Valvuloplasty aortic at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$2,680.11
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.
?
What you pay up front if you don't use insurance.
$12,565.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$927.24 with Wellpoint vs $52,604.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $927.24 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $949.90 | ↓ -65% |
| United Healthcare | Community Plan | $1,706.32 | ↓ -36% |
| Aetna | Better Health | $1,868.41 | ↓ -30% |
| Fidelis Care | NJ Family Care | $2,010.40 | ↓ -25% |
| Qualcare Inc | PPO | $4,774.70 | ↑ +78% |
| Qualcare Inc | HMO/POS | $4,774.70 | ↑ +78% |
| Qualcare Inc | WC | $4,774.70 | ↑ +78% |
| Wellpoint | Medicare Advantage | $6,615.59 | ↑ +147% |
| Humana | Medicare | $6,615.59 | ↑ +147% |
| Aetna | Medicare | $6,615.59 | ↑ +147% |
| Clover Health | Medicare Advantage | $6,615.59 | ↑ +147% |
| Fidelis Care | Medicare Advantage | $6,615.59 | ↑ +147% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,615.59 | ↑ +147% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,621.75 | ↑ +147% |
| United Healthcare | Medicare | $6,747.90 | ↑ +152% |
| First Health | Commercial | $7,539.00 | ↑ +181% |
| United Healthcare | Oxford Metro | $8,503.00 | ↑ +217% |
| United Healthcare | Nexus | $8,979.00 | ↑ +235% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,120.93 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,487.83 | ↑ +254% |
| Aetna | PPO | $9,614.00 | ↑ +259% |
| Aetna | HMO | $9,614.00 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,627.30 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,717.77 | ↑ +263% |
| United Healthcare | Oxford Commercial | $10,004.00 | ↑ +273% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,454.08 | ↑ +290% |
| United Healthcare | Commercial | $10,563.00 | ↑ +294% |
| Wellcare | Ambetter Health Commercial | $13,165.02 | ↑ +391% |
| Emblem Health | Commercial | $13,892.74 | ↑ +418% |
| Cigna | HMO | $49,944.00 | ↑ +1764% |
| Cigna | PPO | $52,604.00 | ↑ +1863% |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty aortic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,662.52 | $949.90 – $12,793.30 |
| Clara Maass Medical Center | Belleville | $1,987.60 | $949.90 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $2,617.28 | $677.33 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $2,574.64 | $851.51 – $13,361.76 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $2,204.42 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $2,150.15 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,316.26 | $1,158.42 – $17,039.00 |