healthcosts.net
New Patient Office Visit (level 3) at Carrier Clinic
252 Route 601, Belle Mead, NJ · Hackensack Meridian Health · · NPI 1225039399
$209.20
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.
$523.00
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.
$60.06 with AETNA vs $261.50 with GHI BEACON — 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 |
|---|---|---|---|
| AETNA | MED ADV | $60.06 | ↓ -71% |
| HORIZON | MEDICAID | $61.14 | ↓ -71% |
| CLOVER | ALL PRODUCTS | $75.84 | ↓ -64% |
| AETNA | GATEKEEPER/NON-GATEKEEPER | $88.83 | ↓ -58% |
| BRIGHTON | ALL PRODUCTS | $204.40 | ↓ -2% |
| WELLCARE | ALL PRODUCTS | $230.12 | ↑ +10% |
| WELLCARE | FAMILYCARE | $230.12 | ↑ +10% |
| BEACON | MED ADV | $261.50 | ↑ +25% |
| BEACON | NON-HMO NETWORK | $261.50 | ↑ +25% |
| GHI BEACON | ALL PRODUCTS | $261.50 | ↑ +25% |
| WORKFORCE ASSISTANCE | ALL PRODUCTS | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICAID | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MED ADV | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | COMMERCIAL | not published by hospital | — |
| TRISTATE | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | ALL PRODUCTS | not published by hospital | — |
| NJDMHAS-DIVERSION PROGRAM | ALL PRODUCTS | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | MED ADV | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| EVERNORTH | ALL PRODUCTS | not published by hospital | — |
| CONCERN PLUS | ALL PRODUCTS | not published by hospital | — |
| COMPSYCH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | ALL PRODUCTS | not published by hospital | — |
| AETNA | BETTER HEALTH | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | $94.14 – $470.70 |
| Hackensack University Medical Center | Hackensack | not published | $99.00 – $1,870.00 |
| Ocean University Medical Center | Brick | not published | $94.14 – $1,788.28 |