Biliary endoscopy thru skin 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.
$8,955.00
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.
$171.70 with Wellpoint vs $9,057.00 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $171.70 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $279.88 | ↓ -96% |
| United Healthcare | Community Plan | $1,293.99 | ↓ -79% |
| Fidelis Care | NJ Family Care | $1,330.71 | ↓ -79% |
| Aetna | Better Health | $1,416.68 | ↓ -78% |
| Wellpoint | Medicare Advantage | $3,856.84 | ↓ -39% |
| Humana | Medicare | $3,856.84 | ↓ -39% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,856.84 | ↓ -39% |
| Aetna | Medicare | $3,856.84 | ↓ -39% |
| Clover Health | Medicare Advantage | $3,856.84 | ↓ -39% |
| Fidelis Care | Medicare Advantage | $3,856.84 | ↓ -39% |
| United Healthcare | Medicare | $3,933.98 | ↓ -38% |
| Cigna | Local Plus | $3,963.00 | ↓ -37% |
| Cigna | HMO | $5,036.00 | ↓ -20% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5,231.51 | ↓ -17% |
| Cigna | PPO | $5,304.00 | ↓ -16% |
| First Health | Commercial | $5,373.00 | ↓ -15% |
| United Healthcare | Oxford Metro | $5,599.00 | ↓ -11% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $6,212.97 | ↓ -2% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $6,537.15 | ↑ +4% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $6,600.73 | ↑ +5% |
| United Healthcare | Oxford Commercial | $6,645.00 | ↑ +5% |
| Emblem Health | Commercial | $6,749.47 | ↑ +7% |
| Aetna | PPO | $7,036.00 | ↑ +11% |
| Aetna | HMO | $7,036.00 | ↑ +11% |
| United Healthcare | Nexus | $7,064.00 | ↑ +12% |
| Amerihealth | Local Value | $7,227.58 | ↑ +15% |
| Wellcare | Ambetter Health Commercial | $7,675.11 | ↑ +22% |
| United Healthcare | Commercial | $8,043.00 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $8,192.03 | ↑ +30% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $8,192.03 | ↑ +30% |
| Amerihealth | Regional Preferred | $8,338.00 | ↑ +32% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $162.16 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $279.88 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $279.88 – $7,675.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $279.88 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $166.93 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $209.85 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $279.88 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |