Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$52.89
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.
$313.00
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.
$32.40 with Wellpoint vs $442.34 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 | $32.40 | ↓ -39% |
| United Healthcare | Community Plan | $45.22 | ↓ -15% |
| Fidelis Care | NJ Family Care | $46.51 | ↓ -12% |
| Aetna | Better Health | $49.51 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $149.49 | ↑ +183% |
| Cigna | Local Plus | $164.10 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $182.85 | ↑ +246% |
| First Health | Commercial | $187.80 | ↑ +255% |
| Cigna | HMO | $208.52 | ↑ +294% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $217.15 | ↑ +311% |
| Cigna | PPO | $219.63 | ↑ +315% |
| Aetna | Medicare | $222.28 | ↑ +320% |
| Humana | Medicare | $222.28 | ↑ +320% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $222.28 | ↑ +320% |
| Clover Health | Medicare Advantage | $222.28 | ↑ +320% |
| Fidelis Care | Medicare Advantage | $222.28 | ↑ +320% |
| Wellpoint | Medicare Advantage | $222.28 | ↑ +320% |
| United Healthcare | Medicare | $226.73 | ↑ +329% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $228.49 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $230.71 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $237.88 | ↑ +350% |
| Aetna | HMO | $259.79 | ↑ +391% |
| Aetna | PPO | $259.79 | ↑ +391% |
| Amerihealth | Local Value | $268.11 | ↑ +407% |
| Amerihealth | Regional Preferred | $268.11 | ↑ +407% |
| United Healthcare | Oxford Metro | $281.00 | ↑ +431% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $286.33 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $286.33 | ↑ +441% |
| United Healthcare | Oxford Commercial | $333.00 | ↑ +530% |
| United Healthcare | Nexus | $377.00 | ↑ +613% |
| Emblem Health | Commercial | $388.99 | ↑ +635% |
| United Healthcare | Commercial | $430.00 | ↑ +713% |
| Wellcare | Ambetter Health Commercial | $442.34 | ↑ +736% |
Visitor-reported prices
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Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $30.60 – $444.56 |
| Cooperman Barnabas Medical Center | Livingston | $139.64 | $164.34 – $456.38 |
| Clara Maass Medical Center | Belleville | $62.25 | $162.36 – $454.10 |
| Monmouth Medical Center | Long Branch | $88.83 | $225.12 – $447.99 |
| Bayshore Medical Center | Holmdel | $225.12 | $225.12 – $770.00 |
| Hackensack University Medical Center | Hackensack | $239.52 | $91.58 – $794.00 |
| Ocean University Medical Center | Brick | $222.28 | $89.68 – $317.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $225.32 | $91.58 – $342.00 |