Diagnostic Mammogram (both breasts) at Robert Wood Johnson University Hospital Rahway
865 Stone St, Rahway, NJ · RWJBarnabas Health · · NPI 1861486870
$101.00
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.
$783.00
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.
$86.75 with United Healthcare vs $583.18 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $86.75 | ↓ -14% |
| Fidelis Care | NJ Family Care | $89.18 | ↓ -12% |
| Aetna | Better Health | $94.97 | ↓ -6% |
| Amerihealth | Local Value | $102.77 | ↑ +2% |
| Amerihealth | Regional Preferred | $110.48 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $128.16 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $128.16 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $128.16 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $128.16 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $134.10 | ↑ +33% |
| United Healthcare | Oxford Metro | $151.66 | ↑ +50% |
| United Healthcare | Nexus | $151.66 | ↑ +50% |
| United Healthcare | Oxford Commercial | $190.45 | ↑ +89% |
| United Healthcare | Commercial | $190.45 | ↑ +89% |
| Aetna | HMO | $305.37 | ↑ +202% |
| Aetna | PPO | $305.37 | ↑ +202% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $392.67 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $400.26 | ↑ +296% |
| First Health | Commercial | $469.80 | ↑ +365% |
| Qualcare Inc | HMO/POS/PPO/WC | $526.17 | ↑ +421% |
| Cigna | Local Plus | $583.18 | ↑ +477% |
| Cigna | HMO | $583.18 | ↑ +477% |
| Cigna | PPO | $583.18 | ↑ +477% |
Visitor-reported prices
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Diagnostic Mammogram (both breasts) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $146.96 | $82.47 – $1,152.34 |
| Community Medical Center | Toms River | $162.39 | $110.48 – $583.18 |
| Newark Beth Israel Medical Center | Newark | $163.09 | $84.89 – $583.18 |
| Jersey City Medical Center | Jersey City | $162.70 | $106.72 – $583.18 |
| Monmouth Medical Center | Long Branch | $171.32 | $110.48 – $583.18 |
| Bayshore Medical Center | Holmdel | $207.95 | $157.14 – $413.48 |
| Hackensack University Medical Center | Hackensack | $207.95 | $121.57 – $405.20 |
| Ocean University Medical Center | Brick | $207.95 | $157.14 – $413.48 |