Insert pm/icd lead dual 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.
$17,675.00
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.
$195.71 with Wellpoint vs $40,942.00 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 | $195.71 | ↓ -97% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $371.46 | ↓ -94% |
| United Healthcare | Community Plan | $2,554.03 | ↓ -60% |
| Fidelis Care | NJ Family Care | $2,626.50 | ↓ -58% |
| Aetna | Better Health | $2,796.18 | ↓ -56% |
| Aetna | PPO | $7,991.00 | ↑ +27% |
| Aetna | HMO | $7,991.00 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $9,044.65 | ↑ +43% |
| Clover Health | Medicare Advantage | $9,044.65 | ↑ +43% |
| Fidelis Care | Medicare Advantage | $9,044.65 | ↑ +43% |
| Humana | Medicare | $9,044.65 | ↑ +43% |
| Wellpoint | Medicare Advantage | $9,044.65 | ↑ +43% |
| Aetna | Medicare | $9,044.65 | ↑ +43% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +44% |
| United Healthcare | Medicare | $9,225.54 | ↑ +46% |
| United Healthcare | Oxford Metro | $9,331.00 | ↑ +48% |
| First Health | Commercial | $10,605.00 | ↑ +68% |
| United Healthcare | Oxford Commercial | $11,074.00 | ↑ +75% |
| United Healthcare | Nexus | $11,774.00 | ↑ +87% |
| United Healthcare | Commercial | $13,407.00 | ↑ +112% |
| Emblem Health | Commercial | $15,828.14 | ↑ +151% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $16,084.25 | ↑ +155% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $16,169.09 | ↑ +156% |
| Wellcare | Ambetter Health Commercial | $17,998.85 | ↑ +185% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $32,357.00 | ↑ +413% |
| 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% |
| Cigna | Local Plus | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $184.83 – $18,089.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $408.36 – $18,569.98 |
| Community Medical Center | Toms River | $3,786.00 | $418.20 – $17,998.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $403.44 – $18,477.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $190.27 – $18,569.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $239.20 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $806.88 – $18,229.10 |
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |