Tomosynthesis breast screen bilateral at Robert Wood Johnson University Hospital Rahway
865 Stone St, Rahway, NJ · RWJBarnabas Health · · NPI 1861486870
$43.08
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.
$334.00
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.
$13.01 with Amerihealth vs $224.44 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 |
|---|---|---|---|
| Amerihealth | Local Value | $13.01 | ↓ -70% |
| Amerihealth | Regional Preferred | $13.99 | ↓ -68% |
| United Healthcare | Nexus | $32.70 | ↓ -24% |
| United Healthcare | Oxford Metro | $32.70 | ↓ -24% |
| United Healthcare | Community Plan | $37.00 | ↓ -14% |
| Fidelis Care | NJ Family Care | $38.04 | ↓ -12% |
| United Healthcare | Oxford Commercial | $39.91 | ↓ -7% |
| United Healthcare | Commercial | $39.91 | ↓ -7% |
| Aetna | Better Health | $40.51 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.79 | ↑ +11% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.79 | ↑ +11% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.79 | ↑ +11% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.79 | ↑ +11% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $49.74 | ↑ +15% |
| Cigna | PPO | $125.06 | ↑ +190% |
| Cigna | HMO | $125.06 | ↑ +190% |
| Cigna | Local Plus | $125.06 | ↑ +190% |
| Aetna | HMO | $130.26 | ↑ +202% |
| Aetna | PPO | $130.26 | ↑ +202% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $167.50 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $170.74 | ↑ +296% |
| First Health | Commercial | $200.40 | ↑ +365% |
| Qualcare Inc | HMO/POS/PPO/WC | $224.44 | ↑ +421% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $52.18 | $18.87 – $651.60 |
| Community Medical Center | Toms River | $57.65 | $13.99 – $125.06 |
| Newark Beth Israel Medical Center | Newark | $57.90 | $13.99 – $125.06 |
| Jersey City Medical Center | Jersey City | $57.76 | $13.99 – $125.06 |
| Monmouth Medical Center | Long Branch | $60.82 | $13.99 – $125.06 |
| Bayshore Medical Center | Holmdel | $65.52 | $19.89 – $90.13 |
| Hackensack University Medical Center | Hackensack | $65.52 | $19.94 – $98.65 |
| Ocean University Medical Center | Brick | $65.52 | $19.89 – $94.53 |