,023.08 | ↑ +233% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $18,136.27 | ↑ +255% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $18,515.01 | ↑ +262% |
| Qualcare Inc | HMO/POS/PPO | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Bx of breast open 19101 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $169.62 – $8,369.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $212.65 – $8,592.30 |
| Community Medical Center | Toms River | $3,786.00 | $217.77 – $8,328.03 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $210.08 – $8,549.34 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $174.60 – $8,592.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $219.50 – $8,974.08 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $420.17 – $8,434.58 |
| Bayshore Medical Center | Holmdel | $4,238.48 | $4,238.48 – $5,086.17 |