Revasc lithotr-stent tib/per at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$2,016.95
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.
$12,306.00
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.
$1,496.40 with United Healthcare vs $86,822.89 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 | $1,496.40 | ↓ -26% |
| Fidelis Care | NJ Family Care | $1,539.48 | ↓ -24% |
| Aetna | Better Health | $1,639.15 | ↓ -19% |
| Amerihealth | Local Value | $5,973.33 | ↑ +196% |
| Amerihealth | Regional Preferred | $6,580.01 | ↑ +226% |
| Aetna | HMO | $6,680.00 | ↑ +231% |
| Aetna | PPO | $6,680.00 | ↑ +231% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,052.56 | ↑ +250% |
| First Health | Commercial | $7,383.60 | ↑ +266% |
| United Healthcare | Oxford Metro | $7,690.00 | ↑ +281% |
| United Healthcare | Nexus | $9,026.00 | ↑ +348% |
| United Healthcare | Oxford Commercial | $9,047.00 | ↑ +349% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $10,460.10 | ↑ +419% |
| United Healthcare | Commercial | $10,619.00 | ↑ +426% |
| Humana | Medicare | $19,624.54 | ↑ +873% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $19,624.54 | ↑ +873% |
| Wellpoint | Medicare Advantage | $19,624.54 | ↑ +873% |
| Clover Health | Medicare Advantage | $19,624.54 | ↑ +873% |
| Fidelis Care | Medicare Advantage | $19,624.54 | ↑ +873% |
| Aetna | Medicare | $19,624.54 | ↑ +873% |
| United Healthcare | Medicare | $20,017.03 | ↑ +892% |
| Emblem Health | Commercial | $34,342.95 | ↑ +1603% |
| Wellcare | Ambetter Health Commercial | $39,052.83 | ↑ +1836% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $69,457.13 | ↑ +3344% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $79,826.74 | ↑ +3858% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $85,046.87 | ↑ +4117% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $86,822.89 | ↑ +4205% |
| Qualcare Inc | WC | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Qualcare Inc | HMO/POS/PPO | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lithotr-stent tib/per at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,366.46 | $19,624.54 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $4,929.42 | $20,146.00 – $40,292.00 |
| Community Medical Center | Toms River | $4,824.74 | $19,624.54 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $2,447.66 | $20,146.00 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,845.68 | $20,146.00 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $4,834.05 | $21,146.91 – $42,082.35 |
| Monmouth Medical Center | Long Branch | $5,089.94 | $19,875.58 – $39,552.40 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |