Established Patient Office Visit (level 4) at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$92.43
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.
$564.00
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.
$68.58 with United Healthcare vs $479.40 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $68.58 | ↓ -26% |
| Fidelis Care | NJ Family Care | $70.55 | ↓ -24% |
| Aetna | Better Health | $75.12 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $119.85 | ↑ +30% |
| Qualcare Inc | HMO/POS/PPO | $163.59 | ↑ +77% |
| United Healthcare | Oxford Metro | $164.46 | ↑ +78% |
| United Healthcare | Nexus | $164.46 | ↑ +78% |
| United Healthcare | Commercial | $193.45 | ↑ +109% |
| United Healthcare | Oxford Commercial | $193.45 | ↑ +109% |
| Cigna | Local Plus | $270.94 | ↑ +193% |
| Amerihealth | Local Value | $273.76 | ↑ +196% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $282.84 | ↑ +206% |
| Amerihealth | Regional Preferred | $301.57 | ↑ +226% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $323.22 | ↑ +250% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $325.48 | ↑ +252% |
| Aetna | HMO | $332.76 | ↑ +260% |
| Aetna | PPO | $332.76 | ↑ +260% |
| First Health | Commercial | $338.40 | ↑ +266% |
| Cigna | HMO | $344.26 | ↑ +272% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $347.25 | ↑ +276% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $354.53 | ↑ +284% |
| Cigna | PPO | $362.59 | ↑ +292% |
| Qualcare Inc | WC | $470.37 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $479.40 | ↑ +419% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $198.00 | $53.25 – $247.50 |
| Trinitas Regional Medical Center | Elizabeth | $105.86 | $68.14 – $119.85 |
| Cooperman Barnabas Medical Center | Livingston | $119.51 | $119.85 – $119.85 |
| Community Medical Center | Toms River | $116.97 | $119.85 – $119.85 |
| Clara Maass Medical Center | Belleville | $112.17 | $119.85 – $119.85 |
| Childrens Specialized Hospital | Mountainside | $304.50 | $289.00 – $289.00 |
| Newark Beth Israel Medical Center | Newark | $117.48 | $70.14 – $119.85 |
| Jersey City Medical Center | Jersey City | $117.19 | $88.18 – $119.85 |