Established Patient Office Visit (level 3) at Robert Wood Johnson University Hospital Rahway
865 Stone St, Rahway, NJ · RWJBarnabas Health · · NPI 1861486870
$66.17
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.
$513.00
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.
$56.84 with United Healthcare vs $344.73 with Qualcare Inc — 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 | $56.84 | ↓ -14% |
| Fidelis Care | NJ Family Care | $58.43 | ↓ -12% |
| Aetna | Better Health | $62.22 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $81.60 | ↑ +23% |
| United Healthcare | Oxford Metro | $149.59 | ↑ +126% |
| United Healthcare | Nexus | $149.59 | ↑ +126% |
| United Healthcare | Oxford Commercial | $175.95 | ↑ +166% |
| United Healthcare | Commercial | $175.95 | ↑ +166% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $195.96 | ↑ +196% |
| Aetna | HMO | $200.07 | ↑ +202% |
| Aetna | PPO | $200.07 | ↑ +202% |
| Amerihealth | Local Value | $242.85 | ↑ +267% |
| Cigna | Local Plus | $250.08 | ↑ +278% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $254.85 | ↑ +285% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $257.26 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $262.24 | ↑ +296% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $279.94 | ↑ +323% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $282.50 | ↑ +327% |
| Amerihealth | Regional Preferred | $287.58 | ↑ +335% |
| First Health | Commercial | $307.80 | ↑ +365% |
| Cigna | HMO | $317.75 | ↑ +380% |
| Cigna | PPO | $334.68 | ↑ +406% |
| Qualcare Inc | HMO/POS/PPO/WC | $344.73 | ↑ +421% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $96.29 | $48.38 – $81.60 |
| Cooperman Barnabas Medical Center | Livingston | $108.70 | $81.60 – $81.60 |
| Community Medical Center | Toms River | $106.39 | $81.60 – $81.60 |
| Clara Maass Medical Center | Belleville | $102.03 | $81.60 – $81.60 |
| Childrens Specialized Hospital | Mountainside | $224.00 | $223.15 – $223.15 |
| Newark Beth Israel Medical Center | Newark | $106.85 | $49.80 – $81.60 |
| Jersey City Medical Center | Jersey City | $106.60 | $62.61 – $81.60 |
| Monmouth Medical Center | Long Branch | $112.24 | $81.60 – $81.60 |