CT colonography dx at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$194.71
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.
$1,188.00
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.
$116.22 with Wellpoint vs $2,995.00 with Qualcare Inc — 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 |
|---|---|---|---|
| Wellpoint | Medicare Advantage | $116.22 | ↓ -40% |
| Humana | Medicare | $116.22 | ↓ -40% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↓ -40% |
| Aetna | Medicare | $116.22 | ↓ -40% |
| Fidelis Care | Medicare Advantage | $116.22 | ↓ -40% |
| Clover Health | Medicare Advantage | $116.22 | ↓ -40% |
| United Healthcare | Medicare | $118.54 | ↓ -39% |
| United Healthcare | Nexus | $143.22 | ↓ -26% |
| United Healthcare | Oxford Metro | $143.22 | ↓ -26% |
| United Healthcare | Community Plan | $144.46 | ↓ -26% |
| Fidelis Care | NJ Family Care | $148.61 | ↓ -24% |
| Aetna | Better Health | $158.24 | ↓ -19% |
| United Healthcare | Oxford Commercial | $177.09 | ↓ -9% |
| United Healthcare | Commercial | $177.09 | ↓ -9% |
| Emblem Health | Commercial | $203.39 | ↑ +4% |
| Cigna | Local Plus | $221.00 | ↑ +14% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↑ +19% |
| Cigna | HMO | $281.00 | ↑ +44% |
| Aetna | HMO | $281.28 | ↑ +44% |
| Aetna | PPO | $281.28 | ↑ +44% |
| Cigna | PPO | $296.00 | ↑ +52% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $319.85 | ↑ +64% |
| Amerihealth | Regional Preferred | $390.28 | ↑ +100% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $411.34 | ↑ +111% |
| Amerihealth | Local Value | $419.56 | ↑ +115% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $472.75 | ↑ +143% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $503.66 | ↑ +159% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $514.18 | ↑ +164% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $680.84 | ↑ +250% |
| First Health | Commercial | $712.80 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,009.80 | ↑ +419% |
| Qualcare Inc | HMO/POS/PPO | $2,995.00 | ↑ +1438% |
| Qualcare Inc | WC | $2,995.00 | ↑ +1438% |
Visitor-reported prices
Comments
CT colonography dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Monmouth Medical Center | Long Branch | $366.05 | $117.70 – $726.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $976.54 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $1,023.45 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $2,083.00 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $996.51 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,752.00 |