Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body 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.
$10,907.00
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.
$1,576.06 with United Healthcare vs $10,155.50 with Amerihealth — 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 | $1,576.06 | ↓ -75% |
| Wellpoint | NJ Family Care | $1,596.66 | ↓ -75% |
| Fidelis Care | NJ Family Care | $1,620.78 | ↓ -74% |
| Aetna | Better Health | $1,725.48 | ↓ -73% |
| United Healthcare | Oxford Metro | $3,392.00 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,999.73 | ↓ -37% |
| United Healthcare | Oxford Commercial | $4,026.00 | ↓ -36% |
| United Healthcare | Nexus | $4,282.00 | ↓ -32% |
| Aetna | PPO | $4,294.00 | ↓ -32% |
| Aetna | HMO | $4,294.00 | ↓ -32% |
| United Healthcare | Commercial | $4,875.00 | ↓ -23% |
| Cigna | Local Plus | $5,296.43 | ↓ -16% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,371.86 | ↑ +1% |
| First Health | Commercial | $6,544.20 | ↑ +4% |
| Cigna | HMO | $6,729.61 | ↑ +7% |
| Cigna | PPO | $7,088.45 | ↑ +12% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $7,567.27 | ↑ +20% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $7,962.11 | ↑ +26% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,039.54 | ↑ +27% |
| Amerihealth | Local Value | $8,803.03 | ↑ +39% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,977.72 | ↑ +58% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,977.72 | ↑ +58% |
| Amerihealth | Regional Preferred | $10,155.50 | ↑ +61% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,552.31 – $7,972.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $8,688.16 – $8,688.16 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $4,185.15 – $4,185.15 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $10,833.71 – $10,833.71 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $1,369.21 – $3,999.73 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $5,112.24 – $5,112.24 |
| Trinitas Regional Medical Center | Elizabeth | not published | $1,507.96 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $4,397.06 – $4,397.06 |