Pq biliary strict dil s&i at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$344.08
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.
$2,036.00
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.
$126.44 with Wellpoint vs $1,862.53 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $126.44 | ↓ -63% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $292.25 | ↓ -15% |
| United Healthcare | Community Plan | $294.20 | ↓ -14% |
| Fidelis Care | NJ Family Care | $302.54 | ↓ -12% |
| Aetna | Better Health | $322.09 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $402.35 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $402.35 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $402.35 | ↑ +17% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $402.35 | ↑ +17% |
| First Health | Commercial | $1,221.60 | ↑ +255% |
| Qualcare Inc | HMO/PPO/WC | $1,547.36 | ↑ +350% |
| Aetna | HMO | $1,689.88 | ↑ +391% |
| Aetna | PPO | $1,689.88 | ↑ +391% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,862.53 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,862.53 | ↑ +441% |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $296.19 | $119.41 – $463.32 |
| Community Medical Center | Toms River | $327.27 | $292.25 – $292.25 |
| Clara Maass Medical Center | Belleville | $404.96 | $292.25 – $292.25 |
| Newark Beth Israel Medical Center | Newark | $440.76 | $122.92 – $664.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $333.70 | $292.25 – $292.25 |
| Monmouth Medical Center Southern Campus | Lakewood | $375.09 | $292.25 – $664.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $451.34 | $96.46 – $292.25 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $262.64 | $292.25 – $292.25 |