Caloric vstblr test w/rec at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$77.19
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.
$471.00
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.
$18.14 with Horizon Blue Cross Blue Shield of New Jersey vs $756.49 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 | $18.14 | ↓ -76% |
| United Healthcare | Community Plan | $57.27 | ↓ -26% |
| Fidelis Care | NJ Family Care | $58.92 | ↓ -24% |
| Aetna | Better Health | $62.73 | ↓ -19% |
| United Healthcare | Oxford Metro | $137.34 | ↑ +78% |
| United Healthcare | Nexus | $137.34 | ↑ +78% |
| United Healthcare | Oxford Commercial | $161.55 | ↑ +109% |
| United Healthcare | Commercial | $161.55 | ↑ +109% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $170.99 | ↑ +122% |
| Humana | Medicare | $170.99 | ↑ +122% |
| Aetna | Medicare | $170.99 | ↑ +122% |
| Wellpoint | Medicare Advantage | $170.99 | ↑ +122% |
| Clover Health | Medicare Advantage | $170.99 | ↑ +122% |
| Fidelis Care | Medicare Advantage | $170.99 | ↑ +122% |
| United Healthcare | Medicare | $174.41 | ↑ +126% |
| Cigna | Local Plus | $226.26 | ↑ +193% |
| Amerihealth | Local Value | $228.62 | ↑ +196% |
| Amerihealth | Regional Preferred | $251.84 | ↑ +226% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $269.93 | ↑ +250% |
| Aetna | PPO | $277.89 | ↑ +260% |
| Aetna | HMO | $277.89 | ↑ +260% |
| First Health | Commercial | $282.60 | ↑ +266% |
| Cigna | HMO | $287.49 | ↑ +272% |
| Emblem Health | Commercial | $299.23 | ↑ +288% |
| Cigna | PPO | $302.80 | ↑ +292% |
| Wellcare | Ambetter Health Commercial | $340.27 | ↑ +341% |
| Qualcare Inc | HMO/POS/PPO | $392.81 | ↑ +409% |
| Qualcare Inc | WC | $392.81 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $400.35 | ↑ +419% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $605.18 | ↑ +684% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $695.54 | ↑ +801% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $741.02 | ↑ +860% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $756.49 | ↑ +880% |
Visitor-reported prices
Comments
Caloric vstblr test w/rec at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $172.91 | $19.06 – $351.08 |
| Clara Maass Medical Center | Belleville | $93.68 | $18.83 – $349.32 |
| Monmouth Medical Center | Long Branch | $124.27 | $37.65 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $38.88 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $37.38 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $22.96 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $37.38 – $443.00 |