X-ray exam of mastoids at Robert Wood Johnson University Hospital Somerset
110 Rehill Ave, Somerville, NJ · RWJBarnabas Health · · NPI 1003236878
$44.61
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.
$264.00
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.
$21.17 with Wellpoint vs $241.50 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 | $21.17 | ↓ -53% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $28.24 | ↓ -37% |
| United Healthcare | Community Plan | $38.14 | ↓ -15% |
| Fidelis Care | NJ Family Care | $39.23 | ↓ -12% |
| Aetna | Better Health | $41.76 | ↓ -6% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $43.14 | ↓ -3% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $43.14 | ↓ -3% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $43.14 | ↓ -3% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $43.14 | ↓ -3% |
| Amerihealth | Regional Preferred | $46.15 | ↑ +3% |
| Amerihealth | Local Value | $46.15 | ↑ +3% |
| Aetna | PPO | $80.52 | ↑ +80% |
| Aetna | HMO | $80.52 | ↑ +80% |
| Aetna | Medicare | $116.22 | ↑ +161% |
| Wellpoint | Medicare Advantage | $116.22 | ↑ +161% |
| Clover Health | Medicare Advantage | $116.22 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $116.22 | ↑ +161% |
| Fidelis Care | Medicare Advantage | $116.22 | ↑ +161% |
| Humana | Medicare | $116.22 | ↑ +161% |
| United Healthcare | Medicare | $118.54 | ↑ +166% |
| United Healthcare | Nexus | $143.22 | ↑ +221% |
| United Healthcare | Oxford Metro | $143.22 | ↑ +221% |
| Cigna | PPO | $154.37 | ↑ +246% |
| Cigna | HMO | $154.37 | ↑ +246% |
| Cigna | Local Plus | $154.37 | ↑ +246% |
| First Health | Commercial | $158.40 | ↑ +255% |
| United Healthcare | Commercial | $177.09 | ↑ +297% |
| United Healthcare | Oxford Commercial | $177.09 | ↑ +297% |
| Qualcare Inc | HMO/PPO/WC | $200.64 | ↑ +350% |
| Emblem Health | Commercial | $203.39 | ↑ +356% |
| Wellcare | Ambetter Health Commercial | $231.28 | ↑ +418% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $241.50 | ↑ +441% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $241.50 | ↑ +441% |
Visitor-reported prices
Comments
X-ray exam of mastoids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $58.18 | $19.99 – $232.44 |
| Childrens Specialized Hospital | Mountainside | $120.50 | $17.22 – $655.00 |
| Jersey City Medical Center | Jersey City | $64.41 | $25.87 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $25.60 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $58.70 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $46.88 – $123.59 |