Vein x-ray spleen/liver at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$1,348.89
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.
$8,230.00
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.
$102.50 with Horizon Blue Cross Blue Shield of New Jersey vs $15,218.54 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $102.50 | ↓ -92% |
| United Healthcare | Community Plan | $1,000.76 | ↓ -26% |
| Fidelis Care | NJ Family Care | $1,029.57 | ↓ -24% |
| Aetna | Better Health | $1,096.23 | ↓ -19% |
| Cigna | HMO | $1,983.86 | ↑ +47% |
| Cigna | PPO | $1,983.86 | ↑ +47% |
| Cigna | Local Plus | $1,983.86 | ↑ +47% |
| United Healthcare | Commercial | $2,577.19 | ↑ +91% |
| United Healthcare | Oxford Commercial | $2,577.19 | ↑ +91% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,439.84 | ↑ +155% |
| Aetna | Medicare | $3,439.84 | ↑ +155% |
| Wellpoint | Medicare Advantage | $3,439.84 | ↑ +155% |
| Clover Health | Medicare Advantage | $3,439.84 | ↑ +155% |
| Fidelis Care | Medicare Advantage | $3,439.84 | ↑ +155% |
| Humana | Medicare | $3,439.84 | ↑ +155% |
| United Healthcare | Medicare | $3,508.64 | ↑ +160% |
| United Healthcare | Oxford Metro | $3,991.82 | ↑ +196% |
| United Healthcare | Nexus | $3,991.82 | ↑ +196% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,716.61 | ↑ +250% |
| Aetna | HMO | $4,855.70 | ↑ +260% |
| Aetna | PPO | $4,855.70 | ↑ +260% |
| First Health | Commercial | $4,938.00 | ↑ +266% |
| Emblem Health | Commercial | $6,019.72 | ↑ +346% |
| Wellcare | Ambetter Health Commercial | $6,845.28 | ↑ +407% |
| Qualcare Inc | HMO/POS/PPO | $6,863.82 | ↑ +409% |
| Qualcare Inc | WC | $6,863.82 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,995.50 | ↑ +419% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $12,174.63 | ↑ +803% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $13,992.24 | ↑ +937% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $14,907.23 | ↑ +1005% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $15,218.54 | ↑ +1028% |
Visitor-reported prices
Comments
Vein x-ray spleen/liver at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,544.77 | $63.75 – $6,879.68 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $943.10 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $92.92 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $943.10 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $1,394.62 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $943.10 – $3,797.39 |
| Palisades Medical Center | North Bergen | $3,706.68 | $102.50 – $7,747.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $140.63 – $7,747.94 |