Air conduction bilat at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$28.39
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.
$168.00
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.
$21.18 with Wellpoint vs $902.00 with United Healthcare — 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 | $21.18 | ↓ -25% |
| United Healthcare | Community Plan | $24.27 | ↓ -15% |
| Fidelis Care | NJ Family Care | $24.96 | ↓ -12% |
| Aetna | Better Health | $26.57 | ↓ -6% |
| Cigna | Local Plus | $88.08 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $89.09 | ↑ +214% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $98.14 | ↑ +246% |
| First Health | Commercial | $100.80 | ↑ +255% |
| Cigna | HMO | $111.92 | ↑ +294% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $116.55 | ↑ +311% |
| Cigna | PPO | $117.88 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $122.64 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $123.83 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $127.68 | ↑ +350% |
| Aetna | PPO | $139.44 | ↑ +391% |
| Aetna | HMO | $139.44 | ↑ +391% |
| Humana | Medicare | $140.87 | ↑ +396% |
| Fidelis Care | Medicare Advantage | $140.87 | ↑ +396% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $140.87 | ↑ +396% |
| Clover Health | Medicare Advantage | $140.87 | ↑ +396% |
| Wellpoint | Medicare Advantage | $140.87 | ↑ +396% |
| Aetna | Medicare | $140.87 | ↑ +396% |
| United Healthcare | Medicare | $143.69 | ↑ +406% |
| Amerihealth | Local Value | $143.90 | ↑ +407% |
| Amerihealth | Regional Preferred | $143.90 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $153.68 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $153.68 | ↑ +441% |
| Emblem Health | Commercial | $246.52 | ↑ +768% |
| Wellcare | Ambetter Health Commercial | $280.33 | ↑ +887% |
| United Healthcare | Oxford Metro | $587.00 | ↑ +1968% |
| United Healthcare | Oxford Commercial | $697.00 | ↑ +2355% |
| United Healthcare | Nexus | $791.00 | ↑ +2686% |
| United Healthcare | Commercial | $902.00 | ↑ +3077% |
Visitor-reported prices
Comments
Air conduction bilat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $97.05 | $97.94 – $289.24 |
| Childrens Specialized Hospital | Mountainside | $114.50 | $128.62 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $95.40 | $20.59 – $289.24 |
| Jersey City Medical Center | Jersey City | $57.14 | $25.89 – $302.08 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $69.19 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $65.35 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $69.19 – $627.00 |