Aco annual medicare visit (awv), initial g0438aco at Raritan Bay Medical Center

530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Sep 4, 2026

$206.14

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$517.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$68.76 with AETNA vs $502.99 with AMERIHEALTH — 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 →

Payer
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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
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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 MANAGED MEDICAID $68.76 ↓ -67%
CLOVER MEDICARE ADVANTAGE $93.06 ↓ -55%
SEOUL MEDICAL GROUP ALL PRODUCTS $107.02 ↓ -48%
AMERIGROUP MANAGED MEDICAID $206.14 ↑ +0%
WELLCARE MEDICARE ADVANTAGE $206.14 ↑ +0%
WELLCARE MANAGED MEDICAID $206.14 ↑ +0%
VACCN ALL PRODUCTS $206.14 ↑ +0%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $216.45 ↑ +5%
AMERIGROUP MEDICARE ADVANTAGE $220.57 ↑ +7%
AETNA MEDICARE ADVANTAGE $224.69 ↑ +9%
UNITED HEALTHCARE DSNP $247.37 ↑ +20%
KARNA MEDICARE ADVANTAGE $300.52 ↑ +46%
UNITED HEALTHCARE MANAGED MEDICAID $304.51 ↑ +48%
OXFORD ALL PRODUCTS $313.15 ↑ +52%
QUALCARE WORKERS COMP $343.81 ↑ +67%
ACTIVECARE FIRST MCO ALL PRODUCTS $387.75 ↑ +88%
BERGEN RISK ALL PRODUCTS $387.75 ↑ +88%
HORIZON OMNIA $394.99 ↑ +92%
HORIZON PIP $400.16 ↑ +94%
HORIZON WORKERS COMP $402.95 ↑ +95%
AETNA ASA $404.81 ↑ +96%
CIGNA BH $413.60 ↑ +101%
UNITED HEALTHCARE HMO $420.99 ↑ +104%
HORIZON INDEMNITY $434.44 ↑ +111%
MULTIPLAN - PHCS ALL PRODUCTS $439.45 ↑ +113%
AMERIHEALTH LOCAL HMO $447.46 ↑ +117%
AETNA HMO $465.30 ↑ +126%
BRIGHTON HEALTH PLAN ALL PRODUCTS $465.30 ↑ +126%
AETNA PPO $465.30 ↑ +126%
QUALCARE PPO $469.44 ↑ +128%
QUALCARE HMO $469.44 ↑ +128%
HORIZON SHP $482.36 ↑ +134%
HORIZON HMO $487.01 ↑ +136%
CIGNA PPO $494.41 ↑ +140%
CIGNA HMO $494.41 ↑ +140%
HORIZON PPO $499.42 ↑ +142%
AMERIHEALTH REGIONAL HMO $502.99 ↑ +144%
HORIZON MANAGED MEDICAID not published by hospital
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE not published by hospital

Visitor-reported prices

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Aco annual medicare visit (awv), initial g0438aco at other New-jersey hospitals

Hospital City Cash price Negotiated range
JFK Johnson Rehabilitation Institute (JRI) Edison $206.14 $206.14 – $300.52
Jersey Shore University Medical Center Neptune City $206.14 $164.91 – $289.84
Palisades Medical Center North Bergen $206.14 $206.14 – $300.52
Riverview Medical Center Red Bank $206.14 $206.14 – $289.84
Southern Ocean Medical Center Manahawkin $206.14 $206.14 – $289.84

All New-jersey hospitals for this procedure →