Echo exam of fetal heart at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$140.43
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.
$831.00
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.
$86.40 with Wellpoint vs $760.19 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 | $86.40 | ↓ -38% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $87.74 | ↓ -38% |
| Amerihealth | Regional Preferred | $114.68 | ↓ -18% |
| Amerihealth | Local Value | $114.68 | ↓ -18% |
| United Healthcare | Community Plan | $120.07 | ↓ -14% |
| Fidelis Care | NJ Family Care | $123.48 | ↓ -12% |
| Aetna | Better Health | $131.46 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $138.20 | ↓ -2% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $138.20 | ↓ -2% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $138.20 | ↓ -2% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $138.20 | ↓ -2% |
| Aetna | Medicare | $264.17 | ↑ +88% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $264.17 | ↑ +88% |
| Wellpoint | Medicare Advantage | $264.17 | ↑ +88% |
| Clover Health | Medicare Advantage | $264.17 | ↑ +88% |
| Fidelis Care | Medicare Advantage | $264.17 | ↑ +88% |
| Humana | Medicare | $264.17 | ↑ +88% |
| United Healthcare | Medicare | $269.45 | ↑ +92% |
| Aetna | HMO | $312.37 | ↑ +122% |
| Aetna | PPO | $312.37 | ↑ +122% |
| United Healthcare | Oxford Metro | $420.00 | ↑ +199% |
| Cigna | Local Plus | $435.69 | ↑ +210% |
| Emblem Health | Commercial | $462.30 | ↑ +229% |
| First Health | Commercial | $498.60 | ↑ +255% |
| United Healthcare | Oxford Commercial | $499.00 | ↑ +255% |
| Wellcare | Ambetter Health Commercial | $525.70 | ↑ +274% |
| Cigna | HMO | $553.61 | ↑ +294% |
| United Healthcare | Nexus | $569.00 | ↑ +305% |
| Cigna | PPO | $583.11 | ↑ +315% |
| Qualcare Inc | HMO/PPO/WC | $631.56 | ↑ +350% |
| United Healthcare | Commercial | $647.00 | ↑ +361% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $760.19 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $760.19 | ↑ +441% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $317.02 | $74.45 – $528.34 |
| Clara Maass Medical Center | Belleville | $165.28 | $87.74 – $539.67 |
| Newark Beth Israel Medical Center | Newark | $234.54 | $78.00 – $542.38 |
| Bayshore Medical Center | Holmdel | $267.55 | $53.92 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $79.54 – $712.00 |
| Ocean University Medical Center | Brick | $264.17 | $53.92 – $623.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $145.85 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $53.92 – $707.07 |