Aco cont gluc mnt phys/qhp eqp 95250aco at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$142.76
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.
$616.00
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.
$81.93 with AETNA vs $599.31 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 →
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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 | MANAGED MEDICAID | $81.93 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $110.88 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $127.51 | ↓ -11% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.76 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.76 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.76 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.76 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.90 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $152.76 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $155.61 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.32 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $223.28 | ↑ +56% |
| KARNA | MEDICARE ADVANTAGE | $268.87 | ↑ +88% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $362.82 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $373.11 | ↑ +161% |
| QUALCARE | WORKERS COMP | $409.64 | ↑ +187% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $462.00 | ↑ +224% |
| BERGEN RISK | ALL PRODUCTS | $462.00 | ↑ +224% |
| HORIZON | OMNIA | $470.62 | ↑ +230% |
| HORIZON | PIP | $476.78 | ↑ +234% |
| HORIZON | WORKERS COMP | $480.11 | ↑ +236% |
| AETNA | ASA | $482.33 | ↑ +238% |
| CIGNA | BH | $492.80 | ↑ +245% |
| UNITED HEALTHCARE | HMO | $501.61 | ↑ +251% |
| HORIZON | INDEMNITY | $517.62 | ↑ +263% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $523.60 | ↑ +267% |
| AMERIHEALTH | LOCAL HMO | $533.15 | ↑ +273% |
| AETNA | PPO | $554.40 | ↑ +288% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $554.40 | ↑ +288% |
| AETNA | HMO | $554.40 | ↑ +288% |
| QUALCARE | HMO | $559.33 | ↑ +292% |
| QUALCARE | PPO | $559.33 | ↑ +292% |
| HORIZON | SHP | $574.73 | ↑ +303% |
| HORIZON | HMO | $580.27 | ↑ +306% |
| CIGNA | PPO | $589.08 | ↑ +313% |
| CIGNA | HMO | $589.08 | ↑ +313% |
| HORIZON | PPO | $595.06 | ↑ +317% |
| AMERIHEALTH | REGIONAL HMO | $599.31 | ↑ +320% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.64 | $142.64 – $171.17 |
| Hackensack University Medical Center | Hackensack | $151.77 | $121.41 – $4,994.00 |
| Ocean University Medical Center | Brick | $140.84 | $104.00 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $104.00 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $142.64 | $142.64 – $253.93 |
| Palisades Medical Center | North Bergen | $151.77 | $151.77 – $576.00 |
| Riverview Medical Center | Red Bank | $142.64 | $142.64 – $253.93 |
| Southern Ocean Medical Center | Manahawkin | $140.84 | $140.84 – $253.93 |