Observation direct referral from physician office for admission at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$373.27
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.
$1,750.00
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.
$237.65 with United Healthcare vs $11,238.00 with Aetna — 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 | $237.65 | ↓ -36% |
| Aetna | Better Health | $260.22 | ↓ -30% |
| Fidelis Care | NJ Family Care | $271.60 | ↓ -27% |
| Wellpoint | Medicare Advantage | $711.39 | ↑ +91% |
| Humana | Medicare | $711.39 | ↑ +91% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $711.39 | ↑ +91% |
| Aetna | Medicare | $711.39 | ↑ +91% |
| Fidelis Care | Medicare Advantage | $711.39 | ↑ +91% |
| Clover Health | Medicare Advantage | $711.39 | ↑ +91% |
| United Healthcare | Medicare | $725.62 | ↑ +94% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $922.25 | ↑ +147% |
| First Health | Commercial | $1,050.00 | ↑ +181% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,270.32 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,321.42 | ↑ +254% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,340.85 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,353.45 | ↑ +263% |
| Wellcare | Ambetter Health Commercial | $1,415.67 | ↑ +279% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,456.00 | ↑ +290% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,714.00 | ↑ +359% |
| Wellpoint | NJ Family Care | $2,000.00 | ↑ +436% |
| Qualcare Inc | HMO/POS | $4,171.00 | ↑ +1017% |
| Qualcare Inc | PPO | $5,014.00 | ↑ +1243% |
| Amerihealth | Local Value | $6,340.00 | ↑ +1599% |
| Emblem Health | Commercial | $6,365.00 | ↑ +1605% |
| United Healthcare | Oxford Metro | $8,478.00 | ↑ +2171% |
| Amerihealth | Regional Preferred | $8,617.00 | ↑ +2209% |
| United Healthcare | Nexus | $8,951.00 | ↑ +2298% |
| United Healthcare | Oxford Commercial | $9,974.00 | ↑ +2572% |
| Qualcare Inc | WC | $10,266.00 | ↑ +2650% |
| United Healthcare | Commercial | $10,531.00 | ↑ +2721% |
| Cigna | HMO | $10,534.00 | ↑ +2722% |
| Cigna | PPO | $11,095.00 | ↑ +2872% |
| Aetna | PPO | $11,238.00 | ↑ +2911% |
| Aetna | HMO | $11,238.00 | ↑ +2911% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $670.04 – $8,116.00 |
| Cooperman Barnabas Medical Center | Livingston | $370.82 | $687.85 – $8,203.00 |
| Community Medical Center | Toms River | $362.95 | $670.04 – $7,757.00 |
| Clara Maass Medical Center | Belleville | $348.07 | $687.85 – $4,982.00 |
| Newark Beth Israel Medical Center | Newark | $364.52 | $687.85 – $6,387.00 |
| Jersey City Medical Center | Jersey City | $363.65 | $722.02 – $5,761.00 |
| Monmouth Medical Center | Long Branch | $382.90 | $678.62 – $7,121.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $679.20 | $613.10 – $5,179.00 |