Echo exam of fetal heart at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$225.95
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.
$1,337.00
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.
$38.37 with Wellpoint vs $1,223.08 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 | $38.37 | ↓ -83% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $69.06 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $69.06 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $69.06 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $69.06 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $108.24 | ↓ -52% |
| Aetna | PPO | $112.23 | ↓ -50% |
| Aetna | HMO | $112.23 | ↓ -50% |
| Fidelis Care | Medicare Advantage | $116.22 | ↓ -49% |
| Aetna | Medicare | $116.22 | ↓ -49% |
| Humana | Medicare | $116.22 | ↓ -49% |
| Wellpoint | Medicare Advantage | $116.22 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↓ -49% |
| Clover Health | Medicare Advantage | $116.22 | ↓ -49% |
| United Healthcare | Medicare | $118.54 | ↓ -48% |
| Amerihealth | Local Value | $156.64 | ↓ -31% |
| Amerihealth | Regional Preferred | $156.64 | ↓ -31% |
| United Healthcare | Community Plan | $193.19 | ↓ -14% |
| Fidelis Care | NJ Family Care | $198.67 | ↓ -12% |
| Emblem Health | Commercial | $203.39 | ↓ -10% |
| Aetna | Better Health | $211.51 | ↓ -6% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↑ +2% |
| United Healthcare | Oxford Metro | $420.00 | ↑ +86% |
| United Healthcare | Oxford Commercial | $499.00 | ↑ +121% |
| United Healthcare | Nexus | $569.00 | ↑ +152% |
| United Healthcare | Commercial | $647.00 | ↑ +186% |
| Cigna | Local Plus | $700.98 | ↑ +210% |
| First Health | Commercial | $802.20 | ↑ +255% |
| Cigna | HMO | $890.70 | ↑ +294% |
| Cigna | PPO | $938.17 | ↑ +315% |
| Qualcare Inc | HMO/PPO/WC | $1,016.12 | ↑ +350% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,223.08 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,223.08 | ↑ +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 | $133.07 | $36.24 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $259.57 | $69.06 – $238.62 |
| Clara Maass Medical Center | Belleville | $265.92 | $69.06 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $255.16 | $37.31 – $238.62 |
| Jersey City Medical Center | Jersey City | $147.33 | $46.90 – $249.21 |
| Monmouth Medical Center | Long Branch | $155.12 | $92.08 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $98.12 – $337.00 |