Valvuloplasty mitral at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$3,452.47
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.
$16,186.00
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.
$743.23 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 | $743.23 | ↓ -78% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,108.64 | ↓ -68% |
| United Healthcare | Community Plan | $2,198.05 | ↓ -36% |
| Aetna | Better Health | $2,406.85 | ↓ -30% |
| Fidelis Care | NJ Family Care | $2,589.76 | ↓ -25% |
| Qualcare Inc | WC | $6,150.68 | ↑ +78% |
| Qualcare Inc | HMO/POS | $6,150.68 | ↑ +78% |
| Qualcare Inc | PPO | $6,150.68 | ↑ +78% |
| United Healthcare | Oxford Metro | $8,503.00 | ↑ +146% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $8,530.02 | ↑ +147% |
| United Healthcare | Nexus | $8,979.00 | ↑ +160% |
| Aetna | PPO | $9,614.00 | ↑ +178% |
| Aetna | HMO | $9,614.00 | ↑ +178% |
| First Health | Commercial | $9,711.60 | ↑ +181% |
| United Healthcare | Oxford Commercial | $10,004.00 | ↑ +190% |
| United Healthcare | Commercial | $10,563.00 | ↑ +206% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $11,749.41 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,222.04 | ↑ +254% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $12,401.71 | ↑ +259% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $12,518.25 | ↑ +263% |
| Wellpoint | Medicare Advantage | $13,158.69 | ↑ +281% |
| Humana | Medicare | $13,158.69 | ↑ +281% |
| Aetna | Medicare | $13,158.69 | ↑ +281% |
| Clover Health | Medicare Advantage | $13,158.69 | ↑ +281% |
| Fidelis Care | Medicare Advantage | $13,158.69 | ↑ +281% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $13,158.69 | ↑ +281% |
| United Healthcare | Medicare | $13,421.86 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,466.75 | ↑ +290% |
| Wellcare | Ambetter Health Commercial | $26,185.79 | ↑ +658% |
| Emblem Health | Commercial | $27,633.25 | ↑ +700% |
| Cigna | HMO | $49,944.00 | ↑ +1347% |
| Cigna | PPO | $52,604.00 | ↑ +1424% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty mitral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,429.81 | $1,108.64 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $2,922.23 | $1,108.64 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $3,371.54 | $697.92 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $3,052.99 | $877.39 – $26,577.13 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $2,271.34 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $2,215.53 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $2,271.34 – $17,039.00 |