Membrane collgn porcine maci w/autologous cult chondrocytes at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$29,617.90
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.
$180,707.14
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.
$22,606.46 with Fidelis Care vs $153,601.06 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $22,606.46 | ↓ -24% |
| Qualcare Inc | WC | $59,633.35 | ↑ +101% |
| Qualcare Inc | HMO/POS/PPO | $59,633.35 | ↑ +101% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $60,422.34 | ↑ +104% |
| Amerihealth | Regional Preferred | $64,972.22 | ↑ +119% |
| Amerihealth | Local Value | $64,972.22 | ↑ +119% |
| Aetna | PPO | $74,253.96 | ↑ +151% |
| Aetna | HMO | $74,253.96 | ↑ +151% |
| United Healthcare | Commercial | $76,437.90 | ↑ +158% |
| United Healthcare | Oxford Commercial | $76,437.90 | ↑ +158% |
| Cigna | Local Plus | $86,811.71 | ↑ +193% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $90,624.63 | ↑ +206% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $103,563.26 | ↑ +250% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $104,286.09 | ↑ +252% |
| First Health | Commercial | $108,424.28 | ↑ +266% |
| Cigna | HMO | $110,303.63 | ↑ +272% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $111,261.38 | ↑ +276% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $113,592.50 | ↑ +284% |
| Cigna | PPO | $116,176.62 | ↑ +292% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $153,601.06 | ↑ +419% |
| Aetna | Better Health | not published by hospital | — |
Visitor-reported prices
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Membrane collgn porcine maci w/autologous cult chondrocytes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $33,918.73 | $53,220.16 – $444,067.80 |
| Cooperman Barnabas Medical Center | Livingston | $27,351.31 | $60,422.34 – $76,437.90 |
| Community Medical Center | Toms River | $26,770.47 | $60,422.34 – $76,437.90 |
| Clara Maass Medical Center | Belleville | $25,673.32 | $60,422.34 – $76,437.90 |
| Newark Beth Israel Medical Center | Newark | $26,886.64 | $60,422.34 – $76,437.90 |
| Jersey City Medical Center | Jersey City | $26,822.10 | $60,422.34 – $76,437.90 |
| Monmouth Medical Center | Long Branch | $28,241.94 | $60,422.34 – $76,437.90 |
| Monmouth Medical Center Southern Campus | Lakewood | $30,681.49 | $60,422.34 – $76,437.90 |