Hdr rdncl ntrstl/icav brchtx at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$927.47
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.
$5,488.00
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.
$497.98 with Wellpoint vs $5,020.42 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 | $497.98 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $682.00 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $758.25 | ↓ -18% |
| Aetna | Medicare | $758.25 | ↓ -18% |
| Humana | Medicare | $758.25 | ↓ -18% |
| Fidelis Care | Medicare Advantage | $758.25 | ↓ -18% |
| Clover Health | Medicare Advantage | $758.25 | ↓ -18% |
| Wellpoint | Medicare Advantage | $758.25 | ↓ -18% |
| United Healthcare | Medicare | $773.42 | ↓ -17% |
| United Healthcare | Community Plan | $793.01 | ↓ -14% |
| Fidelis Care | NJ Family Care | $815.51 | ↓ -12% |
| Aetna | Better Health | $868.20 | ↓ -6% |
| Emblem Health | Commercial | $1,326.94 | ↑ +43% |
| Cigna | Local Plus | $1,451.00 | ↑ +56% |
| Wellcare | Ambetter Health Commercial | $1,508.92 | ↑ +63% |
| Cigna | HMO | $1,844.00 | ↑ +99% |
| Cigna | PPO | $1,942.00 | ↑ +109% |
| United Healthcare | Oxford Metro | $2,219.00 | ↑ +139% |
| United Healthcare | Oxford Commercial | $2,634.00 | ↑ +184% |
| Amerihealth | Local Value | $2,663.00 | ↑ +187% |
| Amerihealth | Regional Preferred | $2,663.00 | ↑ +187% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,206.08 | ↑ +246% |
| First Health | Commercial | $3,292.80 | ↑ +255% |
| Aetna | PPO | $3,577.00 | ↑ +286% |
| Aetna | HMO | $3,577.00 | ↑ +286% |
| United Healthcare | Nexus | $3,593.00 | ↑ +287% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,807.57 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,006.24 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,045.20 | ↑ +336% |
| United Healthcare | Commercial | $4,091.00 | ↑ +341% |
| Qualcare Inc | HMO/PPO/WC | $4,170.88 | ↑ +350% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,020.42 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,020.42 | ↑ +441% |
Visitor-reported prices
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Hdr rdncl ntrstl/icav brchtx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,565.60 | $470.31 – $2,530.57 |
| Cooperman Barnabas Medical Center | Livingston | $2,159.47 | $778.40 – $2,790.00 |
| Community Medical Center | Toms River | $1,729.92 | $758.25 – $2,661.00 |
| Clara Maass Medical Center | Belleville | $1,091.56 | $778.40 – $2,663.00 |
| Newark Beth Israel Medical Center | Newark | $2,122.78 | $484.14 – $2,663.00 |
| Monmouth Medical Center | Long Branch | $1,825.01 | $767.95 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $767.95 | $767.95 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $817.07 | $653.66 – $3,250.00 |