Ligation of shunt 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.
$3,265.00
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.
$318.10 with Wellpoint vs $5,085.00 with United Healthcare — 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 | $318.10 | ↓ -94% |
| United Healthcare | Community Plan | $443.38 | ↓ -92% |
| Aetna | Better Health | $485.50 | ↓ -92% |
| Fidelis Care | NJ Family Care | $522.40 | ↓ -91% |
| Amerihealth | Local Value | $1,142.42 | ↓ -80% |
| Amerihealth | Regional Preferred | $1,565.89 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,720.65 | ↓ -70% |
| First Health | Commercial | $1,959.00 | ↓ -66% |
| Cigna | HMO | $1,960.63 | ↓ -66% |
| Cigna | PPO | $2,065.11 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,370.06 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,465.40 | ↓ -57% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,501.64 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,525.15 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,716.48 | ↓ -53% |
| United Healthcare | Oxford Metro | $4,094.00 | ↓ -29% |
| United Healthcare | Nexus | $4,322.00 | ↓ -25% |
| Aetna | HMO | $4,370.00 | ↓ -24% |
| Aetna | PPO | $4,370.00 | ↓ -24% |
| United Healthcare | Oxford Commercial | $4,816.00 | ↓ -16% |
| United Healthcare | Commercial | $5,085.00 | ↓ -11% |
| 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
Ligation of shunt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $219.57 – $912.99 |
| Newark Beth Israel Medical Center | Newark | not published | $226.02 – $226.02 |
| Jersey City Medical Center | Jersey City | not published | $284.14 – $284.14 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $916.45 – $916.45 |
| Ocean University Medical Center | Brick | not published | $892.43 – $892.43 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $916.45 – $916.45 |
| Jersey Shore University Medical Center | Neptune City | not published | $892.43 – $892.43 |