MRI breast c- unilateral 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.
?
What you pay up front if you don't use insurance.
$2,218.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$120.26 with Wellpoint vs $2,917.00 with Qualcare Inc — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $120.26 | — |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $182.60 | — |
| Wellpoint | Medicare Advantage | $264.17 | — |
| Humana | Medicare | $264.17 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $264.17 | — |
| Fidelis Care | Medicare Advantage | $264.17 | — |
| Aetna | Medicare | $264.17 | — |
| Clover Health | Medicare Advantage | $264.17 | — |
| United Healthcare | Medicare | $269.45 | — |
| United Healthcare | Oxford Metro | $312.92 | — |
| United Healthcare | Nexus | $312.92 | — |
| Cigna | Local Plus | $326.00 | — |
| United Healthcare | Oxford Commercial | $368.20 | — |
| United Healthcare | Commercial | $368.20 | — |
| Aetna | PPO | $400.25 | — |
| Aetna | HMO | $400.25 | — |
| Cigna | HMO | $414.00 | — |
| Cigna | PPO | $436.00 | — |
| Emblem Health | Commercial | $462.30 | — |
| Wellcare | Ambetter Health Commercial | $525.70 | — |
| Amerihealth | Local Value | $995.76 | — |
| Amerihealth | Regional Preferred | $995.76 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,202.28 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,202.28 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,202.28 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,202.28 | — |
| Qualcare Inc | HMO/PPO/WC | $2,917.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Aetna | Better Health | 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 | — |
| Self Pay | Self Pay | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $165.53 – $4,332.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $4,332.00 |
| Palisades Medical Center | North Bergen | $284.66 | $182.60 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $4,332.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $4,332.00 |