Ins pm gen exist dual lead 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.
?
What you pay up front if you don't use insurance.
$29,078.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$197.90 with Wellpoint vs $55,450.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $197.90 | ↓ -97% |
| United Healthcare | Community Plan | $4,201.77 | ↓ -33% |
| Fidelis Care | NJ Family Care | $4,320.99 | ↓ -32% |
| Aetna | Better Health | $4,600.13 | ↓ -27% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $17,048.00 | ↑ +170% |
| First Health | Commercial | $17,446.80 | ↑ +176% |
| Cigna | Local Plus | $19,351.00 | ↑ +207% |
| Clover Health | Medicare Advantage | $24,530.99 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $24,530.99 | ↑ +289% |
| Fidelis Care | Medicare Advantage | $24,530.99 | ↑ +289% |
| Wellpoint | Medicare Advantage | $24,530.99 | ↑ +289% |
| Humana | Medicare | $24,530.99 | ↑ +289% |
| Aetna | Medicare | $24,530.99 | ↑ +289% |
| Cigna | HMO | $24,588.00 | ↑ +290% |
| United Healthcare | Medicare | $25,021.61 | ↑ +296% |
| Cigna | PPO | $25,897.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $26,600.55 | ↑ +321% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $26,600.55 | ↑ +321% |
| Amerihealth | Local Value | $26,630.00 | ↑ +322% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $32,357.00 | ↑ +413% |
| United Healthcare | Oxford Metro | $32,709.00 | ↑ +418% |
| Amerihealth | Regional Preferred | $33,286.00 | ↑ +427% |
| Aetna | HMO | $38,166.00 | ↑ +505% |
| Aetna | PPO | $38,166.00 | ↑ +505% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $38,498.00 | ↑ +510% |
| United Healthcare | Oxford Commercial | $38,821.00 | ↑ +515% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $40,549.00 | ↑ +543% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $40,942.00 | ↑ +549% |
| Emblem Health | Commercial | $42,929.23 | ↑ +580% |
| United Healthcare | Nexus | $48,699.00 | ↑ +672% |
| Wellcare | Ambetter Health Commercial | $48,816.67 | ↑ +674% |
| United Healthcare | Commercial | $55,450.00 | ↑ +779% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $186.90 – $49,061.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $25,182.83 – $50,365.66 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $192.40 – $50,365.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $241.88 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Bayshore Medical Center | Holmdel | $24,844.79 | $24,844.79 – $29,813.75 |