Lumbar diskogram s&i at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$578.56
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.
$3,530.00
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.
$82.00 with Horizon Blue Cross Blue Shield of New Jersey vs $9,441.86 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $82.00 | ↓ -86% |
| Aetna | PPO | $182.95 | ↓ -68% |
| Aetna | HMO | $182.95 | ↓ -68% |
| Cigna | Local Plus | $376.70 | ↓ -35% |
| Cigna | HMO | $376.70 | ↓ -35% |
| Cigna | PPO | $376.70 | ↓ -35% |
| United Healthcare | Community Plan | $429.24 | ↓ -26% |
| Fidelis Care | NJ Family Care | $441.60 | ↓ -24% |
| Aetna | Better Health | $470.19 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,023.04 | ↑ +250% |
| First Health | Commercial | $2,118.00 | ↑ +266% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $2,134.14 | ↑ +269% |
| Wellpoint | Medicare Advantage | $2,134.14 | ↑ +269% |
| Clover Health | Medicare Advantage | $2,134.14 | ↑ +269% |
| Fidelis Care | Medicare Advantage | $2,134.14 | ↑ +269% |
| Humana | Medicare | $2,134.14 | ↑ +269% |
| Aetna | Medicare | $2,134.14 | ↑ +269% |
| United Healthcare | Medicare | $2,176.82 | ↑ +276% |
| United Healthcare | Oxford Metro | $2,408.68 | ↑ +316% |
| United Healthcare | Nexus | $2,408.68 | ↑ +316% |
| United Healthcare | Oxford Commercial | $2,716.57 | ↑ +370% |
| United Healthcare | Commercial | $2,716.57 | ↑ +370% |
| Qualcare Inc | WC | $2,944.02 | ↑ +409% |
| Qualcare Inc | HMO/POS/PPO | $2,944.02 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,000.50 | ↑ +419% |
| Emblem Health | Commercial | $3,734.75 | ↑ +546% |
| Wellcare | Ambetter Health Commercial | $4,246.94 | ↑ +634% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,553.36 | ↑ +1206% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $8,681.04 | ↑ +1400% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,248.72 | ↑ +1499% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,441.86 | ↑ +1532% |
Visitor-reported prices
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Lumbar diskogram s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $662.58 | $57.73 – $4,268.28 |
| Community Medical Center | Toms River | $732.12 | $82.00 – $4,246.94 |
| Clara Maass Medical Center | Belleville | $702.11 | $82.00 – $4,359.79 |
| Bayshore Medical Center | Holmdel | $2,161.44 | $152.54 – $4,750.01 |
| Hackensack University Medical Center | Hackensack | $2,299.70 | $74.34 – $5,425.45 |
| Ocean University Medical Center | Brick | $2,134.14 | $152.54 – $2,134.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,163.32 | $214.09 – $5,030.71 |
| Jersey Shore University Medical Center | Neptune City | $2,161.44 | $158.85 – $2,269.52 |