X-ray exam of sinuses at Robert Wood Johnson University Hospital Hamilton
1 Hamilton Health Pl, Hamilton Township, NJ · RWJBarnabas Health · · NPI 1629069638
$59.82
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.
$365.00
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.
$32.80 with Horizon Blue Cross Blue Shield of New Jersey vs $425.74 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 | $32.80 | ↓ -45% |
| Amerihealth | Regional Preferred | $41.63 | ↓ -30% |
| United Healthcare | Community Plan | $44.38 | ↓ -26% |
| Amerihealth | Local Value | $44.75 | ↓ -25% |
| Fidelis Care | NJ Family Care | $45.66 | ↓ -24% |
| Aetna | Better Health | $48.61 | ↓ -19% |
| Aetna | PPO | $61.54 | ↑ +3% |
| Aetna | HMO | $61.54 | ↑ +3% |
| Aetna | Medicare | $96.23 | ↑ +61% |
| Wellpoint | Medicare Advantage | $96.23 | ↑ +61% |
| Clover Health | Medicare Advantage | $96.23 | ↑ +61% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $96.23 | ↑ +61% |
| Humana | Medicare | $96.23 | ↑ +61% |
| Fidelis Care | Medicare Advantage | $96.23 | ↑ +61% |
| United Healthcare | Medicare | $98.15 | ↑ +64% |
| United Healthcare | Oxford Metro | $116.42 | ↑ +95% |
| United Healthcare | Nexus | $116.42 | ↑ +95% |
| Cigna | PPO | $124.85 | ↑ +109% |
| Cigna | HMO | $124.85 | ↑ +109% |
| Cigna | Local Plus | $124.85 | ↑ +109% |
| United Healthcare | Oxford Commercial | $126.10 | ↑ +111% |
| United Healthcare | Commercial | $126.10 | ↑ +111% |
| Emblem Health | Commercial | $168.40 | ↑ +182% |
| Wellcare | Ambetter Health Commercial | $191.50 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $209.18 | ↑ +250% |
| First Health | Commercial | $219.00 | ↑ +266% |
| Qualcare Inc | WC | $304.41 | ↑ +409% |
| Qualcare Inc | HMO/POS/PPO | $304.41 | ↑ +409% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $310.25 | ↑ +419% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $340.59 | ↑ +469% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $391.43 | ↑ +554% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $417.03 | ↑ +597% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $425.74 | ↑ +612% |
Visitor-reported prices
Comments
X-ray exam of sinuses at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $65.69 | $16.84 – $192.46 |
| Community Medical Center | Toms River | $72.59 | $32.80 – $191.50 |
| Clara Maass Medical Center | Belleville | $72.59 | $32.80 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $72.90 | $17.34 – $197.58 |
| Jersey City Medical Center | Jersey City | $72.73 | $21.79 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $46.88 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $29.73 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $46.88 – $96.23 |