Athrectomy fem/pop/unilateral 37225 at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$5,741.00
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.
$26,040.00
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.
$3,536.23 with United Healthcare vs $43,754.63 with Emblem Health — 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 | $3,536.23 | ↓ -38% |
| Aetna | Better Health | $3,872.14 | ↓ -33% |
| Fidelis Care | NJ Family Care | $4,166.40 | ↓ -27% |
| Wellpoint | NJ Family Care | $5,689.93 | ↓ -1% |
| Aetna | HMO | $6,992.00 | ↑ +22% |
| Aetna | PPO | $6,992.00 | ↑ +22% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7,283.94 | ↑ +27% |
| Amerihealth | Local Value | $9,111.39 | ↑ +59% |
| United Healthcare | Oxford Metro | $10,187.00 | ↑ +77% |
| United Healthcare | Nexus | $10,756.00 | ↑ +87% |
| United Healthcare | Oxford Commercial | $11,985.00 | ↑ +109% |
| Amerihealth | Regional Preferred | $12,488.78 | ↑ +118% |
| United Healthcare | Commercial | $12,654.00 | ↑ +120% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $13,723.08 | ↑ +139% |
| First Health | Commercial | $15,624.00 | ↑ +172% |
| Cigna | HMO | $15,637.02 | ↑ +172% |
| Cigna | PPO | $16,470.30 | ↑ +187% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $18,902.43 | ↑ +229% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $19,662.80 | ↑ +242% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $19,951.84 | ↑ +248% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $20,139.33 | ↑ +251% |
| Wellpoint | Medicare Advantage | $20,835.54 | ↑ +263% |
| Humana | Medicare | $20,835.54 | ↑ +263% |
| Fidelis Care | Medicare Advantage | $20,835.54 | ↑ +263% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $20,835.54 | ↑ +263% |
| Clover Health | Medicare Advantage | $20,835.54 | ↑ +263% |
| Aetna | Medicare | $20,835.54 | ↑ +263% |
| United Healthcare | Medicare | $21,252.25 | ↑ +270% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $21,665.28 | ↑ +277% |
| Wellcare | Ambetter Health Commercial | $41,462.72 | ↑ +622% |
| Emblem Health | Commercial | $43,754.63 | ↑ +662% |
| Qualcare Inc | PPO | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $4,490.69 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $8,007.51 – $40,292.00 |
| Community Medical Center | Toms River | $3,786.00 | $8,200.46 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $7,911.03 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $4,622.77 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $5,811.48 – $42,082.35 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $15,822.06 – $39,552.40 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |