Observation direct referral from physician office for admission at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$295.75
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.
$1,750.00
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.
$252.87 with United Healthcare vs $11,330.00 with Aetna — 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 | $252.87 | ↓ -14% |
| Fidelis Care | NJ Family Care | $260.05 | ↓ -12% |
| Aetna | Better Health | $276.85 | ↓ -6% |
| Clover Health | Medicare Advantage | $670.04 | ↑ +127% |
| Humana | Medicare | $670.04 | ↑ +127% |
| Aetna | Medicare | $670.04 | ↑ +127% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $670.04 | ↑ +127% |
| Fidelis Care | Medicare Advantage | $670.04 | ↑ +127% |
| Wellpoint | Medicare Advantage | $670.04 | ↑ +127% |
| United Healthcare | Medicare | $683.44 | ↑ +131% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,022.35 | ↑ +246% |
| First Health | Commercial | $1,050.00 | ↑ +255% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,214.15 | ↑ +311% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,277.50 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,289.92 | ↑ +336% |
| Wellcare | Ambetter Health Commercial | $1,333.38 | ↑ +351% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,449.00 | ↑ +390% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,592.50 | ↑ +438% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,600.90 | ↑ +441% |
| Wellpoint | NJ Family Care | $1,750.00 | ↑ +492% |
| Emblem Health | Commercial | $5,305.00 | ↑ +1694% |
| Qualcare Inc | HMO/PPO/WC | $5,564.00 | ↑ +1781% |
| Cigna | Local Plus | $7,879.00 | ↑ +2564% |
| United Healthcare | Oxford Metro | $8,315.00 | ↑ +2711% |
| Amerihealth | Local Value | $8,629.00 | ↑ +2818% |
| Amerihealth | Regional Preferred | $9,698.00 | ↑ +3179% |
| United Healthcare | Nexus | $9,700.00 | ↑ +3180% |
| United Healthcare | Oxford Commercial | $9,868.00 | ↑ +3237% |
| Cigna | HMO | $10,011.00 | ↑ +3285% |
| Cigna | PPO | $10,544.00 | ↑ +3465% |
| United Healthcare | Commercial | $11,045.00 | ↑ +3635% |
| Aetna | PPO | $11,330.00 | ↑ +3731% |
| Aetna | HMO | $11,330.00 | ↑ +3731% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $670.04 – $8,116.00 |
| Cooperman Barnabas Medical Center | Livingston | $370.82 | $687.85 – $8,203.00 |
| Community Medical Center | Toms River | $362.95 | $670.04 – $7,757.00 |
| Clara Maass Medical Center | Belleville | $348.07 | $687.85 – $4,982.00 |
| Newark Beth Israel Medical Center | Newark | $364.52 | $687.85 – $6,387.00 |
| Jersey City Medical Center | Jersey City | $363.65 | $722.02 – $5,761.00 |
| Monmouth Medical Center | Long Branch | $382.90 | $678.62 – $7,121.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $679.20 | $613.10 – $5,179.00 |