Aco med nutria tx/group, ea 30 min 97804aco at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$19.31
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.
$105.00
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.
$13.97 with AETNA vs $313.00 with UNITED HEALTHCARE — 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 | $13.97 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $18.90 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.31 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $19.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.28 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $20.66 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $21.05 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $21.74 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $23.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $26.27 | ↑ +36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $61.85 | ↑ +220% |
| QUALCARE | WORKERS COMP | $69.83 | ↑ +262% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $78.75 | ↑ +308% |
| BERGEN RISK | ALL PRODUCTS | $78.75 | ↑ +308% |
| HORIZON | OMNIA | $80.22 | ↑ +315% |
| HORIZON | PIP | $81.27 | ↑ +321% |
| HORIZON | WORKERS COMP | $81.84 | ↑ +324% |
| AETNA | ASA | $82.22 | ↑ +326% |
| CIGNA | BH | $84.00 | ↑ +335% |
| HORIZON | INDEMNITY | $88.23 | ↑ +357% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $89.25 | ↑ +362% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $94.50 | ↑ +389% |
| AETNA | HMO | $94.50 | ↑ +389% |
| AETNA | PPO | $94.50 | ↑ +389% |
| QUALCARE | PPO | $95.34 | ↑ +394% |
| QUALCARE | HMO | $95.34 | ↑ +394% |
| HORIZON | SHP | $97.97 | ↑ +407% |
| HORIZON | HMO | $98.91 | ↑ +412% |
| CIGNA | HMO | $100.41 | ↑ +420% |
| CIGNA | PPO | $100.41 | ↑ +420% |
| HORIZON | PPO | $101.43 | ↑ +425% |
| HORIZON | MANAGED MEDICAID | $107.50 | ↑ +457% |
| AMERIHEALTH | LOCAL HMO | $209.00 | ↑ +982% |
| AMERIHEALTH | REGIONAL HMO | $235.00 | ↑ +1117% |
| OXFORD | ALL PRODUCTS | $308.00 | ↑ +1495% |
| UNITED HEALTHCARE | HMO | $313.00 | ↑ +1521% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19.31 | $19.31 – $465.00 |
| Hackensack University Medical Center | Hackensack | $19.31 | $15.45 – $1,496.00 |
| Ocean University Medical Center | Brick | $19.31 | $19.31 – $465.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19.31 | $19.31 – $792.00 |
| Jersey Shore University Medical Center | Neptune City | $19.31 | $15.45 – $443.00 |
| Palisades Medical Center | North Bergen | $19.31 | $19.31 – $981.00 |
| Riverview Medical Center | Red Bank | $19.31 | $19.31 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $19.31 | $19.31 – $465.00 |