Transcath closure of vsd at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$7,286.96
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.
$34,163.00
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.
$444.27 with Wellpoint vs $52,604.00 with Cigna — 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 | $444.27 | ↓ -94% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,429.97 | ↓ -80% |
| United Healthcare | Community Plan | $4,639.33 | ↓ -36% |
| Aetna | Better Health | $5,080.03 | ↓ -30% |
| Fidelis Care | NJ Family Care | $5,466.08 | ↓ -25% |
| United Healthcare | Oxford Metro | $10,568.00 | ↑ +45% |
| United Healthcare | Nexus | $11,157.00 | ↑ +53% |
| Aetna | HMO | $11,238.00 | ↑ +54% |
| Aetna | PPO | $11,238.00 | ↑ +54% |
| United Healthcare | Oxford Commercial | $12,433.00 | ↑ +71% |
| Qualcare Inc | HMO/POS | $12,981.94 | ↑ +78% |
| Qualcare Inc | PPO | $12,981.94 | ↑ +78% |
| Qualcare Inc | WC | $12,981.94 | ↑ +78% |
| United Healthcare | Commercial | $13,126.00 | ↑ +80% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $18,003.90 | ↑ +147% |
| First Health | Commercial | $20,497.80 | ↑ +181% |
| Wellpoint | Medicare Advantage | $20,835.54 | ↑ +186% |
| Humana | Medicare | $20,835.54 | ↑ +186% |
| Aetna | Medicare | $20,835.54 | ↑ +186% |
| Clover Health | Medicare Advantage | $20,835.54 | ↑ +186% |
| Fidelis Care | Medicare Advantage | $20,835.54 | ↑ +186% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $20,835.54 | ↑ +186% |
| United Healthcare | Medicare | $21,252.25 | ↑ +192% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $24,798.92 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $25,796.48 | ↑ +254% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $26,175.69 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $26,421.66 | ↑ +263% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $28,423.61 | ↑ +290% |
| Wellcare | Ambetter Health Commercial | $41,462.72 | ↑ +469% |
| Emblem Health | Commercial | $43,754.63 | ↑ +500% |
| Cigna | HMO | $49,944.00 | ↑ +585% |
| Cigna | PPO | $52,604.00 | ↑ +622% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Transcath closure of vsd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $7,239.13 | $1,572.02 – $40,292.00 |
| Clara Maass Medical Center | Belleville | $4,627.01 | $1,553.08 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $7,116.15 | $670.11 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $6,731.47 | $842.42 – $42,082.35 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $2,173.90 – $22,204.26 |
| Ocean University Medical Center | Brick | $19,624.54 | $2,127.24 – $23,549.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $1,894.00 – $19,892.81 |