Perq plmt bile duct stent at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$5,110.00
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.
$12,407.00
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.
$1,508.69 with United Healthcare vs $28,209.85 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 | $1,508.69 | ↓ -70% |
| Fidelis Care | NJ Family Care | $1,552.11 | ↓ -70% |
| Aetna | Better Health | $1,652.61 | ↓ -68% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,208.80 | ↓ -18% |
| Aetna | PPO | $5,845.00 | ↑ +14% |
| Aetna | HMO | $5,845.00 | ↑ +14% |
| Wellpoint | Medicare Advantage | $6,376.26 | ↑ +25% |
| Fidelis Care | Medicare Advantage | $6,376.26 | ↑ +25% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,376.26 | ↑ +25% |
| Aetna | Medicare | $6,376.26 | ↑ +25% |
| Humana | Medicare | $6,376.26 | ↑ +25% |
| Clover Health | Medicare Advantage | $6,376.26 | ↑ +25% |
| United Healthcare | Oxford Metro | $6,418.00 | ↑ +26% |
| United Healthcare | Medicare | $6,503.79 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,110.45 | ↑ +39% |
| First Health | Commercial | $7,444.20 | ↑ +46% |
| United Healthcare | Nexus | $7,534.00 | ↑ +47% |
| United Healthcare | Oxford Commercial | $7,551.00 | ↑ +48% |
| Cigna | Local Plus | $8,086.00 | ↑ +58% |
| United Healthcare | Commercial | $8,864.00 | ↑ +73% |
| Amerihealth | Local Value | $9,034.77 | ↑ +77% |
| Amerihealth | Regional Preferred | $9,507.48 | ↑ +86% |
| Cigna | HMO | $10,274.00 | ↑ +101% |
| Qualcare Inc | WC | $10,297.81 | ↑ +102% |
| Qualcare Inc | HMO/POS/PPO | $10,297.81 | ↑ +102% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $10,545.95 | ↑ +106% |
| Cigna | PPO | $10,821.00 | ↑ +112% |
| Emblem Health | Commercial | $11,158.46 | ↑ +118% |
| Wellcare | Ambetter Health Commercial | $12,688.76 | ↑ +148% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $22,567.50 | ↑ +342% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $25,936.71 | ↑ +408% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $27,632.80 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $28,209.85 | ↑ +452% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,924.10 – $12,752.52 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $4,208.80 – $13,091.38 |
| Community Medical Center | Toms River | $3,786.00 | $4,208.80 – $12,688.76 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $4,208.80 – $13,025.92 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,980.69 – $13,091.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,490.01 – $13,673.07 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,208.80 – $12,851.06 |
| Bayshore Medical Center | Holmdel | $6,457.82 | $6,457.82 – $7,749.38 |