Biopsy of prostate 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.
$6,593.00
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.
$63.42 with Horizon Blue Cross Blue Shield of New Jersey vs $5,485.37 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 | $63.42 | ↓ -99% |
| Wellpoint | NJ Family Care | $183.21 | ↓ -97% |
| United Healthcare | Community Plan | $895.32 | ↓ -84% |
| Aetna | Better Health | $980.37 | ↓ -83% |
| Fidelis Care | NJ Family Care | $1,054.88 | ↓ -82% |
| Amerihealth | Local Value | $2,306.89 | ↓ -60% |
| Clover Health | Medicare Advantage | $2,376.93 | ↓ -59% |
| Humana | Medicare | $2,376.93 | ↓ -59% |
| Aetna | Medicare | $2,376.93 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $2,376.93 | ↓ -59% |
| Wellpoint | Medicare Advantage | $2,376.93 | ↓ -59% |
| Fidelis Care | Medicare Advantage | $2,376.93 | ↓ -59% |
| United Healthcare | Medicare | $2,424.47 | ↓ -58% |
| Amerihealth | Regional Preferred | $3,162.00 | ↓ -45% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,474.51 | ↓ -39% |
| Cigna | HMO | $3,922.00 | ↓ -32% |
| First Health | Commercial | $3,955.80 | ↓ -31% |
| United Healthcare | Oxford Metro | $4,094.00 | ↓ -29% |
| Cigna | PPO | $4,131.00 | ↓ -28% |
| United Healthcare | Nexus | $4,322.00 | ↓ -25% |
| Wellcare | Ambetter Health Commercial | $4,730.09 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,785.85 | ↓ -17% |
| United Healthcare | Oxford Commercial | $4,816.00 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,978.37 | ↓ -13% |
| Emblem Health | Commercial | $4,991.55 | ↓ -13% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,051.55 | ↓ -12% |
| United Healthcare | Commercial | $5,085.00 | ↓ -11% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,099.02 | ↓ -11% |
| Aetna | PPO | $5,244.00 | ↓ -9% |
| Aetna | HMO | $5,244.00 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,485.37 | ↓ -4% |
| Qualcare Inc | WC | not published by hospital | — |
| Qualcare Inc | PPO | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of prostate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $124.14 – $4,477.56 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $69.72 – $4,596.52 |
| Community Medical Center | Toms River | $3,786.00 | $71.40 – $4,455.17 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $68.88 – $4,573.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $126.42 – $4,596.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $75.60 – $4,800.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $137.76 – $4,512.15 |
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |