Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$6,311.00
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.
$869.00
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.
$77.23 with Wellpoint vs $9,057.00 with Qualcare Inc — 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 | $77.23 | ↓ -99% |
| United Healthcare | Community Plan | $125.57 | ↓ -98% |
| Fidelis Care | NJ Family Care | $129.13 | ↓ -98% |
| Aetna | Better Health | $137.47 | ↓ -98% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $507.66 | ↓ -92% |
| First Health | Commercial | $521.40 | ↓ -92% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $602.91 | ↓ -90% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $634.37 | ↓ -90% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $640.53 | ↓ -90% |
| Amerihealth | Local Value | $701.36 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $794.96 | ↓ -87% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $794.96 | ↓ -87% |
| Amerihealth | Regional Preferred | $809.12 | ↓ -87% |
| United Healthcare | Oxford Metro | $3,392.00 | ↓ -46% |
| United Healthcare | Oxford Commercial | $4,026.00 | ↓ -36% |
| United Healthcare | Nexus | $4,282.00 | ↓ -32% |
| Aetna | HMO | $4,294.00 | ↓ -32% |
| Aetna | PPO | $4,294.00 | ↓ -32% |
| United Healthcare | Commercial | $4,875.00 | ↓ -23% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $75.09 – $75.09 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $303.61 – $303.61 |
| Trinitas Regional Medical Center | Elizabeth | not published | $72.94 – $912.99 |
| Jersey City Medical Center | Jersey City | not published | $94.39 – $94.39 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $105.30 – $105.30 |
| Ocean University Medical Center | Brick | not published | $103.17 – $103.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $105.30 – $105.30 |