Spleen imaging at Robert Wood Johnson University Hospital Rahway
865 Stone St, Rahway, NJ · RWJBarnabas Health · · NPI 1861486870
$204.33
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.
$1,584.00
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.
$90.20 with Horizon Blue Cross Blue Shield of New Jersey vs $1,343.80 with Aetna — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $90.20 | ↓ -56% |
| Amerihealth | Local Value | $156.11 | ↓ -24% |
| Amerihealth | Regional Preferred | $167.82 | ↓ -18% |
| United Healthcare | Community Plan | $175.50 | ↓ -14% |
| Fidelis Care | NJ Family Care | $180.41 | ↓ -12% |
| Aetna | Better Health | $192.13 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $297.66 | ↑ +46% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $297.66 | ↑ +46% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $297.66 | ↑ +46% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $297.66 | ↑ +46% |
| Wellpoint | Medicare Advantage | $439.15 | ↑ +115% |
| Fidelis Care | Medicare Advantage | $439.15 | ↑ +115% |
| Aetna | Medicare | $439.15 | ↑ +115% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $439.15 | ↑ +115% |
| Humana | Medicare | $439.15 | ↑ +115% |
| Clover Health | Medicare Advantage | $439.15 | ↑ +115% |
| United Healthcare | Medicare | $447.93 | ↑ +119% |
| United Healthcare | Nexus | $520.83 | ↑ +155% |
| United Healthcare | Oxford Metro | $520.83 | ↑ +155% |
| United Healthcare | Oxford Commercial | $581.65 | ↑ +185% |
| United Healthcare | Commercial | $581.65 | ↑ +185% |
| Cigna | Local Plus | $723.46 | ↑ +254% |
| Cigna | HMO | $723.46 | ↑ +254% |
| Cigna | PPO | $723.46 | ↑ +254% |
| Emblem Health | Commercial | $768.51 | ↑ +276% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $794.37 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $809.74 | ↑ +296% |
| Wellcare | Ambetter Health Commercial | $873.91 | ↑ +328% |
| First Health | Commercial | $950.40 | ↑ +365% |
| Qualcare Inc | HMO/POS/PPO/WC | $1,064.44 | ↑ +421% |
| Aetna | HMO | $1,343.80 | ↑ +558% |
| Aetna | PPO | $1,343.80 | ↑ +558% |
Visitor-reported prices
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Spleen imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $444.77 | $177.13 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $81.77 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $177.13 – $1,021.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $213.44 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $177.13 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $90.20 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $123.75 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $63.25 – $1,021.05 |