Cath combo lt&rt heart w/inj/s at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$2,752.20
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.
$16,792.00
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.
$2,041.90 with United Healthcare vs $17,890.00 with Aetna — 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 | $2,041.90 | ↓ -26% |
| Fidelis Care | NJ Family Care | $2,100.67 | ↓ -24% |
| Aetna | Better Health | $2,236.69 | ↓ -19% |
| Wellpoint | Medicare Advantage | $3,515.15 | ↑ +28% |
| Humana | Medicare | $3,515.15 | ↑ +28% |
| Aetna | Medicare | $3,515.15 | ↑ +28% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,515.15 | ↑ +28% |
| Fidelis Care | Medicare Advantage | $3,515.15 | ↑ +28% |
| Clover Health | Medicare Advantage | $3,515.15 | ↑ +28% |
| United Healthcare | Medicare | $3,585.45 | ↑ +30% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,546.00 | ↑ +65% |
| United Healthcare | Oxford Metro | $5,056.00 | ↑ +84% |
| Qualcare Inc | HMO/POS/PPO | $5,563.00 | ↑ +102% |
| Qualcare Inc | WC | $5,563.00 | ↑ +102% |
| United Healthcare | Nexus | $5,934.00 | ↑ +116% |
| United Healthcare | Oxford Commercial | $5,948.00 | ↑ +116% |
| Emblem Health | Commercial | $6,151.51 | ↑ +124% |
| United Healthcare | Commercial | $6,981.00 | ↑ +154% |
| Wellcare | Ambetter Health Commercial | $6,995.15 | ↑ +154% |
| Cigna | Local Plus | $8,066.87 | ↑ +193% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,623.49 | ↑ +250% |
| First Health | Commercial | $10,075.20 | ↑ +266% |
| Cigna | HMO | $10,249.83 | ↑ +272% |
| Cigna | PPO | $10,795.57 | ↑ +292% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $12,441.17 | ↑ +352% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,273.20 | ↑ +419% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $14,298.58 | ↑ +420% |
| Amerihealth | Local Value | $14,408.00 | ↑ +424% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $15,233.61 | ↑ +454% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $15,551.73 | ↑ +465% |
| Amerihealth | Regional Preferred | $16,185.00 | ↑ +488% |
| Aetna | PPO | $17,890.00 | ↑ +550% |
| Aetna | HMO | $17,890.00 | ↑ +550% |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $3,151.85 | $586.98 – $7,030.30 |
| Cooperman Barnabas Medical Center | Livingston | $3,558.22 | $3,608.55 – $7,217.10 |
| Community Medical Center | Toms River | $3,482.66 | $3,515.15 – $6,995.15 |
| Clara Maass Medical Center | Belleville | $3,339.92 | $3,608.55 – $7,181.01 |
| Newark Beth Israel Medical Center | Newark | $3,497.77 | $604.24 – $7,217.10 |
| Jersey City Medical Center | Jersey City | $3,489.37 | $759.62 – $7,537.80 |
| Monmouth Medical Center | Long Branch | $3,674.08 | $3,560.12 – $7,084.64 |
| Bayshore Medical Center | Holmdel | $3,560.12 | $3,560.12 – $4,272.14 |