Manipulation chest wall demonstration/evaluation subsequent at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$34.81
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.
$206.00
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.
$29.76 with United Healthcare vs $430.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $29.76 | ↓ -15% |
| Wellpoint | NJ Family Care | $30.61 | ↓ -12% |
| Fidelis Care | NJ Family Care | $30.61 | ↓ -12% |
| Aetna | Better Health | $32.58 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $63.42 | ↑ +82% |
| Cigna | Local Plus | $108.00 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $120.34 | ↑ +246% |
| First Health | Commercial | $123.60 | ↑ +255% |
| Cigna | HMO | $137.23 | ↑ +294% |
| Aetna | Medicare | $140.87 | ↑ +305% |
| Humana | Medicare | $140.87 | ↑ +305% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $140.87 | ↑ +305% |
| Clover Health | Medicare Advantage | $140.87 | ↑ +305% |
| Fidelis Care | Medicare Advantage | $140.87 | ↑ +305% |
| Wellpoint | Medicare Advantage | $140.87 | ↑ +305% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $142.92 | ↑ +311% |
| United Healthcare | Medicare | $143.69 | ↑ +313% |
| Cigna | PPO | $144.55 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $150.38 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $151.84 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $156.56 | ↑ +350% |
| Aetna | HMO | $170.98 | ↑ +391% |
| Aetna | PPO | $170.98 | ↑ +391% |
| Amerihealth | Local Value | $176.45 | ↑ +407% |
| Amerihealth | Regional Preferred | $176.45 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $188.44 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $188.44 | ↑ +441% |
| Emblem Health | Commercial | $246.52 | ↑ +608% |
| Wellcare | Ambetter Health Commercial | $280.33 | ↑ +705% |
| United Healthcare | Oxford Metro | $281.00 | ↑ +707% |
| United Healthcare | Oxford Commercial | $333.00 | ↑ +857% |
| United Healthcare | Nexus | $377.00 | ↑ +983% |
| United Healthcare | Commercial | $430.00 | ↑ +1135% |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $40.54 | $99.72 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $65.47 | $69.72 – $289.24 |
| Community Medical Center | Toms River | $44.79 | $71.40 – $280.33 |
| Clara Maass Medical Center | Belleville | $40.97 | $68.88 – $287.79 |
| Childrens Specialized Hospital | Mountainside | $56.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $64.36 | $126.42 – $289.24 |
| Jersey City Medical Center | Jersey City | $44.88 | $75.60 – $302.08 |
| Monmouth Medical Center | Long Branch | $47.26 | $137.76 – $283.91 |