Angioplasty fem/pop unilat 37224 at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$6,311.00
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.
$10,442.00
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.
$1,508.86 with United Healthcare vs $13,407.00 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,508.86 | ↓ -76% |
| Fidelis Care | NJ Family Care | $1,551.68 | ↓ -75% |
| Wellpoint | NJ Family Care | $1,580.04 | ↓ -75% |
| Aetna | Better Health | $1,651.92 | ↓ -74% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,514.37 | ↓ -44% |
| Cigna | Local Plus | $5,070.63 | ↓ -20% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,100.21 | ↓ -3% |
| Fidelis Care | Medicare Advantage | $6,231.08 | ↓ -1% |
| Humana | Medicare | $6,231.08 | ↓ -1% |
| Aetna | Medicare | $6,231.08 | ↓ -1% |
| Wellpoint | Medicare Advantage | $6,231.08 | ↓ -1% |
| Clover Health | Medicare Advantage | $6,231.08 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,231.08 | ↓ -1% |
| First Health | Commercial | $6,265.20 | ↓ -1% |
| United Healthcare | Medicare | $6,355.70 | ↑ +1% |
| Cigna | HMO | $6,442.71 | ↑ +2% |
| Cigna | PPO | $6,786.25 | ↑ +8% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $7,244.65 | ↑ +15% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $7,622.66 | ↑ +21% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $7,696.79 | ↑ +22% |
| Aetna | HMO | $7,991.00 | ↑ +27% |
| Aetna | PPO | $7,991.00 | ↑ +27% |
| Amerihealth | Local Value | $8,427.73 | ↑ +34% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
| United Healthcare | Oxford Metro | $9,331.00 | ↑ +48% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,552.34 | ↑ +51% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,552.34 | ↑ +51% |
| Amerihealth | Regional Preferred | $9,722.54 | ↑ +54% |
| Emblem Health | Commercial | $10,904.39 | ↑ +73% |
| United Healthcare | Oxford Commercial | $11,074.00 | ↑ +75% |
| United Healthcare | Nexus | $11,774.00 | ↑ +87% |
| Wellcare | Ambetter Health Commercial | $12,399.85 | ↑ +96% |
| United Healthcare | Commercial | $13,407.00 | ↑ +112% |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,492.26 – $12,462.16 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $3,863.48 – $12,793.30 |
| Community Medical Center | Toms River | $3,786.00 | $3,956.58 – $12,399.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $3,816.94 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,536.15 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,931.16 – $13,361.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $6,310.78 – $12,558.45 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |