ER Visit (level 3) at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$410.33
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.
$2,428.00
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.
$38.87 with Wellpoint vs $2,962.00 with Amerihealth — 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 | $38.87 | ↓ -91% |
| Humana | Medicare | $302.61 | ↓ -26% |
| Aetna | Medicare | $302.61 | ↓ -26% |
| Clover Health | Medicare Advantage | $302.61 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $302.61 | ↓ -26% |
| Fidelis Care | Medicare Advantage | $302.61 | ↓ -26% |
| Wellpoint | Medicare Advantage | $302.61 | ↓ -26% |
| United Healthcare | Medicare | $308.66 | ↓ -25% |
| United Healthcare | Community Plan | $350.84 | ↓ -14% |
| Fidelis Care | NJ Family Care | $360.80 | ↓ -12% |
| Aetna | Better Health | $384.10 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $460.00 | ↑ +12% |
| Wellcare | Ambetter Health Commercial | $602.19 | ↑ +47% |
| Emblem Health | Commercial | $796.00 | ↑ +94% |
| United Healthcare | Oxford Metro | $1,333.00 | ↑ +225% |
| First Health | Commercial | $1,456.80 | ↑ +255% |
| Cigna | Local Plus | $1,548.00 | ↑ +277% |
| United Healthcare | Oxford Commercial | $1,581.00 | ↑ +285% |
| United Healthcare | Nexus | $1,592.00 | ↑ +288% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,619.00 | ↑ +295% |
| Qualcare Inc | HMO/PPO/WC | $1,709.00 | ↑ +316% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,810.00 | ↑ +341% |
| United Healthcare | Commercial | $1,812.00 | ↑ +342% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,925.00 | ↑ +369% |
| Cigna | HMO | $1,967.00 | ↑ +379% |
| Cigna | PPO | $2,072.00 | ↑ +405% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,113.00 | ↑ +415% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,134.00 | ↑ +420% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,376.00 | ↑ +479% |
| Aetna | PPO | $2,719.00 | ↑ +563% |
| Aetna | HMO | $2,719.00 | ↑ +563% |
| Amerihealth | Local Value | $2,877.00 | ↑ +601% |
| Amerihealth | Regional Preferred | $2,962.00 | ↑ +622% |
Visitor-reported prices
Comments
ER Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $424.38 | $36.71 – $1,330.00 |
| Cooperman Barnabas Medical Center | Livingston | $491.81 | $310.65 – $1,446.00 |
| Community Medical Center | Toms River | $468.93 | $302.61 – $1,600.00 |
| Clara Maass Medical Center | Belleville | $482.92 | $310.65 – $1,387.00 |
| Newark Beth Israel Medical Center | Newark | $483.46 | $37.79 – $1,387.00 |
| Jersey City Medical Center | Jersey City | $469.83 | $47.51 – $1,387.00 |
| Monmouth Medical Center | Long Branch | $494.70 | $306.48 – $1,387.00 |
| Bayshore Medical Center | Holmdel | $306.48 | $306.48 – $1,787.00 |