Cdp-sot 6 cond w/i&r mct&adt at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$132.45
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.
$621.00
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.
$15.11 with Wellpoint vs $516.67 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $15.11 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $54.74 | ↓ -59% |
| United Healthcare | Community Plan | $84.33 | ↓ -36% |
| Aetna | Better Health | $92.34 | ↓ -30% |
| Fidelis Care | NJ Family Care | $99.36 | ↓ -25% |
| Wellpoint | Medicare Advantage | $149.57 | ↑ +13% |
| Humana | Medicare | $149.57 | ↑ +13% |
| Aetna | Medicare | $149.57 | ↑ +13% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $149.57 | ↑ +13% |
| Fidelis Care | Medicare Advantage | $149.57 | ↑ +13% |
| Clover Health | Medicare Advantage | $149.57 | ↑ +13% |
| United Healthcare | Medicare | $152.56 | ↑ +15% |
| United Healthcare | Oxford Metro | $163.32 | ↑ +23% |
| United Healthcare | Nexus | $163.32 | ↑ +23% |
| United Healthcare | Commercial | $191.88 | ↑ +45% |
| United Healthcare | Oxford Commercial | $191.88 | ↑ +45% |
| Amerihealth | Local Value | $217.28 | ↑ +64% |
| Qualcare Inc | WC | $235.98 | ↑ +78% |
| Qualcare Inc | PPO | $235.98 | ↑ +78% |
| Qualcare Inc | HMO/POS | $235.98 | ↑ +78% |
| Wellcare | Ambetter Health Commercial | $297.64 | ↑ +125% |
| Amerihealth | Regional Preferred | $297.83 | ↑ +125% |
| Cigna | PPO | $300.19 | ↑ +127% |
| Emblem Health | Commercial | $314.10 | ↑ +137% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $327.26 | ↑ +147% |
| First Health | Commercial | $372.60 | ↑ +181% |
| Cigna | HMO | $384.64 | ↑ +190% |
| Aetna | HMO | $409.86 | ↑ +209% |
| Aetna | PPO | $409.86 | ↑ +209% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $450.78 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $468.91 | ↑ +254% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $475.81 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $480.28 | ↑ +263% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $516.67 | ↑ +290% |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r mct&adt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $112.25 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $107.74 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $112.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $107.74 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $71.41 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $90.63 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $107.74 – $465.00 |