CMS Price Transparency Data

Hospital observation (per hour)

Facility: Robert Wood Johnson University Hospital - Somerset

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $5,564
Cash Discount Price: $930
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Robert Wood Johnson University Hospital - Somerset is $5,564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $930. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 110 Rehill Ave, Somerville, NJ.

Cash / Self-Pay

$930

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,564

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$43 - $11,045	N/A
Fidelis Care	$45 - $817	N/A
Aetna	$47 - $11,330	N/A
First Health	$180 - $3,300	N/A
Blue Cross Blue Shield	$273 - $10,917	N/A
Wellpoint	$1,750	N/A
Emblem Health	$5,305	N/A
Qualcare Inc	$5,564	N/A
Cigna	$7,879 - $10,544	N/A
Amerihealth	$8,629 - $9,698	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $930.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Robert Wood Johnson University Hospital - Somerset is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.