Duplex scan bilateral study 93985 at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$301.49
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.
$1,784.00
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.
$137.08 with Wellpoint vs $1,632.00 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $137.08 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $240.21 | ↓ -20% |
| United Healthcare | Community Plan | $257.78 | ↓ -14% |
| Aetna | Medicare | $264.17 | ↓ -12% |
| Fidelis Care | Medicare Advantage | $264.17 | ↓ -12% |
| Clover Health | Medicare Advantage | $264.17 | ↓ -12% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $264.17 | ↓ -12% |
| Humana | Medicare | $264.17 | ↓ -12% |
| Wellpoint | Medicare Advantage | $264.17 | ↓ -12% |
| Fidelis Care | NJ Family Care | $265.10 | ↓ -12% |
| United Healthcare | Medicare | $269.45 | ↓ -11% |
| Aetna | Better Health | $282.22 | ↓ -6% |
| Emblem Health | Commercial | $462.30 | ↑ +53% |
| Wellcare | Ambetter Health Commercial | $525.70 | ↑ +74% |
| United Healthcare | Oxford Metro | $607.00 | ↑ +101% |
| United Healthcare | Oxford Commercial | $719.00 | ↑ +138% |
| United Healthcare | Nexus | $814.00 | ↑ +170% |
| United Healthcare | Commercial | $926.00 | ↑ +207% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,042.21 | ↑ +246% |
| First Health | Commercial | $1,070.40 | ↑ +255% |
| Cigna | HMO | $1,096.88 | ↑ +264% |
| Cigna | PPO | $1,096.88 | ↑ +264% |
| Cigna | Local Plus | $1,096.88 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,237.73 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,302.32 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,314.98 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $1,355.84 | ↑ +350% |
| Aetna | HMO | $1,480.72 | ↑ +391% |
| Aetna | PPO | $1,480.72 | ↑ +391% |
| Amerihealth | Regional Preferred | $1,528.17 | ↑ +407% |
| Amerihealth | Local Value | $1,528.17 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,632.00 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,632.00 | ↑ +441% |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $481.82 | $129.47 – $1,096.88 |
| Cooperman Barnabas Medical Center | Livingston | $506.01 | $264.07 – $1,096.88 |
| Community Medical Center | Toms River | $532.39 | $264.17 – $1,096.88 |
| Clara Maass Medical Center | Belleville | $354.83 | $260.89 – $1,096.88 |
| Newark Beth Israel Medical Center | Newark | $497.42 | $133.28 – $1,096.88 |
| Jersey City Medical Center | Jersey City | $533.42 | $167.55 – $1,096.88 |
| Monmouth Medical Center | Long Branch | $561.65 | $267.55 – $1,096.88 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |