ER Visit (level 5, high severity) at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$1,102.33
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.
$5,168.00
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.
$701.81 with United Healthcare vs $3,902.35 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $701.81 | ↓ -36% |
| Humana | Medicare | $711.39 | ↓ -35% |
| Wellpoint | Medicare Advantage | $711.39 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $711.39 | ↓ -35% |
| Fidelis Care | Medicare Advantage | $711.39 | ↓ -35% |
| Clover Health | Medicare Advantage | $711.39 | ↓ -35% |
| Aetna | Medicare | $711.39 | ↓ -35% |
| United Healthcare | Medicare | $725.62 | ↓ -34% |
| Aetna | Better Health | $768.48 | ↓ -30% |
| Fidelis Care | NJ Family Care | $826.88 | ↓ -25% |
| Wellpoint | NJ Family Care | $930.24 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $995.00 | ↓ -10% |
| Wellcare | Ambetter Health Commercial | $1,415.67 | ↑ +28% |
| Qualcare Inc | HMO/POS | $1,528.00 | ↑ +39% |
| Emblem Health | Commercial | $1,591.00 | ↑ +44% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,698.00 | ↑ +54% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,735.00 | ↑ +57% |
| United Healthcare | Oxford Metro | $1,795.00 | ↑ +63% |
| Qualcare Inc | PPO | $1,837.00 | ↑ +67% |
| United Healthcare | Nexus | $2,088.00 | ↑ +89% |
| United Healthcare | Oxford Commercial | $2,112.00 | ↑ +92% |
| Cigna | HMO | $2,179.00 | ↑ +98% |
| Cigna | PPO | $2,295.00 | ↑ +108% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,392.00 | ↑ +117% |
| United Healthcare | Commercial | $2,457.00 | ↑ +123% |
| Aetna | HMO | $2,623.00 | ↑ +138% |
| Aetna | PPO | $2,623.00 | ↑ +138% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,918.00 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,945.00 | ↑ +167% |
| Amerihealth | Local Value | $3,050.00 | ↑ +177% |
| First Health | Commercial | $3,100.80 | ↑ +181% |
| Qualcare Inc | WC | $3,681.00 | ↑ +234% |
| Amerihealth | Regional Preferred | $3,722.00 | ↑ +238% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,902.35 | ↑ +254% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $817.80 | $90.41 – $1,862.00 |
| Cooperman Barnabas Medical Center | Livingston | $967.11 | $687.85 – $2,179.00 |
| Community Medical Center | Toms River | $903.64 | $670.04 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $769.94 | $687.85 – $1,465.00 |
| Newark Beth Israel Medical Center | Newark | $950.68 | $93.07 – $1,485.00 |
| Jersey City Medical Center | Jersey City | $905.38 | $117.00 – $1,605.00 |
| Monmouth Medical Center | Long Branch | $953.31 | $678.62 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $678.62 | $678.62 – $1,787.00 |