Ins pm gen w/exist mlt leads 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.
$24,706.00
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.
$189.45 with Wellpoint vs $41,476.56 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 | $189.45 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $228.86 | ↓ -96% |
| United Healthcare | Community Plan | $3,570.01 | ↓ -43% |
| Fidelis Care | NJ Family Care | $3,671.31 | ↓ -42% |
| Aetna | Better Health | $3,908.48 | ↓ -38% |
| Aetna | PPO | $7,036.00 | ↑ +11% |
| Aetna | HMO | $7,036.00 | ↑ +11% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
| United Healthcare | Oxford Metro | $9,331.00 | ↑ +48% |
| United Healthcare | Oxford Commercial | $11,074.00 | ↑ +75% |
| United Healthcare | Nexus | $11,774.00 | ↑ +87% |
| United Healthcare | Commercial | $13,407.00 | ↑ +112% |
| First Health | Commercial | $14,823.60 | ↑ +135% |
| Cigna | Local Plus | $19,351.00 | ↑ +207% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $20,842.49 | ↑ +230% |
| Fidelis Care | Medicare Advantage | $20,842.49 | ↑ +230% |
| Aetna | Medicare | $20,842.49 | ↑ +230% |
| Wellpoint | Medicare Advantage | $20,842.49 | ↑ +230% |
| Humana | Medicare | $20,842.49 | ↑ +230% |
| Clover Health | Medicare Advantage | $20,842.49 | ↑ +230% |
| United Healthcare | Medicare | $21,259.34 | ↑ +237% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $22,482.46 | ↑ +256% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $22,601.04 | ↑ +258% |
| Cigna | HMO | $24,588.00 | ↑ +290% |
| Cigna | PPO | $25,897.00 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $32,357.00 | ↑ +413% |
| Emblem Health | Commercial | $36,474.36 | ↑ +478% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $38,498.00 | ↑ +510% |
| 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% |
| Wellcare | Ambetter Health Commercial | $41,476.56 | ↑ +557% |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $178.93 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $251.59 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $257.65 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $248.56 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $184.19 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $231.55 – $44,694.09 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $497.12 – $42,007.11 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |