CT colonography dx w/dye at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$202.29
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.
$1,197.00
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.
$161.64 with Wellpoint vs $1,409.00 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 | $161.64 | ↓ -20% |
| United Healthcare | Community Plan | $172.96 | ↓ -14% |
| Fidelis Care | NJ Family Care | $177.87 | ↓ -12% |
| Aetna | Better Health | $189.36 | ↓ -6% |
| Aetna | Medicare | $194.55 | ↓ -4% |
| Humana | Medicare | $194.55 | ↓ -4% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $194.55 | ↓ -4% |
| Clover Health | Medicare Advantage | $194.55 | ↓ -4% |
| Fidelis Care | Medicare Advantage | $194.55 | ↓ -4% |
| Wellpoint | Medicare Advantage | $194.55 | ↓ -4% |
| United Healthcare | Medicare | $198.44 | ↓ -2% |
| Cigna | Local Plus | $221.00 | ↑ +9% |
| United Healthcare | Oxford Metro | $241.66 | ↑ +19% |
| United Healthcare | Nexus | $241.66 | ↑ +19% |
| Cigna | HMO | $281.00 | ↑ +39% |
| United Healthcare | Oxford Commercial | $287.91 | ↑ +42% |
| United Healthcare | Commercial | $287.91 | ↑ +42% |
| Cigna | PPO | $296.00 | ↑ +46% |
| Emblem Health | Commercial | $340.46 | ↑ +68% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $359.64 | ↑ +78% |
| Wellcare | Ambetter Health Commercial | $387.15 | ↑ +91% |
| Amerihealth | Local Value | $419.56 | ↑ +107% |
| Amerihealth | Regional Preferred | $419.56 | ↑ +107% |
| Aetna | PPO | $499.01 | ↑ +147% |
| Aetna | HMO | $499.01 | ↑ +147% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $622.74 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $622.74 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $622.74 | ↑ +208% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $622.74 | ↑ +208% |
| First Health | Commercial | $718.20 | ↑ +255% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,095.01 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,095.01 | ↑ +441% |
| Qualcare Inc | HMO/PPO/WC | $1,409.00 | ↑ +597% |
Visitor-reported prices
Comments
CT colonography dx w/dye at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Monmouth Medical Center | Long Branch | $789.86 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $1,128.71 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $1,182.94 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $197.04 – $2,083.00 |
| Palisades Medical Center | North Bergen | $209.65 | $209.65 – $1,151.80 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $197.21 – $1,752.00 |