Pq kyphplsty 1 bdy lumb w/img 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.
$16,410.00
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.
$2,062.35 with Wellpoint vs $17,406.92 with Emblem Health — 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 | $2,062.35 | ↓ -64% |
| United Healthcare | Community Plan | $2,228.47 | ↓ -61% |
| Aetna | Better Health | $2,440.16 | ↓ -57% |
| Fidelis Care | NJ Family Care | $2,625.60 | ↓ -54% |
| Amerihealth | Local Value | $5,741.85 | ↑ +0% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6,585.52 | ↑ +15% |
| Aetna | HMO | $7,865.00 | ↑ +37% |
| Aetna | PPO | $7,865.00 | ↑ +37% |
| Amerihealth | Regional Preferred | $7,870.23 | ↑ +37% |
| Clover Health | Medicare Advantage | $8,289.01 | ↑ +44% |
| Aetna | Medicare | $8,289.01 | ↑ +44% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $8,289.01 | ↑ +44% |
| Fidelis Care | Medicare Advantage | $8,289.01 | ↑ +44% |
| Wellpoint | Medicare Advantage | $8,289.01 | ↑ +44% |
| Humana | Medicare | $8,289.01 | ↑ +44% |
| United Healthcare | Medicare | $8,454.79 | ↑ +47% |
| United Healthcare | Oxford Metro | $8,503.00 | ↑ +48% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,648.07 | ↑ +51% |
| United Healthcare | Nexus | $8,979.00 | ↑ +56% |
| First Health | Commercial | $9,846.00 | ↑ +72% |
| Cigna | HMO | $9,854.20 | ↑ +72% |
| United Healthcare | Oxford Commercial | $10,004.00 | ↑ +74% |
| Cigna | PPO | $10,379.32 | ↑ +81% |
| United Healthcare | Commercial | $10,563.00 | ↑ +84% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $11,912.01 | ↑ +107% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,391.19 | ↑ +116% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $12,573.34 | ↑ +119% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $12,691.49 | ↑ +121% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,653.12 | ↑ +138% |
| Wellcare | Ambetter Health Commercial | $16,495.13 | ↑ +187% |
| Emblem Health | Commercial | $17,406.92 | ↑ +203% |
| 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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Pq kyphplsty 1 bdy lumb w/img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,978.15 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $7,239.71 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $7,414.16 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $7,152.48 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $3,017.26 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $3,793.13 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $7,907.11 – $15,735.15 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |