Ins/rpl ldless pm right vent w img & eval 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.
$30,643.00
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.
$343.56 with Wellpoint vs $52,540.00 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 | $343.56 | ↓ -94% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $414.83 | ↓ -93% |
| United Healthcare | Community Plan | $4,161.31 | ↓ -28% |
| Aetna | Better Health | $4,556.61 | ↓ -21% |
| Fidelis Care | NJ Family Care | $4,902.88 | ↓ -15% |
| Aetna | HMO | $6,992.00 | ↑ +22% |
| Aetna | PPO | $6,992.00 | ↑ +22% |
| Amerihealth | Local Value | $10,721.98 | ↑ +87% |
| United Healthcare | Oxford Metro | $10,770.00 | ↑ +88% |
| United Healthcare | Nexus | $11,371.00 | ↑ +98% |
| United Healthcare | Oxford Commercial | $12,671.00 | ↑ +121% |
| United Healthcare | Commercial | $13,378.00 | ↑ +133% |
| Amerihealth | Regional Preferred | $14,696.38 | ↑ +156% |
| First Health | Commercial | $18,385.80 | ↑ +220% |
| Wellpoint | Medicare Advantage | $22,128.65 | ↑ +285% |
| Humana | Medicare | $22,128.65 | ↑ +285% |
| Clover Health | Medicare Advantage | $22,128.65 | ↑ +285% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $22,128.65 | ↑ +285% |
| Fidelis Care | Medicare Advantage | $22,128.65 | ↑ +285% |
| Aetna | Medicare | $22,128.65 | ↑ +285% |
| United Healthcare | Medicare | $22,571.22 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $23,138.52 | ↑ +303% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $25,494.97 | ↑ +344% |
| Cigna | HMO | $32,859.00 | ↑ +472% |
| Cigna | PPO | $34,609.00 | ↑ +503% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $35,708.00 | ↑ +522% |
| Wellcare | Ambetter Health Commercial | $44,036.01 | ↑ +667% |
| Emblem Health | Commercial | $46,470.17 | ↑ +709% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $49,257.00 | ↑ +758% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $52,051.00 | ↑ +807% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $52,540.00 | ↑ +815% |
| 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
Ins/rpl ldless pm right vent w img & eval at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $238.10 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $456.04 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $467.02 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $450.54 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $245.10 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $308.13 – $44,694.09 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $901.08 – $42,007.11 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |