Pillow shldr abduc inflat univ at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$259.10
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.
$1,580.85
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.
$192.23 with United Healthcare vs $3,676.73 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 | $192.23 | ↓ -26% |
| Fidelis Care | NJ Family Care | $197.76 | ↓ -24% |
| Aetna | Better Health | $210.56 | ↓ -19% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $452.12 | ↑ +74% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $452.12 | ↑ +74% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $452.12 | ↑ +74% |
| Aetna | HMO | $521.68 | ↑ +101% |
| Amerihealth | Local Value | $521.68 | ↑ +101% |
| Amerihealth | Regional Preferred | $521.68 | ↑ +101% |
| Aetna | PPO | $521.68 | ↑ +101% |
| Cigna | Local Plus | $537.48 | ↑ +107% |
| Cigna | PPO | $537.48 | ↑ +107% |
| Cigna | HMO | $537.48 | ↑ +107% |
| United Healthcare | Oxford Metro | $632.34 | ↑ +144% |
| United Healthcare | Nexus | $632.34 | ↑ +144% |
| United Healthcare | Oxford Commercial | $632.34 | ↑ +144% |
| United Healthcare | Commercial | $632.34 | ↑ +144% |
| Humana | Medicare | $831.05 | ↑ +221% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $831.05 | ↑ +221% |
| Wellpoint | Medicare Advantage | $831.05 | ↑ +221% |
| Clover Health | Medicare Advantage | $831.05 | ↑ +221% |
| Fidelis Care | Medicare Advantage | $831.05 | ↑ +221% |
| Aetna | Medicare | $831.05 | ↑ +221% |
| United Healthcare | Medicare | $847.67 | ↑ +227% |
| First Health | Commercial | $948.51 | ↑ +266% |
| Qualcare Inc | WC | $1,318.42 | ↑ +409% |
| Qualcare Inc | HMO/POS/PPO | $1,318.42 | ↑ +409% |
| Emblem Health | Commercial | $1,454.34 | ↑ +461% |
| Wellcare | Ambetter Health Commercial | $1,653.79 | ↑ +538% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,941.34 | ↑ +1035% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,380.46 | ↑ +1205% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,601.52 | ↑ +1290% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,676.73 | ↑ +1319% |
Visitor-reported prices
Comments
Pillow shldr abduc inflat univ at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $296.72 | $469.20 – $1,653.79 |
| Cooperman Barnabas Medical Center | Livingston | $239.27 | $831.05 – $1,662.10 |
| Community Medical Center | Toms River | $234.19 | $831.05 – $1,653.79 |
| Clara Maass Medical Center | Belleville | $224.59 | $831.05 – $1,653.79 |
| Newark Beth Israel Medical Center | Newark | $235.20 | $483.00 – $1,653.79 |
| Jersey City Medical Center | Jersey City | $234.64 | $607.20 – $1,653.79 |
| Monmouth Medical Center | Long Branch | $247.06 | $831.05 – $1,653.79 |
| Monmouth Medical Center Southern Campus | Lakewood | $268.40 | $831.05 – $1,653.79 |