Lap esophageal lengthening addl 43283 at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
not published by hospital
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.
not published by hospital
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.
$83.14 with Wellpoint vs $9,057.00 with Qualcare Inc — 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 | $83.14 | — |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $105.23 | — |
| Aetna | HMO | $4,294.00 | — |
| Aetna | PPO | $4,294.00 | — |
| United Healthcare | Oxford Metro | $5,939.00 | — |
| United Healthcare | Oxford Commercial | $7,048.00 | — |
| United Healthcare | Nexus | $7,495.00 | — |
| United Healthcare | Commercial | $8,534.00 | — |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | — |
| Aetna | Better Health | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Fidelis Care | NJ Family Care | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
Visitor-reported prices
Comments
Lap esophageal lengthening addl 43283 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $78.52 – $3,651.96 |
| Cooperman Barnabas Medical Center | Livingston | not published | $115.69 – $115.69 |
| Community Medical Center | Toms River | not published | $118.47 – $118.47 |
| Clara Maass Medical Center | Belleville | not published | $114.29 – $114.29 |
| Newark Beth Israel Medical Center | Newark | not published | $80.83 – $209.77 |
| Jersey City Medical Center | Jersey City | not published | $101.61 – $125.44 |
| Monmouth Medical Center | Long Branch | not published | $228.58 – $228.58 |
| Bayshore Medical Center | Holmdel | not published | not published |