Ortho whf rigd without jnt cstm w/fit&adj at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$96.29
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.
$587.50
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.
$71.44 with United Healthcare vs $1,921.25 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 | $71.44 | ↓ -26% |
| Fidelis Care | NJ Family Care | $73.49 | ↓ -24% |
| Aetna | Better Health | $78.25 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $168.02 | ↑ +74% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $168.02 | ↑ +74% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $168.02 | ↑ +74% |
| Aetna | HMO | $193.87 | ↑ +101% |
| Amerihealth | Local Value | $193.87 | ↑ +101% |
| Amerihealth | Regional Preferred | $193.87 | ↑ +101% |
| Aetna | PPO | $193.87 | ↑ +101% |
| Cigna | Local Plus | $199.75 | ↑ +107% |
| Cigna | PPO | $199.75 | ↑ +107% |
| Cigna | HMO | $199.75 | ↑ +107% |
| United Healthcare | Oxford Commercial | $235.00 | ↑ +144% |
| United Healthcare | Oxford Metro | $235.00 | ↑ +144% |
| United Healthcare | Commercial | $235.00 | ↑ +144% |
| United Healthcare | Nexus | $235.00 | ↑ +144% |
| First Health | Commercial | $352.50 | ↑ +266% |
| Humana | Medicare | $434.26 | ↑ +351% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $434.26 | ↑ +351% |
| Wellpoint | Medicare Advantage | $434.26 | ↑ +351% |
| Clover Health | Medicare Advantage | $434.26 | ↑ +351% |
| Fidelis Care | Medicare Advantage | $434.26 | ↑ +351% |
| Aetna | Medicare | $434.26 | ↑ +351% |
| United Healthcare | Medicare | $442.95 | ↑ +360% |
| Qualcare Inc | WC | $489.97 | ↑ +409% |
| Qualcare Inc | HMO/POS/PPO | $489.97 | ↑ +409% |
| Emblem Health | Commercial | $759.96 | ↑ +689% |
| Wellcare | Ambetter Health Commercial | $864.18 | ↑ +797% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,536.98 | ↑ +1496% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,766.44 | ↑ +1734% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,881.95 | ↑ +1854% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,921.25 | ↑ +1895% |
Visitor-reported prices
Comments
Ortho whf rigd without jnt cstm w/fit&adj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $110.27 | $258.33 – $864.18 |
| Cooperman Barnabas Medical Center | Livingston | $88.92 | $434.26 – $868.52 |
| Community Medical Center | Toms River | $87.03 | $434.26 – $864.18 |
| Clara Maass Medical Center | Belleville | $83.46 | $434.26 – $864.18 |
| Newark Beth Israel Medical Center | Newark | $87.41 | $265.92 – $864.18 |
| Jersey City Medical Center | Jersey City | $87.20 | $334.30 – $864.18 |
| Monmouth Medical Center | Long Branch | $91.81 | $434.26 – $864.18 |
| Monmouth Medical Center Southern Campus | Lakewood | $99.74 | $434.26 – $864.18 |