Leg Vein Ultrasound (DVT study, both legs) at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$468.63
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.
$2,773.00
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.
$103.42 with Wellpoint vs $2,536.74 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 | $103.42 | ↓ -78% |
| Wellpoint | Medicare Advantage | $264.17 | ↓ -44% |
| Humana | Medicare | $264.17 | ↓ -44% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $264.17 | ↓ -44% |
| Aetna | Medicare | $264.17 | ↓ -44% |
| Clover Health | Medicare Advantage | $264.17 | ↓ -44% |
| Fidelis Care | Medicare Advantage | $264.17 | ↓ -44% |
| United Healthcare | Medicare | $269.45 | ↓ -43% |
| United Healthcare | Community Plan | $400.69 | ↓ -14% |
| Fidelis Care | NJ Family Care | $412.06 | ↓ -12% |
| Aetna | Better Health | $438.68 | ↓ -6% |
| Emblem Health | Commercial | $462.30 | ↓ -1% |
| Wellcare | Ambetter Health Commercial | $525.70 | ↑ +12% |
| United Healthcare | Oxford Metro | $607.00 | ↑ +30% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $681.01 | ↑ +45% |
| United Healthcare | Oxford Commercial | $719.00 | ↑ +53% |
| Cigna | HMO | $805.30 | ↑ +72% |
| Cigna | PPO | $805.30 | ↑ +72% |
| Cigna | Local Plus | $805.30 | ↑ +72% |
| United Healthcare | Nexus | $814.00 | ↑ +74% |
| United Healthcare | Commercial | $926.00 | ↑ +98% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,619.98 | ↑ +246% |
| First Health | Commercial | $1,663.80 | ↑ +255% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,923.90 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,024.29 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,043.97 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $2,107.48 | ↑ +350% |
| Aetna | PPO | $2,301.59 | ↑ +391% |
| Aetna | HMO | $2,301.59 | ↑ +391% |
| Amerihealth | Local Value | $2,375.35 | ↑ +407% |
| Amerihealth | Regional Preferred | $2,375.35 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,536.74 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,536.74 | ↑ +441% |
Visitor-reported prices
Comments
Leg Vein Ultrasound (DVT study, both legs) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $378.77 | $97.68 – $805.30 |
| Cooperman Barnabas Medical Center | Livingston | $634.00 | $271.19 – $805.30 |
| Community Medical Center | Toms River | $418.53 | $264.17 – $805.30 |
| Clara Maass Medical Center | Belleville | $460.25 | $271.19 – $805.30 |
| Newark Beth Israel Medical Center | Newark | $623.23 | $100.55 – $805.30 |
| Jersey City Medical Center | Jersey City | $419.34 | $126.40 – $805.30 |
| Monmouth Medical Center | Long Branch | $441.53 | $267.55 – $805.30 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |