Cdp-sot 6 cond w/i&r at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$93.96
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.
$556.00
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.
$25.46 with Wellpoint vs $508.62 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $25.46 | ↓ -73% |
| United Healthcare | Community Plan | $80.34 | ↓ -14% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $82.25 | ↓ -12% |
| Fidelis Care | NJ Family Care | $82.62 | ↓ -12% |
| Aetna | Better Health | $87.95 | ↓ -6% |
| Clover Health | Medicare Advantage | $140.87 | ↑ +50% |
| Humana | Medicare | $140.87 | ↑ +50% |
| Aetna | Medicare | $140.87 | ↑ +50% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $140.87 | ↑ +50% |
| Fidelis Care | Medicare Advantage | $140.87 | ↑ +50% |
| Wellpoint | Medicare Advantage | $140.87 | ↑ +50% |
| United Healthcare | Medicare | $143.69 | ↑ +53% |
| United Healthcare | Oxford Metro | $145.67 | ↑ +55% |
| United Healthcare | Nexus | $145.67 | ↑ +55% |
| United Healthcare | Commercial | $171.24 | ↑ +82% |
| United Healthcare | Oxford Commercial | $171.24 | ↑ +82% |
| Emblem Health | Commercial | $246.52 | ↑ +162% |
| Wellcare | Ambetter Health Commercial | $280.33 | ↑ +198% |
| Cigna | Local Plus | $291.51 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $324.81 | ↑ +246% |
| First Health | Commercial | $333.60 | ↑ +255% |
| Cigna | HMO | $370.40 | ↑ +294% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $385.75 | ↑ +311% |
| Cigna | PPO | $390.14 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $405.88 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $409.82 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $422.56 | ↑ +350% |
| Aetna | HMO | $461.48 | ↑ +391% |
| Aetna | PPO | $461.48 | ↑ +391% |
| Amerihealth | Regional Preferred | $476.26 | ↑ +407% |
| Amerihealth | Local Value | $476.26 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $508.62 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $508.62 | ↑ +441% |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clara Maass Medical Center | Belleville | $110.58 | $89.33 – $287.79 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $81.70 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $78.57 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $81.70 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $78.57 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $81.70 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $81.70 – $171.36 |