Pericardial drain w/cath pq w/ct guid 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.
$5,792.00
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.
$190.76 with Horizon Blue Cross Blue Shield of New Jersey vs $4,818.94 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $190.76 | ↓ -97% |
| Wellpoint | NJ Family Care | $562.24 | ↓ -90% |
| United Healthcare | Community Plan | $786.55 | ↓ -86% |
| Aetna | Better Health | $861.27 | ↓ -85% |
| Fidelis Care | NJ Family Care | $926.72 | ↓ -84% |
| Amerihealth | Local Value | $2,026.62 | ↓ -65% |
| Amerihealth | Regional Preferred | $2,777.84 | ↓ -52% |
| United Healthcare | Oxford Metro | $2,929.00 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,052.38 | ↓ -47% |
| United Healthcare | Nexus | $3,093.00 | ↓ -46% |
| United Healthcare | Oxford Commercial | $3,446.00 | ↓ -40% |
| First Health | Commercial | $3,475.20 | ↓ -39% |
| Cigna | HMO | $3,478.09 | ↓ -39% |
| United Healthcare | Commercial | $3,639.00 | ↓ -37% |
| Cigna | PPO | $3,663.44 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,204.41 | ↓ -27% |
| Aetna | PPO | $4,370.00 | ↓ -24% |
| Aetna | HMO | $4,370.00 | ↓ -24% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,373.53 | ↓ -24% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,437.83 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,479.53 | ↓ -22% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,818.94 | ↓ -16% |
| 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
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Pericardial drain w/cath pq w/ct guid at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $214.76 – $214.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $414.36 – $414.36 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $109.33 – $190.76 |
| Trinitas Regional Medical Center | Elizabeth | not published | $103.25 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $209.71 – $209.71 |
| Clara Maass Medical Center | Belleville | not published | $207.18 – $207.18 |
| Newark Beth Israel Medical Center | Newark | not published | $106.29 – $380.25 |
| Jersey City Medical Center | Jersey City | not published | $133.62 – $227.39 |