Biliary endo perq dx w/speci 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.
$8,654.00
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.
$186.15 with Wellpoint vs $15,204.23 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $186.15 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $198.44 | ↓ -97% |
| United Healthcare | Community Plan | $1,175.21 | ↓ -80% |
| Aetna | Better Health | $1,286.84 | ↓ -78% |
| Fidelis Care | NJ Family Care | $1,384.64 | ↓ -76% |
| Amerihealth | Local Value | $3,028.03 | ↓ -47% |
| Cigna | HMO | $3,922.00 | ↓ -32% |
| Cigna | PPO | $4,131.00 | ↓ -28% |
| Amerihealth | Regional Preferred | $4,150.45 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,560.65 | ↓ -21% |
| First Health | Commercial | $5,192.40 | ↓ -10% |
| Aetna | HMO | $5,244.00 | ↓ -9% |
| Aetna | PPO | $5,244.00 | ↓ -9% |
| United Healthcare | Oxford Metro | $5,739.00 | ↓ -0% |
| United Healthcare | Nexus | $6,060.00 | ↑ +6% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $6,281.93 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,534.63 | ↑ +14% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $6,630.69 | ↑ +15% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $6,693.00 | ↑ +17% |
| United Healthcare | Oxford Commercial | $6,752.00 | ↑ +18% |
| United Healthcare | Commercial | $7,129.00 | ↑ +24% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $7,200.12 | ↑ +25% |
| Wellpoint | Medicare Advantage | $7,240.11 | ↑ +26% |
| Fidelis Care | Medicare Advantage | $7,240.11 | ↑ +26% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $7,240.11 | ↑ +26% |
| Aetna | Medicare | $7,240.11 | ↑ +26% |
| Clover Health | Medicare Advantage | $7,240.11 | ↑ +26% |
| Humana | Medicare | $7,240.11 | ↑ +26% |
| United Healthcare | Medicare | $7,384.91 | ↑ +29% |
| Wellcare | Ambetter Health Commercial | $14,407.82 | ↑ +151% |
| Emblem Health | Commercial | $15,204.23 | ↑ +165% |
| 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
Biliary endo perq dx w/speci at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $136.27 – $13,638.60 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $198.44 – $14,001.00 |
| Community Medical Center | Toms River | $3,786.00 | $198.44 – $13,570.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $198.44 – $13,931.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $140.28 – $14,001.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $176.35 – $14,623.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $198.44 – $13,743.99 |
| Bayshore Medical Center | Holmdel | $6,906.53 | $6,906.53 – $8,287.84 |