Special physics consult at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$492.12
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.
$2,912.00
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.
$80.54 with Wellpoint vs $4,091.00 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $80.54 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $96.43 | ↓ -80% |
| Wellpoint | Medicare Advantage | $145.10 | ↓ -71% |
| Humana | Medicare | $145.10 | ↓ -71% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $145.10 | ↓ -71% |
| Fidelis Care | Medicare Advantage | $145.10 | ↓ -71% |
| Aetna | Medicare | $145.10 | ↓ -71% |
| Clover Health | Medicare Advantage | $145.10 | ↓ -71% |
| United Healthcare | Medicare | $148.00 | ↓ -70% |
| Emblem Health | Commercial | $253.93 | ↓ -48% |
| Wellcare | Ambetter Health Commercial | $288.75 | ↓ -41% |
| Aetna | PPO | $406.00 | ↓ -17% |
| Aetna | HMO | $406.00 | ↓ -17% |
| United Healthcare | Community Plan | $420.78 | ↓ -14% |
| Fidelis Care | NJ Family Care | $432.72 | ↓ -12% |
| Aetna | Better Health | $460.67 | ↓ -6% |
| Cigna | Local Plus | $1,526.76 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,701.19 | ↑ +246% |
| First Health | Commercial | $1,747.20 | ↑ +255% |
| Cigna | HMO | $1,939.97 | ↑ +294% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,020.34 | ↑ +311% |
| Cigna | PPO | $2,043.35 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,125.76 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,146.43 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $2,213.12 | ↑ +350% |
| United Healthcare | Oxford Metro | $2,219.00 | ↑ +351% |
| Amerihealth | Regional Preferred | $2,494.41 | ↑ +407% |
| Amerihealth | Local Value | $2,494.41 | ↑ +407% |
| United Healthcare | Oxford Commercial | $2,634.00 | ↑ +435% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,663.89 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,663.89 | ↑ +441% |
| United Healthcare | Nexus | $3,593.00 | ↑ +630% |
| United Healthcare | Commercial | $4,091.00 | ↑ +731% |
Visitor-reported prices
Comments
Special physics consult at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $324.72 | $76.06 – $491.06 |
| Cooperman Barnabas Medical Center | Livingston | $415.74 | $96.43 – $597.00 |
| Community Medical Center | Toms River | $358.80 | $96.43 – $288.75 |
| Clara Maass Medical Center | Belleville | $579.19 | $96.43 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $408.68 | $78.30 – $597.00 |
| Jersey City Medical Center | Jersey City | $359.49 | $96.43 – $521.31 |
| Monmouth Medical Center | Long Branch | $378.52 | $96.43 – $597.00 |
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $21,431.00 |