Complex repair trunk 2.6-7.5cm 13101 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.
$1,681.00
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.
$206.66 with Horizon Blue Cross Blue Shield of New Jersey 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $206.66 | ↓ -97% |
| Wellpoint | NJ Family Care | $217.25 | ↓ -97% |
| United Healthcare | Community Plan | $242.90 | ↓ -96% |
| Fidelis Care | NJ Family Care | $249.79 | ↓ -96% |
| Aetna | Better Health | $265.93 | ↓ -96% |
| Humana | Medicare | $668.98 | ↓ -89% |
| Fidelis Care | Medicare Advantage | $668.98 | ↓ -89% |
| Clover Health | Medicare Advantage | $668.98 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $668.98 | ↓ -89% |
| Wellpoint | Medicare Advantage | $668.98 | ↓ -89% |
| Aetna | Medicare | $668.98 | ↓ -89% |
| United Healthcare | Medicare | $682.36 | ↓ -89% |
| First Health | Commercial | $1,008.60 | ↓ -84% |
| Emblem Health | Commercial | $1,170.72 | ↓ -81% |
| Wellcare | Ambetter Health Commercial | $1,331.27 | ↓ -79% |
| Amerihealth | Local Value | $1,356.73 | ↓ -79% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,537.77 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,537.77 | ↓ -76% |
| Amerihealth | Regional Preferred | $1,565.17 | ↓ -75% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,675.00 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,675.00 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,675.00 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,675.00 | ↓ -73% |
| United Healthcare | Oxford Metro | $3,392.00 | ↓ -46% |
| Cigna | Local Plus | $3,963.00 | ↓ -37% |
| United Healthcare | Oxford Commercial | $4,026.00 | ↓ -36% |
| United Healthcare | Nexus | $4,282.00 | ↓ -32% |
| United Healthcare | Commercial | $4,875.00 | ↓ -23% |
| Cigna | HMO | $5,036.00 | ↓ -20% |
| Cigna | PPO | $5,304.00 | ↓ -16% |
| Aetna | HMO | $7,036.00 | ↑ +11% |
| Aetna | PPO | $7,036.00 | ↑ +11% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
Visitor-reported prices
Comments
Complex repair trunk 2.6-7.5cm 13101 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $205.18 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $227.19 – $1,373.52 |
| Community Medical Center | Toms River | $3,786.00 | $232.66 – $1,331.27 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $224.45 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $211.22 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $246.35 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $448.90 – $1,348.30 |
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |