Lithotripsy transluminal coronary percutaneous at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$101.40
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.
$600.00
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.
$76.17 with Wellpoint vs $45,319.00 with Cigna — 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 | $76.17 | ↓ -25% |
| United Healthcare | Community Plan | $86.70 | ↓ -14% |
| Fidelis Care | NJ Family Care | $89.16 | ↓ -12% |
| Aetna | Better Health | $94.92 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $117.12 | ↑ +16% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $350.52 | ↑ +246% |
| First Health | Commercial | $360.00 | ↑ +255% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $416.28 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $438.00 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $442.26 | ↑ +336% |
| Amerihealth | Regional Preferred | $513.96 | ↑ +407% |
| Amerihealth | Local Value | $513.96 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $548.88 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $548.88 | ↑ +441% |
| Aetna | HMO | $4,294.00 | ↑ +4135% |
| Aetna | PPO | $4,294.00 | ↑ +4135% |
| United Healthcare | Oxford Metro | $6,779.00 | ↑ +6585% |
| United Healthcare | Oxford Commercial | $8,045.00 | ↑ +7834% |
| Qualcare Inc | HMO/PPO/WC | $9,057.00 | ↑ +8832% |
| United Healthcare | Nexus | $9,147.00 | ↑ +8921% |
| United Healthcare | Commercial | $10,414.00 | ↑ +10170% |
| Cigna | Local Plus | $33,863.00 | ↑ +33295% |
| Cigna | HMO | $43,028.00 | ↑ +42334% |
| Cigna | PPO | $45,319.00 | ↑ +44593% |
Visitor-reported prices
Comments
Lithotripsy transluminal coronary percutaneous at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $261.36 – $261.36 |
| Ocean University Medical Center | Brick | not published | $60.38 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $60.38 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | not published | $254.29 – $254.29 |
| Palisades Medical Center | North Bergen | not published | $152.80 – $261.36 |
| Raritan Bay Medical Center | Perth Amboy | not published | $193.91 – $261.36 |
| Riverview Medical Center | Red Bank | not published | $254.29 – $254.29 |