Oth resp proc, indiv at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$16.88
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.
$103.00
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.
$12.52 with United Healthcare vs $383.00 with United Healthcare — 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 | $12.52 | ↓ -26% |
| Fidelis Care | NJ Family Care | $12.88 | ↓ -24% |
| Aetna | Better Health | $13.71 | ↓ -19% |
| Clover Health | Medicare Advantage | $26.76 | ↑ +59% |
| Humana | Medicare | $26.76 | ↑ +59% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $26.76 | ↑ +59% |
| Fidelis Care | Medicare Advantage | $26.76 | ↑ +59% |
| Aetna | Medicare | $26.76 | ↑ +59% |
| Wellpoint | Medicare Advantage | $26.76 | ↑ +59% |
| United Healthcare | Medicare | $27.30 | ↑ +62% |
| Emblem Health | Commercial | $46.83 | ↑ +177% |
| Cigna | Local Plus | $49.48 | ↑ +193% |
| Amerihealth | Local Value | $49.99 | ↑ +196% |
| Wellcare | Ambetter Health Commercial | $53.25 | ↑ +215% |
| Amerihealth | Regional Preferred | $55.07 | ↑ +226% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $59.02 | ↑ +250% |
| Aetna | HMO | $60.77 | ↑ +260% |
| Aetna | PPO | $60.77 | ↑ +260% |
| First Health | Commercial | $61.80 | ↑ +266% |
| Cigna | HMO | $62.87 | ↑ +272% |
| Cigna | PPO | $66.21 | ↑ +292% |
| Qualcare Inc | WC | $85.90 | ↑ +409% |
| Qualcare Inc | HMO/POS/PPO | $85.90 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $87.55 | ↑ +419% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $94.71 | ↑ +461% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $108.85 | ↑ +545% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $115.97 | ↑ +587% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $118.39 | ↑ +601% |
| United Healthcare | Oxford Metro | $326.00 | ↑ +1831% |
| United Healthcare | Nexus | $326.00 | ↑ +1831% |
| United Healthcare | Oxford Commercial | $383.00 | ↑ +2169% |
| United Healthcare | Commercial | $383.00 | ↑ +2169% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $47.46 | $27.48 – $54.96 |
| Clara Maass Medical Center | Belleville | $20.48 | $27.48 – $54.69 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $16.44 – $342.00 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $18.64 – $604.00 |
| Palisades Medical Center | North Bergen | $28.84 | $16.19 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $19.70 – $396.00 |
| Riverview Medical Center | Red Bank | $27.11 | $18.64 – $271.00 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $18.64 – $525.00 |