Cdp-sot 6 cond w/i&r mct&adt at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$104.94
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.
$621.00
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.
$34.92 with Wellpoint vs $568.09 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 | $34.92 | ↓ -67% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $54.74 | ↓ -48% |
| United Healthcare | Community Plan | $89.73 | ↓ -14% |
| Fidelis Care | NJ Family Care | $92.28 | ↓ -12% |
| Aetna | Better Health | $98.24 | ↓ -6% |
| Clover Health | Medicare Advantage | $140.87 | ↑ +34% |
| Humana | Medicare | $140.87 | ↑ +34% |
| Aetna | Medicare | $140.87 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $140.87 | ↑ +34% |
| Fidelis Care | Medicare Advantage | $140.87 | ↑ +34% |
| Wellpoint | Medicare Advantage | $140.87 | ↑ +34% |
| United Healthcare | Medicare | $143.69 | ↑ +37% |
| United Healthcare | Oxford Metro | $162.70 | ↑ +55% |
| United Healthcare | Nexus | $162.70 | ↑ +55% |
| United Healthcare | Commercial | $191.26 | ↑ +82% |
| United Healthcare | Oxford Commercial | $191.26 | ↑ +82% |
| Emblem Health | Commercial | $246.52 | ↑ +135% |
| Wellcare | Ambetter Health Commercial | $280.33 | ↑ +167% |
| Cigna | Local Plus | $325.59 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $362.78 | ↑ +246% |
| First Health | Commercial | $372.60 | ↑ +255% |
| Cigna | HMO | $413.71 | ↑ +294% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $430.84 | ↑ +311% |
| Cigna | PPO | $435.75 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $453.33 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $457.73 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $471.96 | ↑ +350% |
| Aetna | HMO | $515.43 | ↑ +391% |
| Aetna | PPO | $515.43 | ↑ +391% |
| Amerihealth | Regional Preferred | $531.94 | ↑ +407% |
| Amerihealth | Local Value | $531.94 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $568.09 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $568.09 | ↑ +441% |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r mct&adt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $112.25 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $107.74 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $112.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $107.74 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $71.41 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $90.63 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $107.74 – $465.00 |