Cochlear implt f/up exam <7 at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$107.31
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.
$635.00
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.
$91.75 with United Healthcare vs $580.89 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $91.75 | ↓ -15% |
| Fidelis Care | NJ Family Care | $94.36 | ↓ -12% |
| Aetna | Better Health | $100.45 | ↓ -6% |
| Amerihealth | Regional Preferred | $123.74 | ↑ +15% |
| Amerihealth | Local Value | $123.74 | ↑ +15% |
| United Healthcare | Nexus | $166.37 | ↑ +55% |
| United Healthcare | Oxford Metro | $166.37 | ↑ +55% |
| Fidelis Care | Medicare Advantage | $170.99 | ↑ +59% |
| Humana | Medicare | $170.99 | ↑ +59% |
| Aetna | Medicare | $170.99 | ↑ +59% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $170.99 | ↑ +59% |
| Wellpoint | Medicare Advantage | $170.99 | ↑ +59% |
| Clover Health | Medicare Advantage | $170.99 | ↑ +59% |
| United Healthcare | Medicare | $174.41 | ↑ +63% |
| United Healthcare | Commercial | $195.58 | ↑ +82% |
| United Healthcare | Oxford Commercial | $195.58 | ↑ +82% |
| Emblem Health | Commercial | $299.23 | ↑ +179% |
| Cigna | Local Plus | $332.93 | ↑ +210% |
| Wellcare | Ambetter Health Commercial | $340.27 | ↑ +217% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $370.96 | ↑ +246% |
| First Health | Commercial | $381.00 | ↑ +255% |
| Cigna | HMO | $423.03 | ↑ +294% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $440.56 | ↑ +311% |
| Cigna | PPO | $445.57 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $463.55 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $468.05 | ↑ +336% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $478.67 | ↑ +346% |
| Qualcare Inc | HMO/PPO/WC | $482.60 | ↑ +350% |
| Aetna | HMO | $527.05 | ↑ +391% |
| Aetna | PPO | $527.05 | ↑ +391% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $580.89 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $580.89 | ↑ +441% |
Visitor-reported prices
Comments
Cochlear implt f/up exam <7 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $202.36 | $123.74 – $351.08 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $74.00 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $74.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $184.26 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $792.50 |