Bx breast add lesion strtctc 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.
$3,376.00
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.
$350.59 with Wellpoint vs $4,370.00 with Aetna — 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 | $350.59 | ↓ -94% |
| United Healthcare | Community Plan | $458.46 | ↓ -92% |
| Aetna | Better Health | $502.01 | ↓ -91% |
| Fidelis Care | NJ Family Care | $540.16 | ↓ -91% |
| Amerihealth | Local Value | $1,181.26 | ↓ -79% |
| Amerihealth | Regional Preferred | $1,619.12 | ↓ -72% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,779.15 | ↓ -69% |
| First Health | Commercial | $2,025.60 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,450.63 | ↓ -57% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,549.21 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,586.69 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,610.99 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,808.83 | ↓ -51% |
| United Healthcare | Oxford Metro | $2,929.00 | ↓ -49% |
| United Healthcare | Nexus | $3,093.00 | ↓ -46% |
| United Healthcare | Oxford Commercial | $3,446.00 | ↓ -40% |
| United Healthcare | Commercial | $3,639.00 | ↓ -37% |
| Aetna | PPO | $4,370.00 | ↓ -24% |
| Aetna | HMO | $4,370.00 | ↓ -24% |
| 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
Bx breast add lesion strtctc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $198.43 – $1,673.82 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $204.27 – $204.27 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $256.79 – $256.79 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $210.10 – $210.10 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $168.35 – $168.35 |
| Ocean University Medical Center | Brick | not published | $163.95 – $163.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $168.35 – $168.35 |