Surgical pathology level 3 gross & microscopic examination at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$86.86
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.
$530.00
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.
$23.57 with United Healthcare vs $450.50 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 | Oxford Metro | $23.57 | ↓ -73% |
| United Healthcare | Nexus | $23.57 | ↓ -73% |
| United Healthcare | Oxford Commercial | $27.21 | ↓ -69% |
| United Healthcare | Commercial | $27.21 | ↓ -69% |
| United Healthcare | Community Plan | $36.90 | ↓ -58% |
| Fidelis Care | NJ Family Care | $37.95 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $42.64 | ↓ -51% |
| Amerihealth | Regional Preferred | $53.96 | ↓ -38% |
| Aetna | HMO | $54.37 | ↓ -37% |
| Aetna | PPO | $54.37 | ↓ -37% |
| Amerihealth | Local Value | $58.00 | ↓ -33% |
| Fidelis Care | Medicare Advantage | $58.39 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $58.39 | ↓ -33% |
| Aetna | Medicare | $58.39 | ↓ -33% |
| Humana | Medicare | $58.39 | ↓ -33% |
| Wellpoint | Medicare Advantage | $58.39 | ↓ -33% |
| Clover Health | Medicare Advantage | $58.39 | ↓ -33% |
| United Healthcare | Medicare | $59.56 | ↓ -31% |
| Aetna | Better Health | $70.59 | ↓ -19% |
| Emblem Health | Commercial | $102.18 | ↑ +18% |
| Wellcare | Ambetter Health Commercial | $116.20 | ↑ +34% |
| Cigna | HMO | $128.02 | ↑ +47% |
| Cigna | PPO | $128.02 | ↑ +47% |
| Cigna | Local Plus | $128.02 | ↑ +47% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $206.66 | ↑ +138% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $237.51 | ↑ +173% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $253.04 | ↑ +191% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $258.33 | ↑ +197% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $303.74 | ↑ +250% |
| First Health | Commercial | $318.00 | ↑ +266% |
| Qualcare Inc | HMO/POS/PPO | $442.02 | ↑ +409% |
| Qualcare Inc | WC | $442.02 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $450.50 | ↑ +419% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $64.00 | $23.57 – $128.02 |
| Cooperman Barnabas Medical Center | Livingston | $80.52 | $23.57 – $128.02 |
| Community Medical Center | Toms River | $70.72 | $23.57 – $128.02 |
| Clara Maass Medical Center | Belleville | $85.32 | $23.57 – $128.02 |
| Newark Beth Israel Medical Center | Newark | $79.15 | $23.57 – $128.02 |
| Jersey City Medical Center | Jersey City | $70.85 | $23.57 – $128.02 |
| Monmouth Medical Center | Long Branch | $74.61 | $23.57 – $128.02 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |