Vital capacity test at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$43.94
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.
$260.00
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.
$3.96 with Wellpoint vs $672.00 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 | $3.96 | ↓ -91% |
| United Healthcare | Community Plan | $37.57 | ↓ -14% |
| Fidelis Care | NJ Family Care | $38.63 | ↓ -12% |
| Aetna | Better Health | $41.13 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $98.15 | ↑ +123% |
| Cigna | Local Plus | $136.31 | ↑ +210% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $151.89 | ↑ +246% |
| First Health | Commercial | $156.00 | ↑ +255% |
| Aetna | Medicare | $170.99 | ↑ +289% |
| Humana | Medicare | $170.99 | ↑ +289% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $170.99 | ↑ +289% |
| Clover Health | Medicare Advantage | $170.99 | ↑ +289% |
| Fidelis Care | Medicare Advantage | $170.99 | ↑ +289% |
| Wellpoint | Medicare Advantage | $170.99 | ↑ +289% |
| Cigna | HMO | $173.21 | ↑ +294% |
| United Healthcare | Medicare | $174.41 | ↑ +297% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $180.38 | ↑ +311% |
| Cigna | PPO | $182.44 | ↑ +315% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $189.80 | ↑ +332% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $191.64 | ↑ +336% |
| Qualcare Inc | HMO/PPO/WC | $197.60 | ↑ +350% |
| Aetna | HMO | $215.80 | ↑ +391% |
| Aetna | PPO | $215.80 | ↑ +391% |
| Amerihealth | Local Value | $222.71 | ↑ +407% |
| Amerihealth | Regional Preferred | $222.71 | ↑ +407% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $237.84 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $237.84 | ↑ +441% |
| Emblem Health | Commercial | $299.23 | ↑ +581% |
| Wellcare | Ambetter Health Commercial | $340.27 | ↑ +674% |
| United Healthcare | Oxford Metro | $436.00 | ↑ +892% |
| United Healthcare | Oxford Commercial | $517.00 | ↑ +1077% |
| United Healthcare | Nexus | $590.00 | ↑ +1243% |
| United Healthcare | Commercial | $672.00 | ↑ +1429% |
Visitor-reported prices
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Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Community Medical Center | Toms River | $84.20 | $110.50 – $340.27 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Monmouth Medical Center | Long Branch | $88.83 | $173.18 – $344.63 |