Complex repair trunk 1.1-2.5cm 13120 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.
$1,179.00
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.
$143.36 with United Healthcare vs $5,009.00 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 | $143.36 | ↓ -97% |
| Fidelis Care | NJ Family Care | $147.49 | ↓ -97% |
| Aetna | Better Health | $157.04 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $159.26 | ↓ -97% |
| Wellpoint | Medicare Advantage | $668.98 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $668.98 | ↓ -87% |
| Clover Health | Medicare Advantage | $668.98 | ↓ -87% |
| Aetna | Medicare | $668.98 | ↓ -87% |
| Humana | Medicare | $668.98 | ↓ -87% |
| Fidelis Care | Medicare Advantage | $668.98 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $675.68 | ↓ -87% |
| United Healthcare | Medicare | $682.36 | ↓ -87% |
| First Health | Commercial | $707.40 | ↓ -86% |
| Amerihealth | Local Value | $858.54 | ↓ -83% |
| Amerihealth | Regional Preferred | $903.46 | ↓ -82% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,002.15 | ↓ -80% |
| Emblem Health | Commercial | $1,170.72 | ↓ -77% |
| Wellcare | Ambetter Health Commercial | $1,331.27 | ↓ -74% |
| United Healthcare | Oxford Metro | $2,211.00 | ↓ -57% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,367.72 | ↓ -54% |
| Cigna | Local Plus | $2,488.00 | ↓ -51% |
| United Healthcare | Nexus | $2,595.00 | ↓ -49% |
| United Healthcare | Oxford Commercial | $2,601.00 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,721.21 | ↓ -47% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,899.16 | ↓ -43% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,959.70 | ↓ -42% |
| United Healthcare | Commercial | $3,053.00 | ↓ -40% |
| Cigna | HMO | $3,161.00 | ↓ -38% |
| Cigna | PPO | $3,329.00 | ↓ -35% |
| Aetna | HMO | $5,009.00 | ↓ -2% |
| Aetna | PPO | $5,009.00 | ↓ -2% |
| Qualcare Inc | HMO/POS/PPO | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Complex repair trunk 1.1-2.5cm 13120 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $183.53 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $167.33 – $1,373.52 |
| Community Medical Center | Toms River | $3,786.00 | $171.36 – $1,331.27 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $165.31 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $188.93 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $181.44 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $330.62 – $1,348.30 |
| Bayshore Medical Center | Holmdel | $677.54 | $368.00 – $813.05 |