Ortho hnd without jnt w/fit&adj at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$247.72
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.
$1,465.80
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.
$182.57 with Wellpoint vs $879.48 with First Health — 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 | $182.57 | ↓ -26% |
| United Healthcare | Community Plan | $211.80 | ↓ -15% |
| Fidelis Care | NJ Family Care | $217.81 | ↓ -12% |
| Aetna | Better Health | $231.88 | ↓ -6% |
| Aetna | Medicare | $289.86 | ↑ +17% |
| Fidelis Care | Medicare Advantage | $289.86 | ↑ +17% |
| Humana | Medicare | $289.86 | ↑ +17% |
| Wellpoint | Medicare Advantage | $289.86 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $289.86 | ↑ +17% |
| Clover Health | Medicare Advantage | $289.86 | ↑ +17% |
| United Healthcare | Medicare | $295.66 | ↑ +19% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $419.21 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $419.21 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $419.21 | ↑ +69% |
| United Healthcare | Nexus | $419.21 | ↑ +69% |
| United Healthcare | Commercial | $419.21 | ↑ +69% |
| United Healthcare | Oxford Commercial | $419.21 | ↑ +69% |
| United Healthcare | Oxford Metro | $419.21 | ↑ +69% |
| Amerihealth | Local Value | $419.21 | ↑ +69% |
| Amerihealth | Regional Preferred | $419.21 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $419.21 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $419.21 | ↑ +69% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $425.08 | ↑ +72% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $425.08 | ↑ +72% |
| Qualcare Inc | HMO/PPO/WC | $483.71 | ↑ +95% |
| Aetna | HMO | $483.71 | ↑ +95% |
| Aetna | PPO | $483.71 | ↑ +95% |
| Cigna | HMO | $498.37 | ↑ +101% |
| Cigna | PPO | $498.37 | ↑ +101% |
| Cigna | Local Plus | $498.37 | ↑ +101% |
| Emblem Health | Commercial | $507.26 | ↑ +105% |
| Wellcare | Ambetter Health Commercial | $576.82 | ↑ +133% |
| First Health | Commercial | $879.48 | ↑ +255% |
Visitor-reported prices
Comments
Ortho hnd without jnt w/fit&adj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $275.13 | $172.43 – $576.82 |
| Cooperman Barnabas Medical Center | Livingston | $221.85 | $289.86 – $579.72 |
| Community Medical Center | Toms River | $217.14 | $289.86 – $576.82 |
| Clara Maass Medical Center | Belleville | $208.24 | $289.86 – $576.82 |
| Newark Beth Israel Medical Center | Newark | $218.09 | $177.50 – $576.82 |
| Jersey City Medical Center | Jersey City | $217.56 | $223.15 – $576.82 |
| Monmouth Medical Center | Long Branch | $229.08 | $289.86 – $576.82 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $240.24 | $289.86 – $576.82 |