Prcrd drg 6+yr without anomly 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.
$6,996.00
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.
$194.76 with Wellpoint vs $5,820.67 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 | $194.76 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $206.05 | ↓ -96% |
| United Healthcare | Community Plan | $950.05 | ↓ -83% |
| Aetna | Better Health | $1,040.30 | ↓ -82% |
| Fidelis Care | NJ Family Care | $1,119.36 | ↓ -81% |
| Amerihealth | Local Value | $2,447.90 | ↓ -57% |
| United Healthcare | Oxford Metro | $2,929.00 | ↓ -49% |
| United Healthcare | Nexus | $3,093.00 | ↓ -46% |
| Amerihealth | Regional Preferred | $3,355.28 | ↓ -42% |
| United Healthcare | Oxford Commercial | $3,446.00 | ↓ -40% |
| United Healthcare | Commercial | $3,639.00 | ↓ -37% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,686.89 | ↓ -36% |
| First Health | Commercial | $4,197.60 | ↓ -27% |
| Cigna | HMO | $4,201.09 | ↓ -27% |
| Aetna | PPO | $4,370.00 | ↓ -24% |
| Aetna | HMO | $4,370.00 | ↓ -24% |
| Cigna | PPO | $4,424.97 | ↓ -23% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,078.39 | ↓ -12% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,282.67 | ↓ -8% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,360.33 | ↓ -7% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,410.70 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,820.67 | ↑ +1% |
| 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
Prcrd drg 6+yr without anomly at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $231.98 – $231.98 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $129.08 – $206.05 |
| Trinitas Regional Medical Center | Elizabeth | not published | $121.91 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $226.52 – $226.52 |
| Clara Maass Medical Center | Belleville | not published | $223.79 – $223.79 |
| Newark Beth Israel Medical Center | Newark | not published | $125.50 – $410.74 |
| Jersey City Medical Center | Jersey City | not published | $157.77 – $245.63 |
| Monmouth Medical Center | Long Branch | not published | $447.59 – $447.59 |