Gu dilat ureter/urethra s&i at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$790.75
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.
$4,679.00
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.
$65.60 with Wellpoint vs $4,455.17 with Wellcare — 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 | $65.60 | ↓ -92% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $148.17 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $148.17 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $148.17 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $148.17 | ↓ -81% |
| Aetna | PPO | $214.62 | ↓ -73% |
| Aetna | HMO | $214.62 | ↓ -73% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $346.83 | ↓ -56% |
| Cigna | HMO | $421.85 | ↓ -47% |
| Cigna | Local Plus | $421.85 | ↓ -47% |
| Cigna | PPO | $421.85 | ↓ -47% |
| United Healthcare | Community Plan | $676.11 | ↓ -14% |
| Fidelis Care | NJ Family Care | $695.29 | ↓ -12% |
| Aetna | Better Health | $740.21 | ↓ -6% |
| Humana | Medicare | $2,238.78 | ↑ +183% |
| Wellpoint | Medicare Advantage | $2,238.78 | ↑ +183% |
| Clover Health | Medicare Advantage | $2,238.78 | ↑ +183% |
| Fidelis Care | Medicare Advantage | $2,238.78 | ↑ +183% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $2,238.78 | ↑ +183% |
| Aetna | Medicare | $2,238.78 | ↑ +183% |
| United Healthcare | Medicare | $2,283.56 | ↑ +189% |
| United Healthcare | Oxford Metro | $2,485.54 | ↑ +214% |
| United Healthcare | Nexus | $2,485.54 | ↑ +214% |
| United Healthcare | Oxford Commercial | $2,799.05 | ↑ +254% |
| United Healthcare | Commercial | $2,799.05 | ↑ +254% |
| First Health | Commercial | $2,807.40 | ↑ +255% |
| Qualcare Inc | HMO/PPO/WC | $3,556.04 | ↑ +350% |
| Emblem Health | Commercial | $3,917.87 | ↑ +395% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,280.34 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,280.34 | ↑ +441% |
| Wellcare | Ambetter Health Commercial | $4,455.17 | ↑ +463% |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $706.50 | $46.60 – $4,477.56 |
| Cooperman Barnabas Medical Center | Livingston | $621.29 | $148.17 – $4,596.52 |
| Community Medical Center | Toms River | $780.65 | $148.17 – $4,455.17 |
| Newark Beth Israel Medical Center | Newark | $610.73 | $63.78 – $4,596.52 |
| Monmouth Medical Center | Long Branch | $823.56 | $197.56 – $4,512.15 |
| Bayshore Medical Center | Holmdel | $2,267.41 | $184.47 – $4,854.52 |
| Hackensack University Medical Center | Hackensack | $2,412.45 | $227.06 – $5,544.82 |
| Ocean University Medical Center | Brick | $2,238.78 | $184.47 – $2,238.78 |