Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular 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.
$42,168.00
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.
$108.53 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 | $108.53 | ↓ -98% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $441.39 | ↓ -92% |
| United Healthcare | Community Plan | $5,726.41 | ↓ -0% |
| Aetna | Better Health | $6,270.38 | ↑ +9% |
| Fidelis Care | NJ Family Care | $6,746.88 | ↑ +18% |
| Qualcare Inc | HMO/POS | $9,098.00 | ↑ +58% |
| Aetna | PPO | $9,614.00 | ↑ +67% |
| Aetna | HMO | $9,614.00 | ↑ +67% |
| United Healthcare | Oxford Metro | $10,568.00 | ↑ +84% |
| Qualcare Inc | PPO | $10,939.00 | ↑ +91% |
| United Healthcare | Nexus | $11,157.00 | ↑ +94% |
| Clover Health | Medicare Advantage | $12,143.13 | ↑ +112% |
| Humana | Medicare | $12,143.13 | ↑ +112% |
| Aetna | Medicare | $12,143.13 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,143.13 | ↑ +112% |
| Wellpoint | Medicare Advantage | $12,143.13 | ↑ +112% |
| Fidelis Care | Medicare Advantage | $12,143.13 | ↑ +112% |
| United Healthcare | Medicare | $12,385.99 | ↑ +116% |
| United Healthcare | Oxford Commercial | $12,433.00 | ↑ +117% |
| United Healthcare | Commercial | $13,126.00 | ↑ +129% |
| Qualcare Inc | WC | $22,386.00 | ↑ +290% |
| Wellcare | Ambetter Health Commercial | $24,164.83 | ↑ +321% |
| First Health | Commercial | $25,300.80 | ↑ +341% |
| Emblem Health | Commercial | $25,500.57 | ↑ +344% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $31,841.05 | ↑ +455% |
| Cigna | HMO | $32,859.00 | ↑ +472% |
| Cigna | PPO | $34,609.00 | ↑ +503% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $35,083.77 | ↑ +511% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $35,708.00 | ↑ +522% |
| 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% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $257.81 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $485.23 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $496.93 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $479.39 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $265.39 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $333.63 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $958.78 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |