Dornhoffer fixed part w/window at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$11,568.08
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.
$68,450.18
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.
$7,169.00 with United Healthcare vs $45,770.18 with Wellcare — 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 | $7,169.00 | ↓ -38% |
| Fidelis Care | NJ Family Care | $7,372.41 | ↓ -36% |
| Wellpoint | NJ Family Care | $7,372.41 | ↓ -36% |
| Aetna | Better Health | $7,848.69 | ↓ -32% |
| United Healthcare | Oxford Metro | $14,189.17 | ↑ +23% |
| Amerihealth | Local Value | $14,189.17 | ↑ +23% |
| Amerihealth | Regional Preferred | $14,189.17 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $14,189.17 | ↑ +23% |
| United Healthcare | Nexus | $14,189.17 | ↑ +23% |
| United Healthcare | Commercial | $14,189.17 | ↑ +23% |
| United Healthcare | Oxford Commercial | $14,189.17 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $14,189.17 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $14,189.17 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $14,189.17 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $14,189.17 | ↑ +23% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,387.62 | ↑ +24% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $14,387.62 | ↑ +24% |
| Qualcare Inc | HMO/PPO/WC | $16,372.12 | ↑ +42% |
| Aetna | PPO | $16,372.12 | ↑ +42% |
| Aetna | HMO | $16,372.12 | ↑ +42% |
| Cigna | HMO | $16,868.25 | ↑ +46% |
| Cigna | PPO | $16,868.25 | ↑ +46% |
| Cigna | Local Plus | $16,868.25 | ↑ +46% |
| Fidelis Care | Medicare Advantage | $23,000.09 | ↑ +99% |
| Clover Health | Medicare Advantage | $23,000.09 | ↑ +99% |
| Wellpoint | Medicare Advantage | $23,000.09 | ↑ +99% |
| Aetna | Medicare | $23,000.09 | ↑ +99% |
| Humana | Medicare | $23,000.09 | ↑ +99% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $23,000.09 | ↑ +99% |
| United Healthcare | Medicare | $23,460.09 | ↑ +103% |
| First Health | Commercial | $29,767.50 | ↑ +157% |
| Emblem Health | Commercial | $40,250.16 | ↑ +248% |
| Wellcare | Ambetter Health Commercial | $45,770.18 | ↑ +296% |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $12,848.09 | $23,000.09 – $45,770.18 |
| Cooperman Barnabas Medical Center | Livingston | $10,360.42 | $23,000.09 – $46,000.18 |
| Community Medical Center | Toms River | $10,140.40 | $23,000.09 – $45,770.18 |
| Clara Maass Medical Center | Belleville | $9,724.81 | $23,000.09 – $45,770.18 |
| Newark Beth Israel Medical Center | Newark | $10,184.40 | $23,000.09 – $45,770.18 |
| Jersey City Medical Center | Jersey City | $10,159.96 | $23,000.09 – $45,770.18 |
| Monmouth Medical Center | Long Branch | $10,697.78 | $23,000.09 – $45,770.18 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $11,218.98 | $23,000.09 – $45,770.18 |