Diffusing capacity at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$152.10
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.
?
What you pay up front if you don't use insurance.
$900.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$31.36 with Wellpoint vs $823.32 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $31.36 | ↓ -79% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.16 | ↓ -69% |
| United Healthcare | Community Plan | $130.05 | ↓ -14% |
| Fidelis Care | NJ Family Care | $133.74 | ↓ -12% |
| Aetna | Better Health | $142.38 | ↓ -6% |
| United Healthcare | Oxford Metro | $436.00 | ↑ +187% |
| United Healthcare | Oxford Commercial | $517.00 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $525.78 | ↑ +246% |
| First Health | Commercial | $540.00 | ↑ +255% |
| United Healthcare | Nexus | $590.00 | ↑ +288% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $624.42 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $657.00 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $663.39 | ↑ +336% |
| United Healthcare | Commercial | $672.00 | ↑ +342% |
| Qualcare Inc | HMO/PPO/WC | $684.00 | ↑ +350% |
| Aetna | PPO | $747.00 | ↑ +391% |
| Aetna | HMO | $747.00 | ↑ +391% |
| Amerihealth | Local Value | $770.94 | ↑ +407% |
| Amerihealth | Regional Preferred | $770.94 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $823.32 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $823.32 | ↑ +441% |
Visitor-reported prices
Comments
Diffusing capacity at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $172.49 | $29.62 – $507.00 |
| Cooperman Barnabas Medical Center | Livingston | $186.04 | $51.84 – $507.00 |
| Community Medical Center | Toms River | $190.60 | $53.09 – $507.00 |
| Clara Maass Medical Center | Belleville | $179.01 | $51.22 – $507.00 |
| Newark Beth Israel Medical Center | Newark | $182.88 | $30.49 – $94.00 |
| Jersey City Medical Center | Jersey City | $190.96 | $38.33 – $507.00 |
| Monmouth Medical Center | Long Branch | $201.07 | $102.43 – $507.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $147.51 | $49.34 – $507.00 |