CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Robert Wood Johnson University Hospital - Somerset

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,599
about 1.7× the $14,117 Medicare rate · typically $17,795–$38,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,880
Above the fair price
about $13,281 over the fair price · 2.7× Medicare
Medicare pays $14,117 Fair price $24,599 This hospital $37,880 Cash price $2,486

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $15,248 Priciest $37,880

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $24,599 (about 1.7× the $14,117 Medicare rate). Robert Wood Johnson University Hospital - Somerset charges insurers about $37,880, or about $2,486 in cash — above the fair price. Located in Somerville, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $24,599. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $16,592 - $69,874 118%
Blue Cross Blue Shieldmajor $6,377 - $49,845 45%
Aetnamajor $16,266 - $56,165 115%
Cignamajor $36,287 - $48,562 257%
Humanamajor $16,266 115%
AmeriHealth $32,301 - $40,483 229%
Clover Health $16,266 115%
Fidelis Care $16,266 115%
WellCare $32,370 229%
+ 2 smaller / regional plans $5,565 - $25,666

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 110 Rehill Ave, Somerville, NJ 08876
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals