Lithotripsy transluminal coronary percutaneous at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$98.34
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.
$600.00
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.
$72.96 with United Healthcare vs $45,021.00 with Cigna — 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 | $72.96 | ↓ -26% |
| Fidelis Care | NJ Family Care | $75.06 | ↓ -24% |
| Aetna | Better Health | $79.92 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $122.55 | ↑ +25% |
| Amerihealth | Local Value | $291.24 | ↑ +196% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $300.90 | ↑ +206% |
| Amerihealth | Regional Preferred | $320.82 | ↑ +226% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $343.86 | ↑ +250% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $346.26 | ↑ +252% |
| First Health | Commercial | $360.00 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $369.42 | ↑ +276% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $377.16 | ↑ +284% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $510.00 | ↑ +419% |
| United Healthcare | Nexus | $946.00 | ↑ +862% |
| United Healthcare | Oxford Metro | $946.00 | ↑ +862% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↑ +1032% |
| United Healthcare | Commercial | $1,113.00 | ↑ +1032% |
| Aetna | PPO | $4,174.00 | ↑ +4144% |
| Aetna | HMO | $4,174.00 | ↑ +4144% |
| Cigna | Local Plus | $33,640.00 | ↑ +34108% |
| Cigna | HMO | $42,745.00 | ↑ +43367% |
| Cigna | PPO | $45,021.00 | ↑ +45681% |
| Qualcare Inc | HMO/POS/PPO | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Lithotripsy transluminal coronary percutaneous at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $261.36 – $261.36 |
| Ocean University Medical Center | Brick | not published | $60.38 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $60.38 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | not published | $254.29 – $254.29 |
| Palisades Medical Center | North Bergen | not published | $152.80 – $261.36 |
| Raritan Bay Medical Center | Perth Amboy | not published | $193.91 – $261.36 |
| Riverview Medical Center | Red Bank | not published | $254.29 – $254.29 |